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Future policy benefits (Rollforward) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Jul. 01, 2023
Jul. 01, 2022
Jan. 01, 2021
Dec. 31, 2020
Liability for Future Policy Benefit, Activity [Line Items]              
Net liability for future policy benefits, per consolidated balance sheet $ 13,888 $ 10,476 $ 7,837     $ 7,652  
Weighted-average duration (years) 19 years 4 months 24 days 17 years 6 months 17 years 1 month 6 days        
Cigna's Life Insurance Business in Asian Markets              
Liability for Future Policy Benefit, Activity [Line Items]              
Net liability for future policy benefits, per consolidated balance sheet         $ 3,856    
Huatai Group [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Net liability for future policy benefits, per consolidated balance sheet       $ 2,287      
Life Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Balance – beginning of period $ 14,867 $ 4,315 $ 4,583        
Beginning balance at original discount rate 16,693 15,529 3,993       $ 3,953
Effect of changes in cash flow assumptions   (756) 13       (33)
Effect of actual variances from expected experience   (5) (95)       (169)
Adjusted beginning of period balance 14,768 3,911 3,751        
Acquisition 1,850 11,571          
Issuances 2,170 1,044 553        
Interest accrual 691 436 312        
Net premiums collected (1) (2,320) [1] (1,332) [2] (543) [3]        
Other (including foreign exchange) 466 (101) (80)        
Ending balance at original discount rate   14,768 3,911        
Effect of changes in discount rate assumptions (657) (662) 322        
Balance – end of period 16,036 14,867 4,315        
Balance – beginning of period 23,324 10,387 11,100        
Beginning balance at original discount rate 28,303 24,456 9,019       8,905
Effect of changes in cash flow assumptions   (795) 17       (36)
Effect of actual variances from expected experience   15 (102)       (166)
Adjusted beginning of period balance 23,676 8,934 8,703        
Acquisition 4,072 15,447          
Issuances 2,170 1,044 553        
Interest accrual 1,023 664 480        
Benefits payments (2,135) (1,285) (613)        
Other (including foreign exchange) (503) 348 104        
Ending balance at original discount rate   23,676 8,934        
Effect of changes in discount rate assumptions (841) (1,132) 1,368        
Balance – end of period 27,462 23,324 10,387        
Net liability for future policy benefits 11,426 8,457 6,072        
Deferred profit liability 1,253 869 613        
Net liability for future policy benefits, per consolidated balance sheet 12,679 9,326 6,685        
Less: Reinsurance recoverable on future policy benefits 233 251 210        
Net liability for future policy benefits, after reinsurance recoverable 12,446 9,075 6,475        
Other Segments [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Net liability for future policy benefits, per consolidated balance sheet [4] 1,209 1,150 1,152        
Term Life Insurance | Life Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Balance – beginning of period 1,806 422 371        
Beginning balance at original discount rate 1,992 1,867 397       322
Effect of changes in cash flow assumptions   22 35       (4)
Effect of actual variances from expected experience   (9) (35)       (82)
Adjusted beginning of period balance 1,880 397 236        
Issuances 190 169 183        
Interest accrual 71 71 97        
Net premiums collected (1) (255) [1] (185) [2] (107) [3]        
Other (including foreign exchange) (103) 54 (12)        
Ending balance at original discount rate   1,880 397        
Effect of changes in discount rate assumptions (402) (61) 25        
Balance – end of period 1,590 1,806 422        
Balance – beginning of period 2,321 832 739        
Beginning balance at original discount rate 2,749 2,447 775       630
Effect of changes in cash flow assumptions   15 34       (7)
Effect of actual variances from expected experience   (4) (36)       (73)
Adjusted beginning of period balance 2,458 773 550        
Issuances 190 169 183        
Interest accrual 90 83 105        
Benefits payments (238) (176) (102)        
Other (including foreign exchange) 232 (5) (39)        
Ending balance at original discount rate   2,458 773        
Effect of changes in discount rate assumptions (495) (126) 57        
Balance – end of period 2,254 2,321 832        
Net liability for future policy benefits 664 515 410        
Deferred profit liability 267 201 128        
Net liability for future policy benefits, per consolidated balance sheet 931 716 538     454  
Less: Reinsurance recoverable on future policy benefits 82 93 119        
Net liability for future policy benefits, after reinsurance recoverable $ 849 $ 623 $ 419        
Weighted-average duration (years) 10 years 6 months 9 years 2 months 12 days 10 years 7 months 6 days        
Term Life Insurance | Life Insurance [Member] | Cigna's Life Insurance Business in Asian Markets              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition   $ 1,361          
Acquisition   1,593          
Term Life Insurance | Life Insurance [Member] | Huatai Group [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition $ 3            
Acquisition 17            
Whole Life Insurance | Life Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Balance – beginning of period 2,308 1,343 $ 1,395        
Beginning balance at original discount rate 3,945 2,361 1,245       1,201
Effect of changes in cash flow assumptions   40 3       (24)
Effect of actual variances from expected experience   88 69       2
Adjusted beginning of period balance 2,489 1,317 1,179        
Issuances 318 230 229        
Interest accrual 87 55 51        
Net premiums collected (1) (585) [1] (273) [2] (161) [3]        
Other (including foreign exchange) 54 (50) (53)        
Ending balance at original discount rate   2,489 1,317        
Effect of changes in discount rate assumptions 5 (53) 98        
Balance – end of period 3,950 2,308 1,343        
Balance – beginning of period 5,696 4,493 4,886        
Beginning balance at original discount rate 9,991 5,874 3,540       3,503
Effect of changes in cash flow assumptions   44 5       (24)
Effect of actual variances from expected experience   98 72       (2)
Adjusted beginning of period balance 6,016 3,617 3,477        
Issuances 318 230 229        
Interest accrual 252 176 152        
Benefits payments (333) (248) (174)        
Other (including foreign exchange) 79 179 144        
Ending balance at original discount rate   6,016 3,617        
Effect of changes in discount rate assumptions 72 (178) 953        
Balance – end of period 10,063 5,696 4,493        
Net liability for future policy benefits 6,113 3,388 3,150        
Deferred profit liability 804 531 387        
Net liability for future policy benefits, per consolidated balance sheet 6,917 3,919 3,537     3,767  
Less: Reinsurance recoverable on future policy benefits 45 49 51        
Net liability for future policy benefits, after reinsurance recoverable $ 6,872 $ 3,870 $ 3,486        
Weighted-average duration (years) 25 years 9 months 18 days 25 years 1 month 6 days 21 years 6 months        
Whole Life Insurance | Life Insurance [Member] | Cigna's Life Insurance Business in Asian Markets              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition   $ 1,082          
Acquisition   2,278          
Whole Life Insurance | Life Insurance [Member] | Huatai Group [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition $ 1,690            
Acquisition 3,659            
Accident and Health [Member] | Life Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Balance – beginning of period 10,711 2,520 $ 2,782        
Beginning balance at original discount rate 10,692 11,258 2,323       2,398
Effect of changes in cash flow assumptions   (820) (25)       (4)
Effect of actual variances from expected experience   (84) (129)       (89)
Adjusted beginning of period balance 10,354 2,169 2,305        
Issuances 1,653 639 135        
Interest accrual 531 309 164        
Net premiums collected (1) (1,457) [1] (859) [2] (270) [3]        
Other (including foreign exchange) 534 (105) (11)        
Ending balance at original discount rate   10,354 2,169        
Effect of changes in discount rate assumptions (260) (547) 197        
Balance – end of period 10,432 10,711 2,520        
Balance – beginning of period 15,038 4,935 5,351        
Beginning balance at original discount rate 15,071 15,855 4,585       4,668
Effect of changes in cash flow assumptions   (858) (37)       (4)
Effect of actual variances from expected experience   (78) (138)       (90)
Adjusted beginning of period balance 14,919 4,410 4,574        
Issuances 1,653 639 135        
Interest accrual 672 401 221        
Benefits payments (1,551) (855) (337)        
Other (including foreign exchange) (785) 181 8        
Ending balance at original discount rate   14,919 4,410        
Effect of changes in discount rate assumptions (421) (817) 350        
Balance – end of period 14,650 15,038 4,935        
Net liability for future policy benefits 4,218 4,327 2,415        
Deferred profit liability 165 126 94        
Net liability for future policy benefits, per consolidated balance sheet 4,383 4,453 2,509     2,569  
Less: Reinsurance recoverable on future policy benefits 106 109 40        
Net liability for future policy benefits, after reinsurance recoverable $ 4,277 $ 4,344 $ 2,469        
Weighted-average duration (years) 10 years 4 months 24 days 10 years 8 months 12 days 10 years 6 months        
Accident and Health [Member] | Life Insurance [Member] | Cigna's Life Insurance Business in Asian Markets              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition   $ 9,105          
Acquisition   11,441          
Accident and Health [Member] | Life Insurance [Member] | Huatai Group [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition $ 145            
Acquisition 163            
Accident and Health [Member] | Overseas General Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Net liability for future policy benefits, per consolidated balance sheet           773  
Insurance, Other [Member] | Life Insurance [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Balance – beginning of period 42 30 $ 35        
Beginning balance at original discount rate 64 43 28       32
Effect of changes in cash flow assumptions   2 0       (1)
Effect of actual variances from expected experience   0 0       0
Adjusted beginning of period balance 45 28 31        
Issuances 9 6 6        
Interest accrual 2 1 0        
Net premiums collected (1) (23) [1] (15) [2] (5) [3]        
Other (including foreign exchange) (19) 0 (4)        
Ending balance at original discount rate   45 28        
Effect of changes in discount rate assumptions 0 (1) 2        
Balance – end of period 64 42 30        
Balance – beginning of period 269 127 124        
Beginning balance at original discount rate 492 280 119       104
Effect of changes in cash flow assumptions   4 15       (1)
Effect of actual variances from expected experience   (1) 0       $ (1)
Adjusted beginning of period balance 283 134 102        
Issuances 9 6 6        
Interest accrual 9 4 2        
Benefits payments (13) (6) 0        
Other (including foreign exchange) (29) (7) (9)        
Ending balance at original discount rate   283 134        
Effect of changes in discount rate assumptions 3 (11) 8        
Balance – end of period 495 269 127        
Net liability for future policy benefits 431 227 97        
Deferred profit liability 17 11 4        
Net liability for future policy benefits, per consolidated balance sheet 448 238 101     $ 89  
Less: Reinsurance recoverable on future policy benefits 0 0 0        
Net liability for future policy benefits, after reinsurance recoverable $ 448 $ 238 $ 101        
Weighted-average duration (years) 15 years 14 years 26 years 3 months 18 days        
Insurance, Other [Member] | Life Insurance [Member] | Cigna's Life Insurance Business in Asian Markets              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition   $ 23          
Acquisition   $ 135          
Insurance, Other [Member] | Life Insurance [Member] | Huatai Group [Member]              
Liability for Future Policy Benefit, Activity [Line Items]              
Acquisition $ 12            
Acquisition $ 233            
[1] Net premiums collected represent the portion of gross premiums collected from policyholders that is used to fund expected benefit.
[2] Net premiums collected represent the portion of gross premiums collected from policyholders that is used to fund expected benefit
[3] Net premiums collected represent the portion of gross premiums collected from policyholders that is used to fund expected benefit.
[4] Other business principally comprises certain Overseas General Insurance accident and health (A&H) policies and certain Chubb Life Re business.