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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash flows from operating activities    
Net income $ 1,785,000,000 $ 1,417,000,000
Adjustments to reconcile net income to net cash provided by operating activities:    
Gain on investment securities, net (13,000,000) 0
Equity in net losses 62,000,000 41,000,000
Stock-based compensation 110,000,000 100,000,000
Depreciation 396,000,000 454,000,000
Amortization 30,000,000 31,000,000
Impairment of property and equipment 14,000,000 87,000,000
Impairment of indefinite-lived intangible assets 32,000,000 0
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed:    
Receivables (1,800,000,000) (2,055,000,000)
Other assets (658,000,000) 592,000,000
Benefits payable 620,000,000 1,205,000,000
Other liabilities 1,010,000,000 (327,000,000)
Unearned revenues 14,000,000 47,000,000
Other 0 44,000,000
Net cash provided by operating activities 1,602,000,000 1,636,000,000
Cash flows from investing activities    
Acquisitions, net of cash and cash equivalents acquired (1,000,000) (17,000,000)
Purchases of property and equipment, net (209,000,000) (291,000,000)
Purchases of investment securities (1,941,000,000) (2,883,000,000)
Proceeds from maturities of investment securities 1,617,000,000 1,355,000,000
Proceeds from sales of investment securities 1,243,000,000 499,000,000
Changes in securities lending collateral receivable (48,000,000) (79,000,000)
Net cash provided by (used in) investing activities 661,000,000 (1,416,000,000)
Cash flows from financing activities    
(Payments) receipts from contract deposits, net (579,000,000) 285,000,000
Proceeds from issuance of senior notes, net 1,481,000,000 2,232,000,000
Repayments of senior notes (771,000,000) (34,000,000)
Repayments from issuance of commercial paper, net (5,000,000) (895,000,000)
Debt issue costs (5,000,000) (7,000,000)
Change in book overdraft (105,000,000) 2,000,000
Common stock repurchases (109,000,000) (766,000,000)
Dividends paid (214,000,000) (216,000,000)
Changes in securities lending payable 48,000,000 79,000,000
Changes in rebate factor payable (123,000,000) 0
Other (62,000,000) (93,000,000)
Net cash (used in) provided by financing activities (444,000,000) 587,000,000
Increase in cash and cash equivalents 1,819,000,000 807,000,000
Cash and cash equivalents at beginning of period 2,221,000,000 4,694,000,000
Cash and cash equivalents at end of period 4,040,000,000 5,501,000,000
Supplemental cash flow disclosures:    
Interest payments 293,000,000 250,000,000
Income tax payments, net 29,000,000 362,000,000
Details of businesses acquired in purchase transactions:    
Fair value of assets acquired, net of cash and cash equivalents acquired 2,000,000 26,000,000
Less: Fair value of liabilities assumed (1,000,000) (9,000,000)
Cash paid for acquired businesses, net of cash and cash equivalents acquired $ 1,000,000 $ 17,000,000