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Commitments, Guarantees and Contingencies - Additional Information (Detail)
$ in Millions
12 Months Ended
Dec. 31, 2015
USD ($)
Loss Contingencies [Line Items]  
Purchase obligations in 2016 $ 74
Purchase obligations in 2017 44
Purchase obligations in 2018 30
Purchase obligations in 2019 1
Purchase obligations thereafter $ 1
New Tricare South Region Contract  
Loss Contingencies [Line Items]  
Contract term years 5 years
Total Medicare  
Loss Contingencies [Line Items]  
Percentage of premiums and services revenue 72.00%
Military services  
Loss Contingencies [Line Items]  
Percentage of premiums and services revenue 1.00%
Medicaid  
Loss Contingencies [Line Items]  
Percentage of premiums and services revenue 4.00%