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Borrowings - Narrative (Details) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Aug. 15, 2019
Aug. 31, 2019
Jul. 31, 2019
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Debt Instrument [Line Items]              
Proceeds from debt $ 3,500,000,000            
Proceeds from derivative instruments     $ 25,000,000     $ 25,000,000 $ (446,000,000)
Net cash flow hedges     $ 18,000,000        
Premium paid in excess of debt principal   $ 76,000,000          
Debt extinguishment fees   8,000,000          
Gain on write off of unamortized deferred financing premiums   5,000,000          
Loss on early extinguishment of debt   $ 79,000,000   $ 79,000,000 $ 0 $ 79,000,000 $ 0
Senior Notes | 2.625% senior notes due August 2024              
Debt Instrument [Line Items]              
Face amount of debt $ 1,000,000,000.0            
Debt interest rate 2.625%     2.265%   2.265%  
Senior Notes | 3% senior notes due August 2026              
Debt Instrument [Line Items]              
Face amount of debt $ 750,000,000            
Debt interest rate 3.00%     3.00%   3.00%  
Senior Notes | 3.25% senior notes due August 2029              
Debt Instrument [Line Items]              
Face amount of debt $ 1,750,000,000            
Debt interest rate 3.25%     3.25%   3.25%  
Senior Notes | 3.125% senior notes due March 2020              
Debt Instrument [Line Items]              
Debt interest rate   3.125%   3.125%   3.125%  
Aggregate principal of debt extinguished   $ 1,300,000,000          
Senior Notes | 4.125% senior notes due 2021              
Debt Instrument [Line Items]              
Debt interest rate   4.125%          
Aggregate principal of debt extinguished   $ 328,000,000          
Senior Notes | Senior Notes Issued By Aetna, 4.125%, Due 2021              
Debt Instrument [Line Items]              
Debt interest rate   4.125%          
Aggregate principal of debt extinguished   $ 297,000,000          
Senior Notes | 5.45% senior notes due June 2021              
Debt Instrument [Line Items]              
Debt interest rate   5.45%   5.45%   5.45%  
Aggregate principal of debt extinguished   $ 413,000,000          
Senior Notes | 3.35% senior notes due March 2021              
Debt Instrument [Line Items]              
Debt interest rate   3.35%   3.35%   3.35%  
Aggregate principal of debt extinguished   $ 962,000,000          
Senior Notes | 2.125% senior notes due June 2021              
Debt Instrument [Line Items]              
Debt interest rate       2.125%   2.125%  
Senior Notes | Outstanding senior notes              
Debt Instrument [Line Items]              
Aggregate principal of debt extinguished   4,000,000,000.0          
Floating Rate Notes | Floating rate notes due March 2020              
Debt Instrument [Line Items]              
Aggregate principal of debt extinguished   $ 723,000,000