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Accumulated other comprehensive income (Detail) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance $ 424,791  
Other comprehensive income, net (724) $ 337
Ending Balance 393,495  
Unrealized appreciation of investments, net [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance 481 370
Other comprehensive income, net 14 166
Ending Balance 495 536
Foreign currency translation [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance (4,346) (4,603)
Other comprehensive income, net (794) 145
Ending Balance (5,140) (4,458)
Defined benefit pension plans [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance (1,369) (816)
Other comprehensive income, net 83 67
Ending Balance (1,286) (749)
Other AOCI transactions [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance (9) 34
Other comprehensive income, net (27) (41)
Ending Balance (36) (7)
Accumulated other comprehensive income [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Beginning Balance (5,243) (5,015)
Ending Balance $ (5,967) $ (4,678)