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Basis of Presentation and Signficant Accounting Policies Basis of Presentation and Significant Acconting Policies (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2020
Jan. 01, 2020
Dec. 31, 2019
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Cumulative effect of new accounting principle in period of adoption   $ (35) $ (35) $ 26
Customer funds and cash and cash equivalents on deposit for regulatory requirements $ 179   215  
Securities lending transactions, initial collateral percentage value 102.00%      
Premium receivable, allowance for doubtful accounts $ 250   237  
Self-funded receivables, allowance for doubtful accounts 55   46  
Allowance for doubtful accounts, Other Receivables, current $ 390   $ 242