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Acquisition (Details) (USD $)
1 Months Ended1 Months Ended0 Months Ended
Aug. 31, 2010
Vanbreda [Member]
Aug. 31, 2010
Vanbreda [Member]
Customer Relationships [Member]
Sep. 30, 2011
FirstAssist [Member]
Oct. 24, 2011
HealthSpring [Member]
Vanbreda Condensed Balance Sheet Acquisition Date [Abstract]    
Investments$ 39,000,000   
Cash and cash equivalents73,000,000   
Premiums, accounts and notes receivable22,000,000   
Property and equipment1,000,000   
Deferred income taxes(71,000,000)   
Goodwill229,000,000   
Other assets, including other intangibles220,000,000   
Total assets acquired513,000,000   
Accounts payable, accrued expenses and other liabilities101,000,000   
Total liabilities acquired101,000,000   
Net assets acquired412,000,000   
Acquisition Text Details [Abstract]    
Business Acquisition Effective Date Of Acquisition [Text Block]August 31, 2010   
Business Acquisition Percentage Of Voting Interests Acquired100.00%   
Business Acquisition Name Of Acquired Entity [Text Block]Vanbreda International NV FirstAssist Group Holdings LimitedHealthSpring, Inc.
Business Acquisition Cost Of Acquired Entity Cash Paid412,000,000 110,000,000 
Business Acquisition Description Of Acquired Entity [Text Block]Vanbreda International specializes in providing worldwide medical insurance and employee benefits to intergovernmental and non-governmental organizations, including international humanitarian operations, as well as corporate clients. . FirstAssist is based in the United Kingdom and provides travel and protection insurance services 
Business Combination Reason For Business Combination [Text Block]Vanbreda International’s strong presence in Europe complements the Company’s position in providing expatriate benefits primarily to corporate clients in North America, as well as in Europe and Asia. the Company expects will enhance its individual business in the U.K. and around the world. 
Business Acquisition Purchase Price Allocation Methodology [Text Block]In accordance with GAAP, the total purchase price has been allocated to the tangible and intangible net assets acquired based on management’s estimates of their fair values.   
Business Combination Goodwill Recognized Segment Allocation [Text Block]Goodwill is allocated to the International segment.   
Business Acquisition Period Results Included In Combined Entity [Text Block]from the date of acquisition   
Average amortization period for customer relationships15 years   
Business Acquisition, Date of Acquisition Agreement  September 2011October 24, 2011
Acquired Finite Lived Intangible Asset Amount 210,000,000  
Price per share   55
Estimated Acquisition Cost   $ 3,900,000,000