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Income Taxes - Reconciliation Of The Tax Provision At The U.S. Federal Statutory Rate To The Provision For Income Taxes (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income Tax Disclosure [Abstract]      
Earnings from operations, before income tax expense $ 1,368 $ 1,134 $ 1,160
Loss (earnings) attributable to flow through noncontrolling interest 4 15 (8)
Earnings from operations, less noncontrolling interest, before income tax expense 1,372 1,149 1,152
Tax provision at the U.S. federal statutory rate 288 402 402
State income taxes, net of federal income tax benefit 52 11 10
Nondeductible compensation 33 58 23
ACA Health Insurer Fee 149 0 162
Income Tax Reform 0 (125) 0
Valuation Allowance (28) 14 10
Other, net (20) (34) (8)
Income tax expense $ 474 $ 326 $ 599