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Health Care Medical Claims Payable (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended9 Months Ended12 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Sep. 30, 2011
Sep. 30, 2010
Dec. 31, 2010
Dec. 31, 2009
Health Care Medical Claims Payable Text Details [Abstract]      
Difference in experience from assumptions, medical claims payable  $ (124) $ (93) 
Percent difference in experience from assumptions, medical claims payable  1.40% 1.30% 
Difference in completion factors, medical claims payable  (84) (51) 
Percent difference in completion factors, medical claims payable  0.90% 0.70% 
Difference in medical cost trend, medical claims payable  (40) (42) 
Percent difference in medical cost trend, medical claims payable  0.50% 0.60% 
After Tax Impact Of Prior Year Development On Shareholders Net Income  5226  
Schedule Of Medical Claims Payable Activity Details [Abstract]      
Balance at January 1,  1,246921921 
Less: Reinsurance and other amounts recoverable  192 236206
Balance at January 1, net  953 1,010715
Incurred Claims Details [Abstract]      
Current year  6,249 8,663 
Prior years  (124) (93) 
Total incurred2,0142,1486,1256,4358,570 
Paid Claims Details [Abstract]      
Current year  5,352 7,682 
Prior years  830 593 
Total paid  6,182 8,275 
Ending Balance, net  953 1,010715
Add: Reinsurance and other amounts recoverable  192 236206
Medical claims payable1,145 1,145 1,246921
Schedule Of Medical Claims Payable Details [Abstract]      
Incurred but not yet reported  981 1,067 
Reported claims in process147 147 164 
Other medical expense payable17 17 15 
Medical claims payable$ 1,145 $ 1,145 $ 1,246$ 921