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Insurance and Contractholder Liabilities (Tables)

12 Months Ended

Dec. 31, 2019

Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]

Liability balance details / activity

		December 31, 2019						December 31, 2018
(In millions)		Current		Non-current		Total		Current		Non-current		Total
Contractholder deposit funds	$	600	$	7,139	$	7,739	$	641	$	7,365	$	8,006
Future policy benefits		553		9,281		9,834		740		8,981		9,721
Unpaid claims and claim expenses
Integrated Medical		2,875		17		2,892		2,678		19		2,697
Other segments		2,529		3,474		6,003		2,394		3,230		5,624
Unearned premiums		453		360		813		348		379		727
Total		7,010		20,271		27,281		6,801		19,974		26,775
Insurance and contractholder liabilities classified as liabilities held for sale⁽¹⁾		(2,089)		(4,219)		(6,308)
Insurance and contractholder liabilities per Consolidated Balance Sheets	$	4,921	$	16,052	$	20,973	$	6,801	$	19,974	$	26,775
(1) Amounts classified as liabilities held for sale primarily include $4.9 billion of unpaid claims, $717 million of contractholder deposit funds and $653 million of future policy benefits.

(In millions)	2019		2018		2017
Balance at January 1,	$	2,697	$	2,420	$	2,261
Less: Reinsurance and other amounts recoverable		264		262		273
Balance at January 1, net		2,433		2,158		1,988
Acquired, net		-		40		-
Incurred costs related to:
Current year		24,368		21,331		19,334
Prior years		(165)		(173)		(227)
Total incurred		24,203		21,158		19,107
Paid costs related to:
Current year		21,851		18,978		17,179
Prior years		2,196		1,945		1,758
Total paid		24,047		20,923		18,937
Balance at December 31, net		2,589		2,433		2,158
Add: Reinsurance and other amounts recoverable		303		264		262
Balance at December 31,	$	2,892	$	2,697	$	2,420

(In millions)	2019⁽¹⁾		2018
International Markets	$	844	$	758
Group Disability and Other
Group Disability and Life		4,972		4,674
Other Operations		187		192
Total Group Disability and Other		5,159		4,866
Unpaid claims and claim expenses Group Disability and Other and International Markets	$	6,003	$	5,624
(1) Includes Unpaid claims amounts classified as Liabilities held for sale.

Details of unpaid claim discounted liability

(In billions)		2019⁽¹⁾							2018
Discounted liabilities	$				4.5		$				4.2
Aggregate amount of discount	$				1.2		$				1.1
Range of discount rates		4.0	%	-	5.2	%		4.2	%	-	5.2	%
(1) Includes unpaid claims amounts classified as Liabilities held for sale.

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
	Unaudited																Reported		Claims
Accident Year		2012	2013		2014		2015		2016		2017		2018		2019		Liabilities ⁽¹⁾		Frequency
2012	$	995	$	951	$	889	$	876	$	883	$	880	$	861	$	860	$	-		21,186
2013				1,063		1,037		1,062		1,072		1,057		1,032		1,030		-		23,526
2014						1,158		1,129		1,167		1,146		1,094		1,081		-		25,324
2015								1,184		1,154		1,185		1,160		1,148		-		25,781
2016										1,246		1,184		1,199		1,202		-		25,577
2017												1,226		1,193		1,207		1		23,959
2018														1,348		1,267		10		25,154
2019																1,434		533		13,061
Cumulative incurred claims for the periods presented															$	9,229
(1) Incurred but not reported amounts are included in 2019 incurred claims.

	Cumulative Paid Claims
	Unaudited
Accident Year		2012	2013		2014		2015		2016		2017		2018		2019
2012	$	81	$	288	$	429	$	504	$	571	$	621	$	661	$	693
2013				92		342		503		600		670		732		780
2014						111		379		575		667		743		803
2015								114		417		603		702		783
2016										122		411		598		709
2017												110		396		590
2018														116		434
2019																126
Cumulative paid claims for the periods presented															$	4,918

All outstanding liabilities for the periods presented, net of reinsurance															$	4,311
All outstanding liabilities prior to 2012, net of reinsurance																771
Impact of discounting																(891)
Liability for long-term disability unpaid claims and claim expenses, net of reinsurance ⁽¹⁾⁽²⁾															$	4,191
(1) Includes Unpaid claims amounts classified as Liabilities held for sale.
(2) Includes approximately $3.5 billion of disabled life reserves for individuals on long-term disability.

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	$	4,191
Other short-duration insurance books of business, net of reinsurance		652
Liabilities for unpaid claims and claim expenses, net of reinsurance		4,843
Reinsurance recoverable on unpaid claims – Group Disability and Life businesses
Long-term disability		117
Other short-duration insurance books of business		12
Total reinsurance recoverable on unpaid claims		129
Total liability for unpaid claims and claim expenses – Group Disability and Life businesses		4,972
International Markets segment		844
Other Operations		187
Unpaid claims and claim expenses - Group Disability and Other and International Markets⁽¹⁾	$	6,003
(1) Includes Unpaid claims amounts classified as Liabilities held for sale.

Integrated Medical [Member]

Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]

Variances in incurred costs related to prior years' medical costs payable

		Year Ended
(Dollars in millions)		December 31, 2019			December 31, 2018
			$	%⁽¹⁾			$	%⁽²⁾
Actual completion factors		$	90	0.4	%	$	92	0.5	%
Medical cost trend			75	0.4			72	0.4
Other			-	-			9	-
Total favorable variance		$	165	0.8	%	$	173	0.9	%
(1) Percentage of current year incurred costs as reported for the year ended December 31, 2018.
(2) Percentage of current year incurred costs as reported for the year ended December 31, 2017.

Incurred and paid claims development

	Incurred Costs
Incurral Year	2018 (Unaudited)		2019		Unpaid Claims & Claim Expenses		Claims Frequency
(In millions)
2018	$	20,458	$	20,320	$	58		2.9 million
2019				23,306	$	2,386		3.5 million
Cumulative incurred costs plus acquired for the periods presented			$	43,626

	Cumulative Costs Paid
Incurral Year	2018 (Unaudited)		2019
2018	$	18,192	$	20,262
2019				20,920
Cumulative paid costs for the periods presented			$	41,182

Outstanding liabilities for the periods presented, net of reinsurance			$	2,444
Other long-duration liabilities not included in development table above				145
Net unpaid claims and claims expenses - Integrated Medical				2,589
Reinsurance and other amounts recoverable				303
Unpaid claims and claim expenses - Integrated Medical			$	2,892

Intenational Markets and Group Disability and Life [Member]

Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]

Liability balance details / activity

(In millions)	2019⁽¹⁾		2018		2017
Balance at January 1,	$	5,432	$	5,274	$	4,997
Less: Reinsurance		156		140		123
Balance at January 1, net		5,276		5,134		4,874
Incurred claims related to:
Current year		5,616		5,350		5,097
Prior years
Interest accretion		152		156		163
All other incurred		(40)		(147)		(43)
Total incurred		5,728		5,359		5,217
Paid claims related to:
Current year		3,488		3,391		3,229
Prior years		1,873		1,808		1,757
Total paid		5,361		5,199		4,986
Acquisitions		-		23		-
Foreign currency		(11)		(41)		29
Balance at December 31, net		5,632		5,276		5,134
Add: Reinsurance		184		156		140
Balance at December 31,	$	5,816	$	5,432	$	5,274
(1) Includes unpaid claims amounts classified as Liabilities held for sale.