XML 160 R146.htm IDEA: XBRL DOCUMENT v3.23.3
10-K Income Taxes (Reconciliation Of Income Tax Expense Computed At The Statutory Federal Income Tax Rate) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Income Tax Disclosure [Abstract]              
Amount at statutory rate, amount         $ 1,595 $ 1,679 $ 1,310
Amount at statutory rate, percent         21.00% 21.00% 21.00%
State and local income taxes net of federal tax expense/benefit, amount         $ 236 $ 259 $ 235
State and local income taxes net of federal tax expense/benefit, percent         3.10% 3.30% 3.80%
Tax exempt interest and dividends received deduction, amount         $ (19) $ (22) $ (22)
Tax exempt interest and dividends received deduction, percent         (0.30%) (0.30%) (0.40%)
Effective Income Tax Reconciliation Patient Protection Affordable Care Act Health Insurance Provider Fee         $ 0 $ 0 $ 330
Health Insurance Provider fee, percent         0.00% 0.00% 5.30%
Basis adjustments from recent acquisitions, amount         $ 0 $ 0 $ (110)
Basis adjustments from recent acquisitions, percent         0.00% 0.00% (1.80%)
Other, net amount         $ (100) $ (70) $ (77)
Other, net percent         (1.30%) (0.90%) (1.20%)
Total income tax expense $ 354 $ 529 $ 1,554 $ 1,544 $ 1,712 $ 1,846 $ 1,666
Effective Income Tax Rate Reconciliation, Percent 21.40% 24.90% 23.10% 23.60% 22.50% 23.10% 26.70%