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Supplemental Condensed Consolidating Financial Information - Statements of Operations (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended 12 Months Ended 18 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Jun. 30, 2018
Revenue:            
Total revenue $ 4,883 $ 4,999 $ 9,529 $ 9,903    
Expenses:            
General and administrative expenses 335 405 687 844    
Premium tax expenses 106 114 210 225    
Health insurer fees 99 0 174 0    
Depreciation and amortization 25 37 51 76    
Impairment losses 0 72 0 72    
Restructuring and separation costs 8 43 33 43 $ 234 $ 267
Total operating expenses 4,541 5,286 8,965 10,108    
Operating income (loss) 342 (287) 564 (205)    
Interest expense 32 27 65 53    
Other expense (income), net 5 0 15 (75)    
Income (loss) before income tax expense (benefit) 305 (314) 484 (183)    
Income tax expense (benefit) 103 (84) 175 (30)    
Net loss before equity in net losses of subsidiaries 202 (230) 309 (153)    
Equity in net earnings of subsidiaries 0 0 0 0    
Net income (loss) 202 (230) 309 (153)    
Eliminations            
Revenue:            
Total revenue (261) (293) (592) (635)    
Expenses:            
General and administrative expenses (261) (293) (592) (635)    
Premium tax expenses 0 0 0 0    
Health insurer fees 0   0      
Depreciation and amortization 0 0 0 0    
Impairment losses   0   0    
Restructuring and separation costs 0 0 0 0    
Total operating expenses (261) (293) (592) (635)    
Operating income (loss) 0 0 0 0    
Interest expense 0 0 0 0    
Other expense (income), net 0   0 0    
Income (loss) before income tax expense (benefit) 0 0 0 0    
Income tax expense (benefit) 0 0 0 0    
Net loss before equity in net losses of subsidiaries 0 0 0 0    
Equity in net earnings of subsidiaries (249) 241 (387) 197    
Net income (loss) (249) 241 (387) 197    
Parent Guarantor | Reportable Legal Entities            
Revenue:            
Total revenue 261 289 594 630    
Expenses:            
General and administrative expenses 252 258 519 555    
Premium tax expenses 0 0 0 0    
Health insurer fees 0   0      
Depreciation and amortization 18 25 36 52    
Impairment losses   0   0    
Restructuring and separation costs (1) 43 25 43    
Total operating expenses 272 329 587 657    
Operating income (loss) (11) (40) 7 (27)    
Interest expense 31 27 64 53    
Other expense (income), net 5   15 (75)    
Income (loss) before income tax expense (benefit) (47) (67) (72) (5)    
Income tax expense (benefit) 1 (14) 10 17    
Net loss before equity in net losses of subsidiaries (48) (53) (82) (22)    
Equity in net earnings of subsidiaries 250 (177) 391 (131)    
Net income (loss) 202 (230) 309 (153)    
Other Guarantors | Reportable Legal Entities            
Revenue:            
Total revenue 49 51 101 99    
Expenses:            
General and administrative expenses 3 7 7 14    
Premium tax expenses 0 0 0 0    
Health insurer fees 0   0      
Depreciation and amortization 0 0 0 0    
Impairment losses   0   0    
Restructuring and separation costs 0 0 0 0    
Total operating expenses 47 50 94 99    
Operating income (loss) 2 1 7 0    
Interest expense 0 0 0 0    
Other expense (income), net 0   0 0    
Income (loss) before income tax expense (benefit) 2 1 7 0    
Income tax expense (benefit) 1 0 2 0    
Net loss before equity in net losses of subsidiaries 1 1 5 0    
Equity in net earnings of subsidiaries (1) (64) (4) (66)    
Net income (loss) 0 (63) 1 (66)    
Non-Guarantors | Reportable Legal Entities            
Revenue:            
Total revenue 4,834 4,952 9,426 9,809    
Expenses:            
General and administrative expenses 341 433 753 910    
Premium tax expenses 106 114 210 225    
Health insurer fees 99   174      
Depreciation and amortization 7 12 15 24    
Impairment losses   72   72    
Restructuring and separation costs 9 0 8 0    
Total operating expenses 4,483 5,200 8,876 9,987    
Operating income (loss) 351 (248) 550 (178)    
Interest expense 1 0 1 0    
Other expense (income), net 0   0 0    
Income (loss) before income tax expense (benefit) 350 (248) 549 (178)    
Income tax expense (benefit) 101 (70) 163 (47)    
Net loss before equity in net losses of subsidiaries 249 (178) 386 (131)    
Equity in net earnings of subsidiaries 0 0 0 0    
Net income (loss) 249 (178) 386 (131)    
Health Care, Premium            
Expenses:            
Cost of revenue 3,850 4,491 7,572 8,602    
Health Care, Premium | Eliminations            
Expenses:            
Cost of revenue 0 0 0 0    
Health Care, Premium | Parent Guarantor | Reportable Legal Entities            
Expenses:            
Cost of revenue 3 3 7 7    
Health Care, Premium | Other Guarantors | Reportable Legal Entities            
Expenses:            
Cost of revenue 0 0 0 0    
Health Care, Premium | Non-Guarantors | Reportable Legal Entities            
Expenses:            
Cost of revenue 3,847 4,488 7,565 8,595    
Technology Service            
Expenses:            
Cost of revenue 118 124 238 246    
Technology Service | Eliminations            
Expenses:            
Cost of revenue 0 0 0 0    
Technology Service | Parent Guarantor | Reportable Legal Entities            
Expenses:            
Cost of revenue 0 0 0 0    
Technology Service | Other Guarantors | Reportable Legal Entities            
Expenses:            
Cost of revenue 44 43 87 85    
Technology Service | Non-Guarantors | Reportable Legal Entities            
Expenses:            
Cost of revenue $ 74 $ 81 $ 151 $ 161