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Reinsurance and Indemnification - Effects of reinsurance on property and casualty premiums (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Property and casualty insurance premiums earned      
Direct $ 49,392 $ 45,822 $ 39,208
Assumed 252 199 113
Ceded (1,907) (1,982) (1,154)
Net amount 47,737 44,039 38,167
Property and casualty insurance premiums      
Property and casualty insurance premiums written      
Direct 50,065 45,523 38,695
Assumed 245 213 105
Ceded (1,824) (1,736) (1,142)
Property and casualty insurance premiums written, net of recoverables 48,486 44,000 37,658
Property and casualty insurance premiums earned      
Direct 47,552 43,944 38,115
Assumed 221 178 99
Ceded (1,869) (1,904) (1,141)
Net amount 45,904 42,218 37,073
Accident and health insurance      
Property and casualty insurance premiums earned      
Direct 1,622 1,722 931
Assumed 14 6 0
Ceded (31) (72) (5)
Net amount 1,605 1,656 926
Accident and health insurance premiums and contract charges      
Direct 1,840 1,878 1,093
Assumed 31 21 14
Ceded (38) (78) (13)
Accident and health insurance premiums and contract charges, net of recoverables $ 1,833 $ 1,821 $ 1,094