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Quarterly Financial Data (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Consolidated Results        
Total revenues $ 11,477 $ 10,425 $ 22,857 $ 20,899
Income (loss) before income taxes 1,102 1,134 2,320 2,024
Shareholders' net income $ 806 $ 813 $ 1,721 $ 1,411
Shareholders' net income per share:        
EPS, basic $ 3.32 $ 3.2 $ 7.1 $ 5.54
EPS, diluted 3.29 3.15 7.01 5.45
Stock and Dividend Data        
Dividends declared per share $ 0 $ 0 $ 0.04 $ 0.04
Special items        
Long-term care guaranty fund assessment     $ 0 $ 83
Transaction-related costs $ 109 $ (47) 159 2
Total special items $ 109 $ (47) $ 159 $ 85