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Insurance and Contractholder Liabilities (Tables)
3 Months Ended
Mar. 31, 2020
Insurance Loss Reserves [Abstract]  
Summary of Insurance and Contractholder Liabilities, Activity in the Unpaid Claims Liability and Liability Details for Unpaid Claims and Claim Expenses
As of March 31, 2020, December 31, 2019 and March 31, 2019, the Company’s insurance and contractholder liabilities were comprised of the following:
March 31, 2020December 31, 2019March 31, 2019
(In millions)CurrentNon-currentTotalCurrentNon-currentTotalTotal
Contractholder deposit funds$613  $7,086  $7,699  $600  $7,139  $7,739  $7,947  
Future policy benefits541  9,110  9,651  553  9,281  9,834  9,691  
Unpaid claims and claim expenses
Integrated Medical2,982  18  3,000  2,875  17  2,892  2,961  
Other segments2,544  3,575  6,119  2,529  3,474  6,003  5,725  
Unearned premiums480  360  840  453  360  813  779  
Total7,160  20,149  27,309  7,01020,27127,28127,103
Insurance and contractholder liabilities classified as liabilities of business held for sale(1)
(2,130) (4,311) (6,441) (2,089) (4,219) (6,308) 
Total insurance and contractholder liabilities$5,030  $15,838  $20,868  $4,921  $16,052  $20,973  $27,103  
(1) Amounts classified as Liabilities of business held for sale primarily include $5.1 billion of unpaid claims,$726 million of contractholder deposit funds and $640 million of future policy benefits as of March 31, 2020 and $4.9 billion of unpaid claims, $717 million of contractholder deposit funds and $653 million of future policy benefits as of December 31, 2019.
Activity in the unpaid claims liability for the Integrated Medical segment for the three months ended March 31, was as follows:
 Three Months Ended
(In millions)March 31, 2020March 31, 2019
Beginning balance$2,892  $2,697  
Less: Reinsurance and other amounts recoverable303  264  
Beginning balance, net2,589  2,433  
Incurred costs related to:
Current year6,661  6,095  
Prior years(152) (117) 
Total incurred6,509  5,978  
Paid costs related to:
Current year4,271  3,786  
Prior years2,027  1,908  
Total paid6,298  5,694  
Ending balance, net2,800  2,717  
Add: Reinsurance and other amounts recoverable200  244  
Ending balance$3,000  $2,961  
The liability details for unpaid claims and claim expenses are as follows:
(In millions)
March 31, 2020 (1)
March 31, 2019
Group Disability and Other
Group Disability and Life$5,084  $4,786  
Other Operations209  194  
Total Group Disability and Other5,293  4,980  
International Markets826  745  
Unpaid claims and claim expenses Group Disability and Other and International Markets$6,119  $5,725  
(1) Includes unpaid claim amounts classified as Liabilities of business held for sale.
Activity in the Company’s liabilities for unpaid claims and claim expenses, excluding Other Operations, are presented in the following table. Liabilities associated with Other Operations are excluded because they pertain to obligations for long-duration insurance contracts or, if short-duration, the liabilities have been fully reinsured.
Three Months Ended
(In millions)
March 31, 2020(1)
March 31, 2019
Beginning balance$5,816  $5,432  
Less: Reinsurance184  156  
Beginning balance, net5,632  5,276  
Incurred claims related to:
Current year1,473  1,428  
Prior years:
Interest accretion42  38  
All other incurred46  (32) 
Total incurred1,561  1,434  
Paid claims related to:
Current year490  474  
Prior years946  856  
Total paid1,436  1,330  
Foreign currency(25) (7) 
Ending balance, net5,732  5,373  
Add: Reinsurance178  158  
Ending balance$5,910  $5,531  
(1) Includes Unpaid claims amounts classified as Liabilities of business held for sale.
Variances in Incurred Costs Related to Prior Years' Unpaid Claims and Claims Expenses
Variances in incurred costs related to prior years’ unpaid claims and claims expenses that resulted from the differences between actual experience and the Company’s key assumptions were as follows:
Three Months Ended
(Dollars in millions)March 31, 2020March 31, 2019
$
%(1)
$
%(2)
Actual completion factors$63  0.3 %$55  0.2 %
Medical cost trend89  0.3  62  0.3  
Total favorable variance$152  0.6 %$117  0.5 %
(1)Percentage of current year incurred costs as reported for the year ended December 31, 2019.
(2)Percentage of current year incurred costs as reported for the year ended December 31, 2018.