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CONSOLIDATED STATEMENTS OF COMPREHENSIVE EARNINGS - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Statement of Comprehensive Income [Abstract]      
Net earnings $ 808 $ 561 $ 357
Reclassification adjustment, net of tax (2) (2) 0
Change in unrealized gain (loss) on investments, net of tax 28 (22) (4)
Defined benefit pension plan net gain arising during the period, net of tax 1 1 0
Foreign currency translation adjustments 6 (3) (5)
Other comprehensive earnings (loss) 33 (26) (9)
Comprehensive earnings 841 535 348
Comprehensive (earnings) loss attributable to the noncontrolling interests 20 1 (2)
Comprehensive earnings attributable to Centene Corporation $ 861 $ 536 $ 346