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Earnings Per Common Share Computation (Details) (USD $)
In Millions, except Share data in Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]                      
Net income available for common stockholders $ 199 $ 445 $ 460 $ 315 $ 107 [1] $ 393 $ 340 [2] $ 259 $ 1,419 $ 1,099 $ 1,040
Weighted-average outstanding shares of common stock used to compute basic earnings per common share                 165,413 167,782 167,364
Shares used to compute diluted earnings per common share                 167,827 169,798 169,071
Basic earnings per common share $ 1.22 $ 2.71 $ 2.76 $ 1.88 $ 0.64 [1] $ 2.35 $ 2.02 [2] $ 1.54 $ 8.58 $ 6.55 $ 6.21
Diluted earnings per common share $ 1.20 $ 2.67 $ 2.71 $ 1.86 $ 0.63 [1] $ 2.32 $ 2.00 [2] $ 1.52 $ 8.46 $ 6.47 $ 6.15
Number of antidilutive stock options and restricted stock awards excluded from computation                 864 3,820 5,675
Employee Stock Options [Member]
                     
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]                      
Dilutive effect of employee stock options and restricted stock                 959 676 677
Restricted Stock [Member]
                     
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]                      
Dilutive effect of employee stock options and restricted stock                 1,455 1,340 1,030
[1] Includes an expense of $139 million ($88 million after tax, or $0.52 per diluted common share) associated with reserve strengthening for our closed block of long-term care policies acquired in connection with the 2007 acquisition of KMG America Corporation as more fully described in Note 17 to the consolidated financial statements.
[2] Includes an expense of $147 million ($93 million after tax, or $0.55 per diluted common share) for the write-down of deferred acquisition costs associated with our individual commercial medical policies as more fully described in Note 17 to the consolidated financial statements.