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Claim and Claim Adjustment Expense Reserves (Specialty - Medical Professional Liability - Net Cumulative Paid Claim and Claim Adjustment Expenses) (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Total net liability for unpaid claim and claim adjustment expenses $ 18,163 $ 16,929 $ 16,300 $ 15,857            
Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Total net liability for unpaid claim and claim adjustment expenses 5,916 5,563                
Medical Professional Liability | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 3,030                  
Net liability for unpaid claim and allocated claim adjustment expenses for the accident years presented 1,413                  
Net liability for unpaid claim and claim adjustment expenses for accident years prior to 2014 22                  
Liability for unallocated claim adjustment expenses for accident years presented 25                  
Total net liability for unpaid claim and claim adjustment expenses 1,460                  
Medical Professional Liability | 2014 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 510 504 497 489 $ 472 $ 417 $ 359 $ 258 $ 136 $ 23
Medical Professional Liability | 2015 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 463 458 444 420 384 313 230 101 $ 22  
Medical Professional Liability | 2016 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 483 460 436 401 339 246 121 $ 18    
Medical Professional Liability | 2017 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 417 388 355 308 235 107 $ 19      
Medical Professional Liability | 2018 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 418 349 290 211 115 $ 21        
Medical Professional Liability | 2019 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 349 280 183 91 $ 17          
Medical Professional Liability | 2020 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 201 139 61 $ 11            
Medical Professional Liability | 2021 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 118 49 $ 11              
Medical Professional Liability | 2022 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net 57 $ 10                
Medical Professional Liability | 2023 | Specialty                    
Short-Duration Insurance Contracts, Net Cumulative Paid Claim and Claim Adjustment Expenses [Line Items]                    
Cumulative paid claims and allocated claim adjustment expense, net $ 14