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Global Health Care Medical Costs Payable (Details) - Global Health Benefits Segment [Member] - USD ($)
$ in Millions
Sep. 30, 2016
Dec. 31, 2015
Dec. 31, 2014
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]      
Incurred but not yet reported $ 1,947 $ 1,757  
Reported claims in process 475 470  
Phyician incentives and other medical expense payable 128 128  
Medical costs payable $ 2,550 $ 2,355 $ 2,180