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Insurance and Contractholder Liabilities - Future Policy Benefits - Present Value of Expected Premiums and Benefits (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Dec. 31, 2022
Dec. 31, 2021
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Observable inputs from published spot rate curve term (in years) 30 years      
Cigna Healthcare        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance $ 8,557 $ 9,314    
Reversal of effect of beginning of period discount rate assumptions 1,537 (367)    
Effect of assumption changes and actual variances from expected experience     $ 0 $ 0
Issuances and lapses 306 143    
Net premiums collected (326) (310)    
Interest and other 56 46    
Ending balance at original discount rate 10,130 8,826    
Effect of end of period discount rate assumptions (1,312) (376)    
Ending balance 8,818 8,450 8,557 9,314
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 8,945 9,794    
Reversal of effect of discount rate assumptions 1,611 (379)    
Effect of assumption changes and actual variances from expected experience     0 0
Issuances and lapses 307 215    
Benefit payments (326) (385)    
Interest and other 58 52    
Ending balance at original discount rate 10,595 9,297    
Effect of discount rate assumptions (1,378) (392)    
Ending balance 9,217 8,905 8,945 9,794
Liability for future policy benefits 399 455    
Other 202 226    
Future policy benefits 601 681 587  
Undiscounted expected future gross premiums 17,600 13,500    
Discounted expected future gross premiums 12,500 10,700    
Undiscounted expected future policy benefits 12,800 11,200    
Future policy benefit reserve, reinsurance recoverable 154 171    
Other Operations        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Future policy benefits 3,631   3,592  
Undiscounted expected future policy benefits 4,600 4,700    
Future policy benefit reserve, reinsurance recoverable 1,000 1,200    
Future policy benefits, DPL 392 384    
Future policy benefit, excluding DPL $ 3,200 3,900 $ 3,200 4,300
Future policy benefits classified as liabilities of business held for sale   $ 3,700   $ 3,800