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Changes in Carrying Amount of Goodwill by Reportable Segments (Detail) (USD $)
In Millions, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Goodwill [Line Items]  
Beginning Balance $ 3,733
Acquisitions 3
Dispositions (40)
Subsequent payments/adjustments (1)
Ending Balance 3,695
Retail
 
Goodwill [Line Items]  
Beginning Balance 1,007
Acquisitions 0
Dispositions 0
Subsequent payments/adjustments 0
Ending Balance 1,007
Employer Group
 
Goodwill [Line Items]  
Beginning Balance 363
Acquisitions 0
Dispositions 0
Subsequent payments/adjustments 0
Ending Balance 363
Healthcare Services
 
Goodwill [Line Items]  
Beginning Balance 2,271
Acquisitions 3
Dispositions (40)
Subsequent payments/adjustments (1)
Ending Balance 2,233
Other Businesses
 
Goodwill [Line Items]  
Beginning Balance 92
Acquisitions 0
Dispositions 0
Subsequent payments/adjustments 0
Ending Balance $ 92