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Segment Information - Special Items (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
After-tax [Abstract]        
Debt extinguishment costs $ 209 $ 0 $ 209 $ 0
Merger-related transaction costs 6 46 8 108
Long-term care guaranty fund assessment     83 0
Charges associated with litigation matters 0 25 0 25
Total impact of special items, after-tax 215 71 300 133
Before-tax [Abstract]        
Debt extinguishment costs, before tax 321 0 321 0
Merger-related costs, before tax 9 49 88 123
Long-term care guaranty fund assessment, before tax     129 0
Charges associated with litigation matters, before tax 0 40 0 40
Total impact of special items, before-tax $ 330 $ 89 $ 538 $ 163