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Shareholders' Equity - Regulatory Requirements (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Statutory Accounting Practices [Line Items]      
Estimated minimum statutory surplus required by regulators $ 7,741    
Investments on deposit with regulatory bodies 652    
Estimated maximum dividend distributions permitted in 2023 without prior regulatory approval 2,706    
Insurance and HMO      
Statutory Accounting Practices [Line Items]      
Statutory net income 2,851 $ 3,302 $ 3,667
Estimated statutory capital and surplus 15,503 $ 14,879 $ 13,238
Dividends paid $ 3,200