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Derivative Financial Instruments and Off-balance sheet Financial Instruments - Derivatives not designated as accounting hedges (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives $ 195 $ 78 $ 14
Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 58 49 (26)
Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 27 0 0
Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 45 29 40
(Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 65 0 0
Interest rate contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 22 36 51
Interest rate contracts | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 22 36 51
Interest rate contracts | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Interest rate contracts | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Interest rate contracts | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Equity and index contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 65 44 (81)
Equity and index contracts | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives (7) 15 (121)
Equity and index contracts | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 27 0 0
Equity and index contracts | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 45 29 40
Equity and index contracts | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Contingent consideration      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 65    
Contingent consideration | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0    
Contingent consideration | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0    
Contingent consideration | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0    
Contingent consideration | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 65    
Foreign currency contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 32 (13) 5
Foreign currency contracts | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 32 (13) 5
Foreign currency contracts | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Foreign currency contracts | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Foreign currency contracts | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Credit default contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 7 6 (7)
Credit default contracts | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 7 6 (7)
Credit default contracts | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Credit default contracts | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Credit default contracts | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Total return swap agreements - fixed income      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 4 1 13
Total return swap agreements - fixed income | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 4 1 13
Total return swap agreements - fixed income | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Total return swap agreements - fixed income | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 0 0
Total return swap agreements - fixed income | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives $ 0 0 0
Total return swap agreements - equity index      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives   4 33
Total return swap agreements - equity index | Net gains (losses) on investments and derivatives      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives   4 33
Total return swap agreements - equity index | Accident and health insurance policy benefits and interest credited to contractholder funds      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives   0 0
Total return swap agreements - equity index | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives   0 0
Total return swap agreements - equity index | (Loss) income from discontinued operations      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives   $ 0 $ 0