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Business Acquisitions - Additional Information (Details) - USD ($)
$ in Millions
2 Months Ended 12 Months Ended
Nov. 01, 2017
Jul. 30, 2016
Jul. 29, 2016
Dec. 31, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Business Acquisition [Line Items]              
Goodwill       $ 1,290 $ 1,290 $ 567 $ 498
Aetna Group Insurance              
Business Acquisition [Line Items]              
Total $ 1,452            
Cash 1,450            
Share-based awards 2            
Amortization period for risk margin of unpaid losses and loss adjustment expenses acquired         12 years    
Revenue of business acquired since acquisition date       370      
Earnings of business acquired since acquisition date       $ (37)      
Goodwill $ 723            
Acquisition related costs         $ 17    
Aetna Group Insurance | Internally developed software              
Business Acquisition [Line Items]              
Property, plant and equipment amortization period         5 years    
Aetna Group Insurance | Marketing agreement with Aetna              
Business Acquisition [Line Items]              
Agreement term 3 years            
Maxum              
Business Acquisition [Line Items]              
Cash   $ 169          
Goodwill     $ 38        
Acquisition related costs           1  
Percentage of shares acquired     100.00%        
Lattice              
Business Acquisition [Line Items]              
Total     $ 42        
Cash     19        
Goodwill     $ 31        
Acquisition related costs           $ 1  
Percentage of shares acquired     100.00%        
Assets under management     $ 200        
Contingent consideration arrangements for future payments to former owners of business acquisition     $ 60        
Contingent consideration period     4 years