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Segment Information - Reconciliation of Information Reported by Segment to Condensed Consolidated Statement of Comprehensive Income Amounts (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenue:        
Revenue $ 2,288 $ 2,289 $ 6,772 $ 6,895
Impairment 0 (1,042) 0 (1,042)
Amortization (47) (56) (144) (176)
Restructuring costs 0 (8) 0 (29)
Income/(loss) from operations 418 (766) 1,218 (274)
Interest expense (65) (65) (194) (197)
Other income/(loss), net 37 (1,167) (18) (1,118)
Income/(loss) from operations before income taxes and interest in earnings of associates 390 (1,998) 1,006 (1,589)
Operating Segments [Member]        
Revenue:        
Revenue 2,268 2,268 6,687 6,821
Income/(loss) from operations 550 499 1,589 1,516
Segment Reconciling Items [Member]        
Revenue:        
Revenue 20 21 85 74
Impairment [1] 0 (1,042) 0 (1,042)
Amortization (47) (56) (144) (176)
Restructuring costs [2] 0 (8) 0 (29)
Transaction and transformation [3] (2) (74) (4) (296)
Unallocated, net [4] (83) (85) (223) (247)
Income/(loss) from operations 418 (766) 1,218 (274)
Interest expense (65) (65) (194) (197)
Other income/(loss), net $ 37 $ (1,167) $ (18) $ (1,118)
[1] Represents the non-cash goodwill impairment associated with our Benefits, Delivery and Administration reporting unit related to the sale of our TRANZACT business.
[2] Consists of costs associated with our Transformation program, which concluded during the fourth quarter of 2024.
[3] In addition to legal fees and other transaction costs, includes primarily consulting fees related to the Transformation program (see Note 6 — Restructuring Costs).
[4] Includes certain costs, primarily related to corporate functions which are not directly related to the segments, and certain differences between budgeted expenses determined at the beginning of the year and actual expenses that we report for U.S. GAAP purposes.