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Schedule Summarizing Quarterly Operation Results (Schedule Summarizing Quarterly Operation Results) (Details) (USD $)
In Millions, except Per Share data, 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
Quarterly Financial Information [Abstract]                      
Total revenues $ 9,056.0 $ 9,301.0 $ 9,284.0 $ 9,191.0 $ 8,276.0 [1] $ 8,351.0 $ 8,589.0 [2] $ 8,380.0 $ 36,832.0 $ 33,596.0 $ 30,743.0
Income before income taxes 313 699 726 497 174 [1] 622 536 [2] 417 2,235 1,749 1,602
Net income 199 445 460 315 107 [1] 393 340 [2] 259 1,419 1,099 1,040
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
Write-down of deferred acquisition costs             147.0     147.0  
Charge related to closed block of long-term care policies         139         139  
After tax impact of charge         $ 88   $ 93        
Impact on EPS of charge         $ 0.52   $ 0.55        
[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.