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Segment Information (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Medical Premiums [Abstract]                      
Total premiums and fees                 $ 19,089 $ 18,393 $ 16,041
Mail order pharmacy revenues                 1,447 1,420 1,282
Other revenues                 244 254 116
Net investment income                 1,146 1,105 1,014
Total revenues 5,460 5,610 5,507 5,411 5,427 5,264 5,352 5,204 21,988 21,247 18,410
Total taxes                 615 519 559
Segment income from continuing operations                 1,219 1,229 1,317
Realized Investment Gains Losses From Continuing Operations [Abstract]                      
Total realized investment losses                 62 75 (43)
Less income taxes (benefits)                 21 25 (17)
Realized investment gains (losses) from continuing operations, net of taxes and noncontrolling interest                 41 50 (26)
Shareholders' income from continuing operations                 1,260 1,279 1,291
Segment Information Text Details [Abstract]                      
Income Loss From Continuing Operations Before Income Taxes Foreign Percentage                 15.00% 13.00% 9.00%
Medicare Part D Fees                 61 57 41
South Korean Percentage Of International Segment's Revenues                 31.00% 32.00%  
South Korean Percentage Of International Segment's Earnings                 50.00% 53.00%  
Medical [Member]
                     
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 14,568 14,253 12,089
Disability [Member]
                     
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 1,280 1,162 1,063
Life Accident And Health [Member]
                     
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 3,103 2,839 2,748
Mail Order Pharmacy [Member]
                     
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 1,447 1,420 1,282
Other Products [Member]
                     
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 382 393 257
Health Care Segment [Member]
                     
Medical Premiums [Abstract]                      
Guaranteed cost                 4,176 3,929 3,380
Experience-rated                 1,934 1,823 1,699
Stop loss                 1,451 1,287 1,274
Dental                 894 804 731
Medicare 489       1,470       489 1,470 595
Medicare Part D                 624 558 342
Other                 600 543 515
Total medical                 10,168 10,414 8,536
Life and other non-medical                 77 103 179
Total premiums                 10,245 10,517 8,715
Fees                 2,936 2,802 2,669
Total premiums and fees                 13,181 13,319 11,384
Mail order pharmacy revenues                 1,447 1,420 1,282
Other revenues                 234 266 262
Net investment income                 274 243 181
Total revenues                 15,136 15,248 13,109
Total taxes                 556 476 399
Segment income from continuing operations                 991 861 731
Disability And Life Segment [Member]
                     
Medical Premiums [Abstract]                      
Life                 1,256 1,238 1,301
Disability                 1,268 1,167 1,057
Other                 256 262 276
Total premiums and fees                 2,780 2,667 2,634
Other revenues                 0 123 113
Net investment income                 267 261 244
Total revenues                 3,047 3,051 2,991
Total taxes                 109 120 109
Segment income from continuing operations                 287 291 284
International Segment [Member]
                     
Medical Premiums [Abstract]                      
Health Care                 1,464 1,037 884
Supplemental Health, Life and Accident                 1,526 1,231 998
Total premiums and fees                 2,990 2,268 1,882
Other revenues                 17 25 18
Net investment income                 96 82 69
Total revenues                 3,103 2,375 1,969
Total taxes                 100 93 35
Segment income from continuing operations                 219 177 173
Realized Investment Gains Losses From Continuing Operations [Abstract]                      
Equity in income of investees                 8 10 8
Revenues By Product [Line Items]                      
Premiums and fees, mail order pharmacy revenues and other revenues                 3,007 2,293 1,900
Run Off Reinsurance Segment [Member]
                     
Medical Premiums [Abstract]                      
Total premiums and fees                 20 (133) (254)
Net investment income                 103 114 113
Total revenues                 123 (19) (141)
Total taxes                 (99) (136) 93
Segment income from continuing operations                 (183) 26 185
Other Operations Segment [Member]
                     
Medical Premiums [Abstract]                      
Total premiums and fees                 169 174 176
Net investment income                 400 404 407
Total revenues                 569 578 583
Total taxes                 29 39 31
Segment income from continuing operations                 89 85 86
Corporate Segment [Member]
                     
Medical Premiums [Abstract]                      
Other revenues                 (58) (62) (58)
Net investment income                 6 1 0
Total revenues                 (52) (61) (58)
Total taxes                 (101) (98) (91)
Segment income from continuing operations                 (184) (211) (142)
Total Segment Reporting [Member]
                     
Medical Premiums [Abstract]                      
Total taxes                 $ 615 $ 519 $ 559