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Segment Information - Special Items (Details) - USD ($)
$ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Apr. 30, 2015
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
After-tax [Abstract]                        
Other operating expenses (see Note 20 for details)                   $ (36)    
Tax expense (see Note 20 for details)                   232 $ 0 $ 0
Total charges associated with U.S. tax reform   $ 196 $ 0 $ 0 $ 0         196    
Debt extinguishment costs $ 65 0 209 0 0         209   65
Long-term care guaranty fund assessment   0 0 0 83         83    
Transaction-related costs   $ 25 6 $ (47) $ 49 $ 39 $ 46 $ 26 $ 36 33 147 57
Risk corridor allowance           80 0 0 0   80  
Charges associated with litigation matters           $ 0 $ 25 $ 0 $ 0   25  
Before-tax [Abstract]                        
Other operating expenses (see note 20 for additional details)                   (56)    
Total charges associated with U.S. tax reform                   (56)    
Debt extinguishment costs $ 100   $ 321             321 0 100
Long-term care guaranty fund assessment                   129    
Transaction-related costs                   126 166 66
Risk corridor allowance                     124  
Charges associated with litigation matters                     40  
Other Operating Expenses [Member]                        
After-tax [Abstract]                        
Other operating expenses (see Note 20 for details)                   (36)    
Debt extinguishment costs                   209   65
Long-term care guaranty fund assessment                   83    
Transaction-related costs                   33 147 57
Risk corridor allowance                     80  
Charges associated with litigation matters                     25  
Before-tax [Abstract]                        
Other operating expenses (see note 20 for additional details)                   (56)    
Debt extinguishment costs                   321   100
Long-term care guaranty fund assessment                   129    
Transaction-related costs                   $ 126 166 $ 66
Risk corridor allowance                     124  
Charges associated with litigation matters                     $ 40