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Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Income Tax Disclosure [Abstract]        
Income tax expense $ 372.0 $ 518.7 $ 1,227.5 $ 1,795.4
Effective tax rate 33.20% 45.60% 32.00% 46.10%
Health Insurance Provider Fee, nondeductible expense   $ 100.5   $ 308.8