Segment Information - Concentration Risk (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Concentration Risk [Line Items]      
Premiums, accounts and notes receivable, net 3,309   $ 2,757
Government Contracts Concentration Risk [Member] | CMS [Member]      
Concentration Risk [Line Items]      
Premiums, accounts and notes receivable, net 1,100   $ 800
Revenue Consolidated [Member] | Government Contracts Concentration Risk [Member] | CMS [Member]      
Concentration Risk [Line Items]      
Concentration percentage 22.00% 22.00%