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Insurance and Contractholder Liabilities - Variances in Incurred Costs Related to Prior Years' Unpaid Claims and Claims Expenses (Details) - U.S. Medical - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]    
Favorable (unfavorable) variance, amount $ 126 $ 159
Favorable (unfavorable) variance, percentage 0.50% 0.70%
Actual completion factors    
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]    
Favorable (unfavorable) variance, amount $ 47 $ 87
Favorable (unfavorable) variance, percentage 0.20% 0.40%
Medical cost trend    
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]    
Favorable (unfavorable) variance, amount $ 79 $ 72
Favorable (unfavorable) variance, percentage 0.30% 0.30%