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Global Health Care Medical Costs Payable - Activity (Details) - Accident and health insurance [Member] - USD ($)
$ in Millions
6 Months Ended 12 Months Ended
Jun. 30, 2015
Dec. 31, 2014
Medical Claims Payable Activity [Abstract]    
Costs payable, beginning balance, gross $ 2,180 $ 2,050
Less: Reinsurance and other amounts recoverable 252 194
Balance at January 1, net 1,928 1,856
Incurred claims related to:    
Current year 9,363 16,853
Prior years (182) (159)
Total incurred 9,181 16,694
Paid claims related to:    
Current year 7,394 14,966
Prior years 1,513 1,656
Total paid 8,907 16,622
Ending balance, net 2,202 1,928
Add: Reinsurance and other amounts recoverable 230 252
Costs payable, ending balance, gross $ 2,432 $ 2,180