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Schedule III - Supplementary Insurance Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs $ 1,659 $ 1,502 $ 1,395
Future policy benefits and contractholder deposit funds 17,922 18,072 17,776
Medical claims payable and unpaid claims 6,929 6,580 6,348
Unearned premiums 629 621 580
Premiums [1] 29,642 27,214 25,575
Net investment income [2] 1,153 1,166 1,164
Benefit expenses [1],[3] 23,290 21,334 20,865
Amortization of deferred policy acquisition expenses 286 289 255
Other operating expenses [4] 10,973 9,987 9,084
Corporate [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 (6) (5) (6)
Unearned premiums 0 0 0
Premiums [1] 0 0 0
Net investment income [2] 4 1 10
Benefit expenses [1],[3] 0 0 0
Amortization of deferred policy acquisition expenses 0 0 0
Other operating expenses [4] 502 340 328
Global Health Care [Member] | Operating Segments [Member]      
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 11 17 20
Future policy benefits and contractholder deposit funds 169 182 197
Medical claims payable and unpaid claims 2,355 2,180 2,050
Unearned premiums 145 155 116
Premiums [1] 22,696 20,709 19,626
Net investment income [2] 340 337 325
Benefit expenses [1],[3] 18,354 16,694 15,867
Amortization of deferred policy acquisition expenses 53 73 69
Other operating expenses [4] 8,621 7,843 7,021
Global Supplemental Benefits [Member] | Operating Segments [Member]      
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 1,593 1,437 1,323
Future policy benefits and contractholder deposit funds 3,006 2,785 2,525
Medical claims payable and unpaid claims 353 339 305
Unearned premiums 453 431 419
Premiums [1] 3,000 2,844 2,496
Net investment income [2] 103 109 100
Benefit expenses [1],[3] 1,659 1,544 1,310
Amortization of deferred policy acquisition expenses 227 209 178
Other operating expenses [4] 963 981 924
Group Disability And Life [Member] | Operating Segments [Member]      
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 1 1 1
Future policy benefits and contractholder deposit funds 1,714 1,662 1,615
Medical claims payable and unpaid claims 4,012 3,844 3,739
Unearned premiums 13 15 23
Premiums [1] 3,843 3,549 3,348
Net investment income [2] 337 335 321
Benefit expenses [1],[3] 2,934 2,716 2,621
Amortization of deferred policy acquisition expenses 1 1 1
Other operating expenses [4] 861 796 765
Other Operations [Member] | Operating Segments [Member]      
Supplementary Insurance Information, by Segment [Line Items]      
Deferred policy acquisition costs 54 47 51
Future policy benefits and contractholder deposit funds 13,033 13,443 13,439
Medical claims payable and unpaid claims 215 222 260
Unearned premiums 18 20 22
Premiums [1] 103 112 105
Net investment income [2] 369 384 408
Benefit expenses [1],[3] 343 380 1,067
Amortization of deferred policy acquisition expenses 5 6 7
Other operating expenses [4] $ 26 $ 27 $ 46
[1] Amounts presented are shown net of the effects of reinsurance. See Note 7 to the Consolidated Financial Statements included in this Form 10-K.
[2] The allocation of net investment income is based upon the investment year method, the identification of certain portfolios with specific segments, or a combination of both.
[3] Benefit expenses include Global Health Care medical cost expense and other benefit expenses.
[4] Other operating expenses include mail order pharmacy costs and other operating expenses, and excludes amortization of deferred policy acquisition expenses.