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General - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2020
Jul. 01, 2020
Jun. 30, 2020
Mar. 31, 2020
Jan. 01, 2020
Dec. 31, 2019
Sep. 30, 2019
Jul. 01, 2019
Jun. 30, 2019
Jan. 01, 2019
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]                        
Allowance for Credit Loss $ 411 $ 411   $ 413 $ 365 $ 289            
Stockholders' equity (27,263) (27,263)         $ (25,998) $ (26,140)        
Premium installment receivables 153 153   139 $ 96 91 91          
Credit Loss expense 65 201                    
Writeoffs 51 139                    
Retained income                        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]                        
Stockholders' equity $ (50,336) $ (50,336)   $ (49,380)     $ (48,074) $ (46,527)   $ (45,803)   $ (44,033)
Cumulative effect of change in accounting principle | Retained income                        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]                        
Stockholders' equity     $ 0     88     $ 0   $ (21)  
Cumulative effect of change in accounting principle | Minimum | Retained income | Accounting Standards Update 2016-13                        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]                        
Stockholders' equity           $ (88)