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Derivative Financial Instruments and Off-balance Sheet Financial Instruments - Gains and losses from valuation and settlements reported on derivatives not designated as accounting hedges (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives $ 862 $ 195 $ 78
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 874 58 49
Accident, health and other policy benefits      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 27 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 (12) 45 29
(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 65 0
Interest rate contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 737 22 36
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 737 22 36
Interest rate contracts | Accident, health and other policy benefits      
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 51 65 44
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 94 (7) 15
Equity and index contracts | Accident, health and other policy benefits      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 27 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 (43) 45 29
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 38 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 0  
Contingent consideration | Accident, health and other policy benefits      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0 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 38 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 0 65  
Foreign currency contracts      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 41 32 (13)
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 47 32 (13)
Foreign currency contracts | Accident, health and other policy benefits      
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 (6) 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 (4) 7 6
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 (4) 7 6
Credit default contracts | Accident, health and other policy benefits      
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
Other      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives (1)    
Other | 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    
Other | Accident, health and other policy benefits      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives 0    
Other | Operating costs and expenses      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives (1)    
Other | (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    
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
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
Total return swap agreements - fixed income | Accident, health and other policy benefits      
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 - 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
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
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
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
Total return swap agreements - equity index | Accident, health and other policy benefits      
Derivative Instruments, Gain (Loss)      
Derivatives not designated as accounting hedging instruments, total gain (loss) recognized in net income on derivatives     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
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