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Segment Reporting - Reconciliation of Consolidated Operating Income to Adjusted Operating Income (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Segment Reporting [Abstract]    
Operating income (GAAP measure) $ 2,271 $ 3,446
Amortization of intangible assets 508 402
Net realized capital losses 18 105
Acquisition-related transaction and integration costs 60 43
Opioid litigation charges 100 0
Office real estate optimization charges 0 25
Loss on assets held for sale 0 349
Adjusted operating income $ 2,957 $ 4,370