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Future policy benefits (Rollforward) (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Jan. 01, 2021
Liability for Future Policy Benefit, Activity [Line Items]          
Balance – beginning of period $ 13,024 $ 4,313      
Beginning balance at original discount rate     $ 13,685 $ 3,991  
Effect of changes in cash flow assumptions     (734) (32)  
Effect of actual variances from expected experience     (127) (139)  
Adjusted beginning of period balance 12,824 3,820      
Consolidation of Huatai Group 1,850        
Acquisition of Cigna   9,737      
Issuances 1,435 601      
Interest accrual 529 267      
Net premiums collected (1) [1] (1,515) (703)      
Other (including foreign exchange) 259 (639)      
Ending balance at original discount rate 14,864 13,083      
Effect of changes in discount rate assumptions (629) (686)      
Balance – end of period 14,235 12,397      
Balance – beginning of period 21,920 10,775      
Beginning balance at original discount rate     23,052 9,402  
Effect of changes in cash flow assumptions     (770) (38)  
Effect of actual variances from expected experience     (112) (144)  
Adjusted beginning of period balance 22,170 9,220      
Consolidation of Huatai Group 4,137        
Acquisition of Cigna   13,583      
Issuances 1,436 606      
Interest accrual 750 420      
Benefits payments (1,404) (704)      
Other (including foreign exchange) (336) 1,072      
Ending balance at original discount rate 26,753 22,053      
Effect of changes in discount rate assumptions (1,227) (1,240)      
Balance – end of period 25,526 20,813      
Net liability for future policy benefits 12,009 9,151      
Deferred profit liability 1,100 755      
Net liability for future policy benefits, per consolidated balance sheet 13,109 9,906 10,476   $ 7,652
Less: Reinsurance recoverable on future policy benefits 315 312      
Net liability for future policy benefits, after reinsurance recoverable $ 12,794 $ 9,594      
Weighted-average duration (years) 18 years 8 months 12 days 16 years 2 months 12 days      
Term Life Insurance | Segment Life [Member]          
Liability for Future Policy Benefit, Activity [Line Items]          
Balance – beginning of period $ 818 $ 422      
Beginning balance at original discount rate     879 397  
Effect of changes in cash flow assumptions     35 0  
Effect of actual variances from expected experience     (13) (31)  
Adjusted beginning of period balance 901 366      
Consolidation of Huatai Group 3        
Acquisition of Cigna   445      
Issuances 90 95      
Interest accrual 45 45      
Net premiums collected (1) [1] (127) (93)      
Other (including foreign exchange) 9 (46)      
Ending balance at original discount rate 903 812      
Effect of changes in discount rate assumptions (69) (59)      
Balance – end of period 834 753      
Balance – beginning of period 1,427 921      
Beginning balance at original discount rate     1,555 858  
Effect of changes in cash flow assumptions     31 (5)  
Effect of actual variances from expected experience     (10) (32)  
Adjusted beginning of period balance 1,576 821      
Consolidation of Huatai Group 17        
Acquisition of Cigna   668      
Issuances 90 100      
Interest accrual 54 52      
Benefits payments (119) (82)      
Other (including foreign exchange) 92 112      
Ending balance at original discount rate 1,710 1,447      
Effect of changes in discount rate assumptions (152) (126)      
Balance – end of period 1,558 1,321      
Net liability for future policy benefits 724 568      
Deferred profit liability 223 172      
Net liability for future policy benefits, per consolidated balance sheet 947 740     454
Less: Reinsurance recoverable on future policy benefits 111 111      
Net liability for future policy benefits, after reinsurance recoverable $ 836 $ 629      
Weighted-average duration (years) 10 years 2 months 12 days 9 years      
Whole Life Insurance | Segment Life [Member]          
Liability for Future Policy Benefit, Activity [Line Items]          
Balance – beginning of period $ 2,301 $ 1,341      
Beginning balance at original discount rate     2,354 1,243  
Effect of changes in cash flow assumptions     40 (3)  
Effect of actual variances from expected experience     6 12  
Adjusted beginning of period balance 2,400 1,252      
Consolidation of Huatai Group 1,690        
Acquisition of Cigna   1,078      
Issuances 274 155      
Interest accrual 62 37      
Net premiums collected (1) [1] (375) (156)      
Other (including foreign exchange) 56 (102)      
Ending balance at original discount rate 3,995 2,264      
Effect of changes in discount rate assumptions (62) (95)      
Balance – end of period 3,933 2,169      
Balance – beginning of period 6,048 4,785      
Beginning balance at original discount rate     6,225 3,833  
Effect of changes in cash flow assumptions     44 (3)  
Effect of actual variances from expected experience     12 14  
Adjusted beginning of period balance 6,281 3,844      
Consolidation of Huatai Group 3,659        
Acquisition of Cigna   2,267      
Issuances 276 155      
Interest accrual 176 123      
Benefits payments (212) (151)      
Other (including foreign exchange) 22 207      
Ending balance at original discount rate 10,202 6,031      
Effect of changes in discount rate assumptions (274) (308)      
Balance – end of period 9,928 5,723      
Net liability for future policy benefits 5,995 3,554      
Deferred profit liability 707 450      
Net liability for future policy benefits, per consolidated balance sheet 6,702 4,004     3,767
Less: Reinsurance recoverable on future policy benefits 47 56      
Net liability for future policy benefits, after reinsurance recoverable $ 6,655 $ 3,948      
Weighted-average duration (years) 26 years 6 months 24 years 8 months 12 days      
Accident and Health Insurance Product Line [Member] | Segment Life [Member]          
Liability for Future Policy Benefit, Activity [Line Items]          
Balance – beginning of period $ 9,863 $ 2,520      
Beginning balance at original discount rate     10,409 2,323  
Effect of changes in cash flow assumptions     (811) (29)  
Effect of actual variances from expected experience     (120) (120)  
Adjusted beginning of period balance 9,478 2,174      
Consolidation of Huatai Group 145        
Acquisition of Cigna   8,191      
Issuances 1,066 348      
Interest accrual 421 184      
Net premiums collected (1) [1] (998) (445)      
Other (including foreign exchange) 212 (487)      
Ending balance at original discount rate 9,900 9,965      
Effect of changes in discount rate assumptions (497) (531)      
Balance – end of period 9,403 9,434      
Balance – beginning of period 14,206 4,939      
Beginning balance at original discount rate     15,022 4,589  
Effect of changes in cash flow assumptions     (848) (41)  
Effect of actual variances from expected experience     (114) (126)  
Adjusted beginning of period balance 14,060 4,422      
Consolidation of Huatai Group 163        
Acquisition of Cigna   10,542      
Issuances 1,065 348      
Interest accrual 514 242      
Benefits payments (1,065) (469)      
Other (including foreign exchange) (628) 651      
Ending balance at original discount rate 14,109 14,434      
Effect of changes in discount rate assumptions (790) (790)      
Balance – end of period 13,319 13,644      
Net liability for future policy benefits 3,916 4,210      
Deferred profit liability 156 125      
Net liability for future policy benefits, per consolidated balance sheet 4,072 4,335     2,569
Less: Reinsurance recoverable on future policy benefits 103 107      
Net liability for future policy benefits, after reinsurance recoverable $ 3,969 $ 4,228      
Weighted-average duration (years) 10 years 3 months 18 days 11 years      
Accident and Health Insurance Product Line [Member] | Overseas General Insurance [Member]          
Liability for Future Policy Benefit, Activity [Line Items]          
Net liability for future policy benefits $ 718 $ 735      
Deferred profit liability 0 0      
Net liability for future policy benefits, per consolidated balance sheet 718 735     773
Less: Reinsurance recoverable on future policy benefits 33 38      
Net liability for future policy benefits, after reinsurance recoverable $ 685 $ 697      
Weighted-average duration (years) 4 years 10 months 24 days 5 years 1 month 6 days      
Insurance, Other | Segment Life [Member]          
Liability for Future Policy Benefit, Activity [Line Items]          
Balance – beginning of period $ 42 $ 30      
Beginning balance at original discount rate     43 28  
Effect of changes in cash flow assumptions     2 0  
Effect of actual variances from expected experience     0 0  
Adjusted beginning of period balance 45 28      
Consolidation of Huatai Group 12        
Acquisition of Cigna   23      
Issuances 5 3      
Interest accrual 1 1      
Net premiums collected (1) [1] (15) (9)      
Other (including foreign exchange) (18) (4)      
Ending balance at original discount rate 66 42      
Effect of changes in discount rate assumptions (1) (1)      
Balance – end of period 65 41      
Balance – beginning of period 239 130      
Beginning balance at original discount rate     250 122  
Effect of changes in cash flow assumptions     3 11  
Effect of actual variances from expected experience     $ 0 $ 0  
Adjusted beginning of period balance 253 133      
Consolidation of Huatai Group 298        
Acquisition of Cigna   106      
Issuances 5 3      
Interest accrual 6 3      
Benefits payments (8) (2)      
Other (including foreign exchange) 178 102      
Ending balance at original discount rate 732 141      
Effect of changes in discount rate assumptions (11) (16)      
Balance – end of period 721 125      
Net liability for future policy benefits 656 84      
Deferred profit liability 14 8      
Net liability for future policy benefits, per consolidated balance sheet 670 92     $ 89
Less: Reinsurance recoverable on future policy benefits 21 0      
Net liability for future policy benefits, after reinsurance recoverable $ 649 $ 92      
Weighted-average duration (years) 15 years 1 month 6 days 13 years 6 months      
[1] Net premiums collected represent the portion of gross premiums collected from policyholders that is used to fund expected benefit.