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Schedule of Reinsurance (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Reinsurance Premiums for Insurance Companies, by Product Segment, Net Amount [Abstract]      
Reinsurance Premiums for Insurance Companies, Product Segment, Gross amount $ 1,056 $ 962 $ 1,011
Reinsurance Effect on Claims and Benefits Incurred, Amount Ceded to other companies [1] (444) (329) (369)
Reinsurance Effect on Claims and Benefits Incurred, Amount Assumed from other companies 83    
Reinsurance Effect on Claims and Benefits Incurred, Net amount 695 633 642
Life, accident and health insurance in force [Member]      
Reinsurance Premiums for Insurance Companies, by Product Segment, Net Amount [Abstract]      
Reinsurance Premiums for Insurance Companies, Product Segment, Gross amount 303,578 291,984 275,404
Reinsurance Effect on Claims and Benefits Incurred, Amount Ceded to other companies (64,852) (62,714) (61,674)
Reinsurance Effect on Claims and Benefits Incurred, Amount Assumed from other companies 2 2 2
Reinsurance Effect on Claims and Benefits Incurred, Net amount 238,728 229,272 213,732
Life insurance [Member]      
Reinsurance Premiums for Insurance Companies, by Product Segment, Net Amount [Abstract]      
Reinsurance Premiums for Insurance Companies, Product Segment, Gross amount [2] 756 700 698
Reinsurance Effect on Claims and Benefits Incurred, Amount Ceded to other companies [2] (61) (67) (56)
Reinsurance Effect on Claims and Benefits Incurred, Net amount [2] 695 633 642
Accident and health insurance [Member]      
Reinsurance Premiums for Insurance Companies, by Product Segment, Net Amount [Abstract]      
Reinsurance Premiums for Insurance Companies, Product Segment, Gross amount 300 262 313
Reinsurance Effect on Claims and Benefits Incurred, Amount Ceded to other companies (383) $ (262) $ (313)
Reinsurance Effect on Claims and Benefits Incurred, Amount Assumed from other companies $ 83    
[1] Amount includes revenues ceded to NMIC of $257 million, $158 million and $209 million for the years ended December 31, 2018, 2017 and 2016, respectively, under a modified coinsurance agreement whereby all of the Company's accident and health business not ceded to unaffiliated reinsurers is ceded to NMIC.
[2] Primarily represents premiums from traditional life insurance and life-contingent immediate annuities and excludes deposits on investment and universal life insurance products.