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Income Taxes (Details) (USD $)
In Millions, except Per Share data, unless otherwise specified
3 Months Ended9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Sep. 30, 2011
Sep. 30, 2010
Dec. 31, 2010
Income Taxes (Textual) [Abstract]     
Effective tax rate30.90%31.40%30.20%32.10% 
Decrease in the effective tax rate related to the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act   $ 11.4 
Unrecognized tax benefits    31.3
Unrecognized tax benefits adjusted    27.4
Amount of unrecognized tax benefits where significant change is reasonably possible    6.0
Accrued income tax interest and penalties    10.2
After-tax charge related to federal and state income taxes  75.0  
Per diluted share after-tax charge related to federal and state income taxes  $ 0.72  
Additional reduction in Shareholders' equity  $ 51.2