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Schedule III - Supplementary Insurance Information (Details) (USD $)
In Millions, unless otherwise specified
12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs $ 1,198 $ 817 $ 701
Future policy benefits and contractholder deposit funds 17,773 17,146 16,656
Medical claims payable and unpaid claims 5,918 5,241 5,263
Unearned premiums and fees 549 502 416
Premiums and fees 26,187 18,966 18,274
Net investment income 1,144 1,146 1,105
Benefit expenses 17,900 12,490 12,233
Amortization of deferred policy acquisition expenses 218 259 251
Other operating expenses 8,524 7,240 6,842
Global Health Benefits Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 19 19 22
Future policy benefits and contractholder deposit funds 175 170 178
Medical claims payable and unpaid claims 1,856 1,443 1,555
Unearned premiums and fees 111 103 87
Premiums and fees 20,973 14,443 14,134
Net investment income 259 263 230
Benefit expenses 14,228 9,125 9,222
Amortization of deferred policy acquisition expenses 68 139 155
Other operating expenses 6,573 5,404 5,216
Global Supplemental Benefits Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 1,113 729 609
Future policy benefits and contractholder deposit funds 2,227 1,255 1,085
Medical claims payable and unpaid claims 306 177 112
Unearned premiums and fees 388 346 271
Premiums and fees 1,984 1,528 1,231
Net investment income 90 83 69
Benefit expenses 1,005 754 603
Amortization of deferred policy acquisition expenses 141 110 84
Other operating expenses 770 628 505
Group Disability And Life Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 1 1 2
Future policy benefits and contractholder deposit funds 1,599 1,572 1,464
Medical claims payable and unpaid claims 3,482 3,228 3,201
Unearned premiums and fees 26 26 27
Premiums and fees 3,109 2,857 2,770
Net investment income 300 291 287
Benefit expenses 2,290 2,086 2,035
Amortization of deferred policy acquisition expenses 3 4 6
Other operating expenses 721 650 707
Run Off Reinsurance Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 0 0 0
Future policy benefits and contractholder deposit funds 1,094 1,172 1,139
Medical claims payable and unpaid claims 153 240 244
Unearned premiums and fees 0 0 0
Premiums and fees 21 24 25
Net investment income 102 103 114
Benefit expenses 16 140 (22)
Amortization of deferred policy acquisition expenses 0 0 0
Other operating expenses (12) 265 113
Other Operations Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 65 68 68
Future policy benefits and contractholder deposit funds 12,678 12,977 12,790
Medical claims payable and unpaid claims 142 160 159
Unearned premiums and fees 24 27 31
Premiums and fees 100 114 114
Net investment income 388 400 404
Benefit expenses 361 385 395
Amortization of deferred policy acquisition expenses 6 6 6
Other operating expenses 51 60 53
Corporate Segment [Member]
     
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 0 0 0
Future policy benefits and contractholder deposit funds 0 0 0
Medical claims payable and unpaid claims (21) (7) (8)
Unearned premiums and fees 0 0 0
Premiums and fees 0 0 0
Net investment income 5 6 1
Benefit expenses 0 0 0
Amortization of deferred policy acquisition expenses 0 0 0
Other operating expenses $ 421 $ 233 $ 248