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Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Income Tax Disclosure [Abstract]    
Income tax expense $ 505.1 $ 609.0
Effective tax rate 33.30% 46.40%
Health Insurance Provider Fee, nondeductible expense   $ 104.1