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Insurance and Contractholder Liabilities (Tables)
12 Months Ended
Dec. 31, 2018
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]  
Liability balance details / activity
December 31, 2018December 31, 2017
(In millions)CurrentNon-currentTotalCurrentNon-currentTotal
Contractholder deposit funds$641$7,365$8,006$713$7,483$8,196
Future policy benefits7408,9819,7217069,33410,040
Unpaid claims and claim expenses
Integrated Medical2,678192,6972,401192,420
Other segments2,3943,2305,6242,1783,2895,467
Unearned premiums348379727319405724
Total insurance and contractholder liabilities$6,801$19,974$26,775$6,317$20,530$26,847
Details of unpaid claim discounted liability
(In billions)20182017
Discounted liabilities$4.2$4.0
Aggregate amount of discount$1.1$1.0
Range of discount rates 4.2%-5.2% 4.5%-5.2%
Long-term Disability [Member]  
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]  
Incurred and paid claims development
(In millions, except for claims frequency)
Incurred
Incurred Claims (undiscounted)But Not
UnauditedReportedClaims
Accident Year2012201320142015201620172018Liabilities (1)Frequency
2012$995$951$889$876$883$880$861$-21,183
20131,0631,0371,0621,0721,0571,032-23,526
20141,1581,1291,1671,1461,094-25,314
20151,1841,1541,1851,160-25,737
20161,2461,1841,199325,349
20171,2261,1931023,382
2018 1,34851512,025
Cumulative incurred claims for the periods presented$7,887
(1) Incurred but not reported amounts are included in 2018 incurred claims.
Cumulative Paid Claims
Unaudited
Accident Year2012201320142015201620172018
2012$81$288$429$504$571$621$661
201392342503600670732
2014111379575667743
2015114417603702
2016122411598
2017110396
2018116
Cumulative paid claims for the periods presented$3,948
All outstanding liabilities for the periods presented, net of reinsurance$3,939
All outstanding liabilities prior to 2012, net of reinsurance921
Impact of discounting(885)
Liability for long-term disability unpaid claims and claim expenses, net of reinsurance$3,975
Reconciliation of net inucurred and paid claims development table to the liability for unpaid claims and claim expenses
(In millions)
Net outstanding liabilities – Group Disability and Life businesses
Long-term disability liabilities, net of reinsurance$3,975
Other short-duration insurance books of business, net of reinsurance594
Liabilities for unpaid claims and claim expenses, net of reinsurance4,569
Reinsurance recoverable on unpaid claims – Group Disability and Life businesses
Long-term disability94
Other short-duration insurance books of business11
Total reinsurance recoverable on unpaid claims 105
Total liability for unpaid claims and claim expenses – Group Disability and Life businesses4,674
International Markets segment758
Other Operations 192
Unpaid claims and claim expenses - Group Disability and Other and International Markets$5,624
Integrated Medical [Member]  
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]  
Liability balance details / activity
(In millions)201820172016
Balance at January 1,$2,420$2,261$2,105
Less: Reinsurance and other amounts recoverable262273237
Balance at January 1, net2,1581,9881,868
Acquired, net40--
Incurred costs related to:
Current year21,33119,33418,085
Prior years(173)(227)(70)
Total incurred21,15819,10718,015
Paid costs related to:
Current year18,97817,17916,142
Prior years1,9451,7581,753
Total paid20,92318,93717,895
Balance at December 31, net2,4332,1581,988
Add: Reinsurance and other amounts recoverable264262273
Balance at December 31, $2,697$2,420$2,261
Variances in incurred costs related to prior years' medical costs payable
20182017
($ in millions)$%(1)$%(2)
Actual completion factors$920.5%$870.6%
Medical cost trend720.41310.7
Other 9-9-
Total favorable variance$1730.9%$2271.3%
(1) Percentage of current year incurred costs as reported for 2017.
(2) Percentage of current year incurred costs as reported for 2016.
Incurred and paid claims development
Incurred Costs
Incurral Year2017 (Unaudited)2018Unpaid Claims & Claim ExpensesClaims Frequency
(in millions)
2017$18,692$18,528$222.6 million
201820,458$2,2662.9 million
Cumulative incurred costs plus acquired for the periods presented$38,986
Cumulative Costs Paid
Incurral Year2017 (Unaudited)2018
2017$16,628$18,506
201818,192
Cumulative paid costs for the periods presented$36,698
Outstanding liabilities for the periods presented, net of reinsurance$2,288
Other long-duration liabilities not included in development table above145
Net unpaid claims and claims expenses - Integrated Medical2,433
Reinsurance and other amounts recoverable264
Unpaid claims and claim expenses - Integrated Medical$2,697
Intenational Markets and Global Disability and Life [Member]  
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]  
Liability balance details / activity
(In millions)20182017
Group Disability and Other
Group Disability and Life$4,674$4,491
Other Operations 192 193
Total Group Disability and Other4,8664,684
International Markets 758 783
Unpaid claims and claim expenses Group Disability and Other and International Markets$5,624$5,467

(In millions)201820172016
Balance at January 1,$5,274$4,997$4,609
Less: Reinsurance140123121
Balance at January 1, net5,1344,8744,488
Incurred claims related to:
Current year5,3505,0975,116
Prior years
Interest accretion156163161
All other incurred(147)(43)85
Total incurred5,3595,2175,362
Paid claims related to:
Current year3,3913,2293,221
Prior years1,8081,7571,739
Total paid5,1994,9864,960
Acquisitions23-
Foreign currency(41)29(16)
Balance at December 31, net5,2765,1344,874
Add: Reinsurance156140123
Balance at December 31,$5,432$5,274$4,997