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Provision for Income Taxes Using Federal Statutory Rate (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Income Tax Disclosure [Abstract]      
Income tax provision at federal statutory rate $ 759 $ 672 $ 669
States, net of federal benefit, and Puerto Rico 48 32 27
Tax exempt investment income (27) (26) (26)
Health insurer fee 204 0 0
Nondeductible executive compensation 22 6 14
Other, net 17 6 5
Provision for income taxes $ 1,023 $ 690 $ 689