thetaOwl

UNH

UnitedHealth Group IncorporatedClose $383.30EOD only
Max Pain
$380.00
Next expiry May 22, 2026
Expected Move
±$7.14
1.9% from close
Price Gap
-3.30
Distance to max pain
IV Rank
16
Low premium
P/C OI
0.70
Slightly call-heavy
Consensus
4/4
Partial coverage
Published snapshot: May 20, 2026 close
End-of-day snapshot

This page reflects UNH options positioning from the latest published market-close snapshot. Intraday price and contract changes are not displayed.

Published Snapshot
May 20, 2026 close
UNH Earnings Report
Analysis based on market close March 31, 2026

Consensus-supported lens with chain history and key metrics in the rail.

Earnings Verdict

Earnings expected around 4/21 (inferred). IV sharply elevated for the 4/24 expiration (51.2% vs 37.9% near-term), creating a clear crush setup. Historical EPS beat rate is strong (3/4 quarters), but moves have been mixed. The stock is in a pinning regime with bullish flow, suggesting potential for a controlled move. Best strategy is a short premium play targeting IV crush, with a directional bias to the upside.

Confidence:
6.5 / 10
base 5; +1 for clear IV kink confirming earnings date; +0.5 for strong historical beat rate; -0 for data quality
Most important: IV term structure shows a sharp kink at the 4/24 expiration (51.2% IV), strongly implying earnings are priced for that week. This creates a high-confidence IV crush opportunity.
🎯Earnings date not explicit but strongly inferred for week of 4/21 via IV kink at 4/24 expiration (51.2% IV).
📊Massive $200 Put OI (38,091) creates a significant gamma flip level and potential long-term support.
⚠️Historical EPS surprise data is mixed, reducing confidence in a strong directional bias for the upcoming report.

Regime Classification

Vol Regime
Normal (IV 47%)
Gamma Regime
Pinning (GEX +$9.0M — mean-reverting)
Flow Regime
Bullish (net prem +$83.4M, P/C 0.64)
Spot vs MP
Below max pain by 1.6% (spot $270.59 vs MP $275)
Gamma flip: ~$200.00Gamma flip estimated near $200 due to massive put OI wall. Above $200, dealers are net long gamma and may suppress volatility.

Earnings Overview

Next earnings: 2026-04-21 (21 days)inferred (IV kink at 4/24, est. date 4/21)

Expected moves:

  • 4/24 (24d): ±$28.67 (10.6%) [$241.91 - $299.26]
  • 4/17 (17d): ±$22.07 (8.2%) [$248.51 - $292.66]

IV Setup

Term structure: Sharp kink at 4/24 expiration (51.2% IV) vs 37.9% for 4/02 and 48.1% for 4/17. Elevated IV extends through May.

Crush estimate: ~15-20 vol pts post-earnings, back toward ~35% IV. The 4/24 straddle priced for 10.6% move will likely realize less.

Skew: Flow is net bullish (P/C 0.64), but unusual activity shows large put blocks at $340 (4/17) and heavy volume in near-term $260-$272.50 puts, indicating hedging.

Historical Context

Historical earnings data not available.

Key Levels

1$200 (Gamma Flip / Massive Put OI Wall)
2$275 (Max Pain for 3/27)
3$267.50 (Max Pain for 4/02)
4$250 (Lower 10d Expected Move Bound)
5$290 (Upper 10d Expected Move Bound)

Flow Highlights

Massive net premium bullish flow (+$83.4M), driven by huge call buying at $160 (net +$86.8M).

Likely strategic, long-dated bullish positioning, not directly related to earnings.

Unusual put volume in 4/17 $340 strike (780 vol vs 104 OI, IV 73%).

Possible far OTM hedge or speculative bet on a large drop, but strike is 26% above spot.

Heavy volume in 4/02 $262.50, $270, $272.50 puts (1,333 to 1,682 volume).

Near-term hedging as spot sits below near-dated max pain ($275).

Strategies

Short Strangle (IV Crush)
Sell $250 PUT / Sell $295 CALL exp 4/24
Credit: $8.50-$10.50
Max loss: Unlimited
Max gain: $9.50
BE: Below $240.50 / Above $304.50
Trigger: Enter 5-7 days before inferred earnings date (mid-April).
Capitalizes on elevated IV (51.2%) at the earnings expiration. Strikes placed just outside the 10-day expected move ($250.56-$290.61) for a buffer. High credit provides a wide breakeven range.
Outperforms: Stock stays within a ~$55 range ($240.50-$304.50) and IV crushes post-earnings.
Underperforms: Stock gaps beyond breakevens, especially given the wide 10.6% EM.
Put Credit Spread (Bullish Bias)
Sell $250 PUT / Buy $245 PUT exp 4/24
Credit: $1.20-$1.60
Max loss: $3.80
Max gain: $1.40
BE: $248.60
Trigger: Enter 3-5 days before earnings if bullish flow persists and spot holds above $267.50 (4/02 MP).
Lower capital requirement than strangle. Aligns with bullish net flow regime (+$83.4M). Defines risk while selling elevated IV. Strike is at the lower bound of the 10-day expected move.
Outperforms: Stock stays above $248.60. Benefits from IV crush and positive delta.
Underperforms: Stock breaks below $250 support (lower 10d EM bound).
Long Put Butterfly (Defined Risk, Pin Play)
Buy 1x $270 PUT / Sell 2x $265 PUT / Buy 1x $260 PUT exp 4/24
Max loss: Debit paid (~$1.50 est.)
Max gain: $3.50
BE: Below $268.50 / Above $261.50
Trigger: Enter 1-2 days before earnings if spot is near $270 and pinning behavior is evident.
Benefits from strong pinning regime (GEX +$9.0M) and spot's current level. Targets a move to the 4/02 max pain of $267.50. Defined risk in a high-IV environment.
Outperforms: Stock pins or moves slightly to $265 at expiration.
Underperforms: Stock moves beyond breakevens or IV crush outweighs delta move.

Risk Assessment

!Gap Risk: The 24-day expected move is wide (±10.6%). A guidance miss or beat could trigger a move beyond the strangle's wide breakevens.
!IV Crush: While significant crush is expected (~15-20 vol pts), the 'Normal' 47% vol regime means post-crush IV may not collapse to extreme lows, moderating profits for short premium plays.
!Liquidity: Excellent (1.08M OI). Top OI strikes are far from spot ($200P, $500C), but near-spot strikes have tight spreads.
!Sizing: Given the wide expected move, size short premium positions conservatively (e.g., 1-2% risk capital).

What to Watch

?Spot price action relative to the $267.50 (4/02 max pain) and $275 (3/27 max pain) levels for pinning clues.
?IV trajectory for the 4/24 expiration as the inferred earnings date approaches.
?Any unusual call flow at strikes like $290 or $300, which would signal expectations of hitting the upper expected move.
How to Use These Reports
This earnings reflects the market close on March 31, 2026.
What the reports do

Each report translates the same market-close options snapshot into a specific lens such as directional bias, premium-selling posture, flow quality, or earnings setup.

How traders use them

Reports are most useful for narrowing the playbook, surfacing entry and risk context, and deciding which raw data page to inspect next.

What to remember

These are interpretation layers, not execution guarantees. Validate the setup against chain liquidity, expected move, and exposure before sizing risk.

If the report conviction and the raw data disagree, slow down and resolve the mismatch before sizing risk.