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Segment Information - Segment Financial Information (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Segment Reporting Information [Line Items]        
Premiums $ 7,347 $ 6,832 $ 22,181 $ 20,308
Fees and other revenues 1,104 1,027 3,359 3,060
Mail order pharmacy revenues 643 583 1,846 1,625
Net investment income 285 292 858 863
Realized investment gains (losses) 10 23 104 130
Total revenues 9,389 8,757 28,348 25,986
Depreciation and amortization     451 435
Income taxes 334 287 1,009 940
Shareholders' net income 547 534 1,668 1,635
Realized Investment Gains        
Realized investment gains (losses) 10 23 104 130
Less income taxes (benefits) 3 8 36 45
Net realized investment gains (losses) $ 7 $ 15 $ 68 $ 85