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Reinsurance - Effects of Reinsurance (Details) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Premiums Earned, Net [Abstract] |  |  |
Direct | $ 8,365 |  |
Assumed | 38 |  |
Ceded | (219) |  |
Net premiums | 8,184 |  |
Policyholder Benefits and Claims Incurred, Net [Abstract] |  |  |
Direct | 6,773 |  |
Assumed | 32 |  |
Ceded | (211) |  |
Net benefit costs | $ 6,594 | $ 2,810 | $ 2,179

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- Definition Amount of earned premiums assumed from other entities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 235 -Section S99 -Paragraph 2 -Subparagraph (SX 210.12-17) -URI http://asc.fasb.org/extlink&oid=34713774&loc=d3e574992-122915 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.1) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 605 -Section 50 -Paragraph 1 -Subparagraph (b),(c)(2) -URI http://asc.fasb.org/extlink&oid=6486672&loc=d3e27261-158547 + Details
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- Definition Amount of earned premiums ceded to other entities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.1) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 605 -Section 50 -Paragraph 1 -Subparagraph (b),(c)(2) -URI http://asc.fasb.org/extlink&oid=6486672&loc=d3e27261-158547 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=84167274&loc=d3e27175-158546 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 235 -Section S99 -Paragraph 2 -Subparagraph (SX 210.12-17) -URI http://asc.fasb.org/extlink&oid=34713774&loc=d3e574992-122915 + Details
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- Definition Amount, before premiums ceded to other entities and premiums assumed by the entity, of premiums earned. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 605 -Section 50 -Paragraph 1 -Subparagraph (b),(c)(1) -URI http://asc.fasb.org/extlink&oid=6486672&loc=d3e27261-158547 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 235 -Section S99 -Paragraph 2 -Subparagraph (SX 210.12-17) -URI http://asc.fasb.org/extlink&oid=34713774&loc=d3e574992-122915 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.1) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 + Details
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- Definition Amount, before effect of policies assumed or ceded, of expense related to provision for policy benefits and costs incurred. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.5) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 + Details
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