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Segment Information - Segment Financial Information (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Segment Reporting Information [Line Items]        
Premiums $ 7,432 $ 6,800 $ 14,834 $ 13,476
Fees and other revenues 1,117 1,027 2,255 2,033
Mail order pharmacy revenues 625 547 1,203 1,042
Net investment income 297 294 573 571
Realized investment gains (losses) 21 65 94 107
Total revenues 9,492 8,733 18,959 17,229
Depreciation and amortization     302 289
Income taxes 352 329 675 653
Shareholders' net income 588 573 1,121 1,101
Realized Investment Gains        
Realized investment gains (losses) 21 65 94 107
Less income taxes (benefits) 8 22 33 37
Net realized investment gains (losses) $ 13 $ 43 $ 61 $ 70