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(Additional Information) (Detail) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Condensed Financial Statements, Captions [Line Items]        
Outstanding borrowings, line of credit   $ 0    
Investment income   405,000,000 $ 389,000,000 $ 474,000,000
Cash dividends received from subsidiary   1,400,000,000 763,000,000 493,000,000
Aggregate statutory capital and surplus in our state regulated insurance subsidiaries   8,000,000,000 7,700,000,000  
Aggregate minimum regulatory requirements of statutory capital and surplus   4,800,000,000 4,800,000,000  
Dividends that may be paid to the parent company without prior approval by state regulatory authorities in 2014   1,100,000,000    
Dividends that were paid to the parent company without prior approval by state regulatory authorities   1,400,000,000    
Contributions of statutory capital and surplus into regulated subsidiaries (in first quarter of 2016) $ 535,000,000      
MCCI        
Condensed Financial Statements, Captions [Line Items]        
Maximum borrowing capacity   55,000,000    
Outstanding borrowings, line of credit   18,000,000 0  
Majority-Owned Subsidiary, Unconsolidated        
Condensed Financial Statements, Captions [Line Items]        
Interest expense on subsidiary notes payable   1,000,000 1,000,000 1,000,000
Other long-term assets | MCCI        
Condensed Financial Statements, Captions [Line Items]        
Related party receivable   $ 349,000,000 314,000,000  
Minimum | Majority-Owned Subsidiary, Unconsolidated        
Condensed Financial Statements, Captions [Line Items]        
Debt instrument, stated interest rate   2.14%    
Maximum | Majority-Owned Subsidiary, Unconsolidated        
Condensed Financial Statements, Captions [Line Items]        
Debt instrument, stated interest rate   6.65%    
Healthcare Services | Operating Segments        
Condensed Financial Statements, Captions [Line Items]        
Investment income   $ 35,000,000 $ 30,000,000 $ 0