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Employee Incentive Plans - Fair Value of Vested Restricted Stock and SPSs (Details) - USD ($)
shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Restricted Stock Grants and Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Fair value of vested shares $ 190 $ 171 $ 107
SPSs      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares of Cigna common stock distributed upon vesting (in shares) 306 254 380
Fair value of vested shares $ 55 $ 45 $ 73