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Condensed Financial Information of Registrant - Notes to Condensed Financial Information (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Related Party Transaction [Line Items]
Medicaid	$ 34,072	$ 31,974	$ 27,771
Parent Company
Related Party Transaction [Line Items]
Medicaid	2,065	1,834	1,507
Parent Company | Affiliated Entity
Related Party Transaction [Line Items]
Medicaid	$ 2,038	$ 1,826	$ 1,496

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