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Segment Information (Details 3) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Realized Investment Gains Losses From Continuing Operations [Abstract]                      
Total realized investment gains (losses)                 $ 44 $ 62 $ 75
Less income taxes (benefits)                 13 21 25
Realized investment gains (losses) from continuing operations, net of taxes and noncontrolling interest                 31 41 50
Segment Reporting Information [Line Items]                      
Premiums and fees and other revenues                 26,308 19,210 18,528
Mail order pharmacy revenues                 1,623 1,447 1,420
Net investment income                 1,144 1,146 1,105
Realized investment gains (losses)                 44 62 75
Total revenues 7,620 7,323 7,422 6,754 5,425 5,574 5,479 5,387 29,119 21,865 21,128
Depreciation and amortization                 560 345 292
Income taxes                 853 615 519
Realized investment gains (losses) from continuing operations, net of taxes and noncontrolling interest                 31 41 50
Shareholders' net income 406 [1] 466 [2] 380 [3] 371 [4] 273 [5] 183 [6] 391 [7] 413 [8] 1,623 1,260 1,279
Operating Segments [Member]
                     
Segment Reporting Information [Line Items]                      
Shareholders' net income                 1,592 1,219 1,229
Unallocated Amount to Segment [Member]
                     
Realized Investment Gains Losses From Continuing Operations [Abstract]                      
Realized investment gains (losses) from continuing operations, net of taxes and noncontrolling interest                 31 41 50
Segment Reporting Information [Line Items]                      
Realized investment gains (losses) from continuing operations, net of taxes and noncontrolling interest                 $ 31 $ 41 $ 50
[1] The fourth quarter of 2012 includes an after-tax gain of $7 million for the GMIB business and an after-tax charge of $68 million for litigation matters
[2] The third quarter of 2012 includes an after-tax gain of $32 million for the GMIB business, an after-tax charge of $12 million for costs associated with acquisitions, and an after-tax charge of $50 million for costs associated with a realignment and efficiency plan.
[3] The second quarter of 2012 includes an after-tax loss of $51 million for the GMIB business.
[4] The first quarter of 2012 includes an after-tax gain of $41 million for the GMIB business, an after-tax charge of $28 million for costs associated with acquisitions, and an after-tax charge of $13 million for costs associated a litigation matter in Global Health Care.
[5] The fourth quarter of 2011 includes an after-tax gain of $7 million for the GMIB business and, an after-tax charge of $31 million for costs associated with acquisitions.
[6] The third quarter of 2011 includes an after-tax loss of $134 million for the GMIB business.
[7] The second quarter of 2011 includes an after-tax loss of $21 million for the GMIB business.
[8] The first quarter of 2011 includes an after-tax gain of $13 million for the GMIB business and a net tax benefit of $24 million related to the resolution of a Federal tax matter.