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Segment Information - Additional Information (Detail)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2015
USD ($)
Dec. 31, 2015
USD ($)
Segment
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Segment Reporting [Abstract]        
Number of reportable segments | Segment   3    
Member co-share amounts and government subsidies   $ 12,300 $ 9,700 $ 7,300
Depreciation and amortization classified as benefit expense   $ 92 $ 116 $ 93
Percentage of total premium and services revenues derived from contracts with the federal government   73.00% 73.00% 75.00%
Provision for premium deficiency $ (176) $ (176) $ 0 $ 0
Increase in future policy benefits payable       $ 350