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Goodwill and Other Intangibles - Narrative (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Goodwill [Line Items]            
Goodwill impairment   $ 0 $ 0 $ 431,000,000 $ 0 $ 0
Goodwill       79,121,000,000 79,552,000,000 $ 79,749,000,000
Cumulative goodwill impairments       6,600,000,000 $ 6,100,000,000  
Long-Term Care Reporting Unit            
Goodwill [Line Items]            
Goodwill impairment $ 431,000,000          
Goodwill       0    
Long-Term Care Reporting Unit | Customer Lists            
Goodwill [Line Items]            
Intangible assets related to customer lists       $ 2,700,000,000