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Income Taxes (Narrative) (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Income Tax Disclosure [Abstract]    
Income Tax Expense (Benefit) $ 438.7 $ 410.2
Effective tax rate 38.80% 32.00%
Health Insurance Provider fee, nondeductible expense $ 80.5