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Shareholders' Equity - Regulatory Requirements (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Statutory Accounting Practices [Line Items]      
Estimated minimum statutory surplus required by regulators $ 9,011    
Investments on deposit with regulatory bodies 684    
Estimated maximum dividend distributions permitted in 2024 without prior regulatory approval 3,098    
Insurance and HMO      
Statutory Accounting Practices [Line Items]      
Statutory net income 2,757 $ 2,851 $ 3,302
Estimated statutory capital and surplus 16,961 $ 15,503 $ 14,879
Dividends paid $ 1,900