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Policy Liabilities
12 Months Ended
Dec. 31, 2023
Policyholder Account Balance [Abstract]  
Policy Liabilities
Note 6—Policy Liabilities
The liability for future policy benefits is determined based on the net level premium method, which requires the liability be calculated as the present value of estimated future policyholder benefits and the related termination expenses, less the present value of estimated future net premiums to be collected from policyholders.
The following tables summarize balances and changes in the net liability for future policy benefits, before reinsurance, for traditional life long-duration contracts for the three years ended December 31, 2023.
Life
Present value of expected future net premiums
American IncomeDTCLiberty NationalOtherTotal
Balance at January 1, 2021
$4,498,278 $7,028,713 $1,327,203 $571,165 $13,425,359 
Beginning balance at original discount rates3,263,663 4,963,806 967,173 393,287 9,587,929 
Effect of changes in assumptions on future cash flows
5,854 18,076 5,104 2,499 31,533 
Effect of actual variances from expected experience43,249 7,439 61,583 (1,592)110,679 
Adjusted balance at January 1, 2021
3,312,766 4,989,321 1,033,860 394,194 9,730,141 
Issuances(1)
866,716 860,279 77,272 43,978 1,848,245 
Interest accrual(2)
169,543 267,314 51,274 20,806 508,937 
Net premiums collected(3)
(443,095)(583,173)(122,164)(42,837)(1,191,269)
Effect of changes in the foreign exchange rate168 — — — 168 
Ending balance at original discount rates3,906,098 5,533,741 1,040,242 416,141 10,896,222 
Effect of change from original to current discount rates1,019,094 1,731,164 292,227 143,831 3,186,316 
Balance at December 31, 2021
$4,925,192 $7,264,905 $1,332,469 $559,972 $14,082,538 
Balance at January 1, 2022
$4,925,192 $7,264,905 $1,332,469 $559,972 $14,082,538 
Beginning balance at original discount rates3,906,098 5,533,741 1,040,242 416,141 10,896,222 
Effect of changes in assumptions on future cash flows
34,266 79,571 17,719 35,214 166,770 
Effect of actual variances from expected experience(121,230)(264,286)(20,027)(10,929)(416,472)
Adjusted balance at January 1, 2022
3,819,134 5,349,026 1,037,934 440,426 10,646,520 
Issuances(1)
760,857 663,790 104,982 31,815 1,561,444 
Interest accrual(2)
176,102 273,494 51,326 21,150 522,072 
Net premiums collected(3)
(491,168)(605,446)(128,119)(44,182)(1,268,915)
Effect of changes in the foreign exchange rate(18,202)— — — (18,202)
Ending balance at original discount rates4,246,723 5,680,864 1,066,123 449,209 11,442,919 
Effect of change from original to current discount rates26,433 229,360 28,284 21,532 305,609 
Balance at December 31, 2022
$4,273,156 $5,910,224 $1,094,407 $470,741 $11,748,528 
Life
Present value of expected future net premiums
American IncomeDTCLiberty NationalOtherTotal
Balance at January 1, 2023
$4,273,156 $5,910,224 $1,094,407 $470,741 $11,748,528 
Beginning balance at original discount rates4,246,723 5,680,864 1,066,123 449,209 11,442,919 
Effect of changes in assumptions on future cash flows
14,265 36,170 5,178 8,419 64,032 
Effect of actual variances from expected experience(155,293)(306,004)(40,961)(18,441)(520,699)
Adjusted balance at January 1, 2023
4,105,695 5,411,030 1,030,340 439,187 10,986,252 
Issuances(1)
733,702 579,363 127,048 27,959 1,468,072 
Interest accrual(2)
200,363 287,615 54,147 22,804 564,929 
Net premiums collected(3)
(521,521)(613,749)(133,704)(46,001)(1,314,975)
Effect of changes in the foreign exchange rate5,090 — — — 5,090 
Ending balance at original discount rates4,523,329 5,664,259 1,077,831 443,949 11,709,368 
Effect of change from original to current discount rates158,559 388,392 51,885 34,103 632,939 
Balance at December 31, 2023
$4,681,888 $6,052,651 $1,129,716 $478,052 $12,342,307 
(1)Issuances represent the present value, using the original discount rate, of the expected future policy benefits related to new policies issued during each respective period.
(2)The interest accrual is the interest earned on the beginning present value of the expected net premiums, as well as the interest on actual net premiums earned during the period, using the original interest rate.
(3)Net premiums collected represent the product of the current period net premium ratio, and the gross premiums collected during the period on the in-force business.
Life
Present value of expected future policy benefits
American IncomeDTCLiberty NationalOtherTotal
Balance at January 1, 2021
$11,374,299 $11,733,268 $4,710,075 $5,655,261 $33,472,903 
Beginning balance at original discount rates6,805,088 7,472,930 3,120,435 3,151,846 20,550,299 
Effect of changes in assumptions on future cash flows6,584 20,319 5,837 2,850 35,590 
Effect of actual variances from expected experience45,921 13,675 62,981 (3,040)119,537 
Adjusted balance at January 1, 2021
6,857,593 7,506,924 3,189,253 3,151,656 20,705,426 
Issuances(1)
866,707 860,279 77,272 43,978 1,848,236 
Interest accrual(2)
389,384 421,762 168,794 189,778 1,169,718 
Benefit payments(3)
(370,275)(631,706)(229,155)(118,106)(1,349,242)
Effect of changes in the foreign exchange rate792 — — — 792 
Ending balance at original discount rates7,744,201 8,157,259 3,206,164 3,267,306 22,374,930 
Effect of change from original to current discount rates4,029,318 3,702,149 1,336,533 2,221,378 11,289,378 
Balance at December 31, 2021
$11,773,519 $11,859,408 $4,542,697 $5,488,684 $33,664,308 
Life
Present value of expected future policy benefits
American IncomeDTCLiberty NationalOtherTotal
Balance at January 1, 2022
$11,773,519 $11,859,408 $4,542,697 $5,488,684 $33,664,308 
Beginning balance at original discount rates7,744,201 8,157,259 3,206,164 3,267,306 22,374,930 
Effect of changes in assumptions on future cash flows48,534 104,910 33,457 39,725 226,626 
Effect of actual variances from expected experience(127,626)(259,285)(18,535)(12,787)(418,233)
Adjusted balance at January 1, 2022
7,665,109 8,002,884 3,221,086 3,294,244 22,183,323 
Issuances(1)
760,856 663,786 105,006 31,815 1,561,463 
Interest accrual(2)
410,201 433,611 169,578 195,792 1,209,182 
Benefit payments(3)
(382,142)(622,389)(222,690)(118,147)(1,345,368)
Effect of changes in the foreign exchange rate(44,263)— — — (44,263)
Ending balance at original discount rates8,409,761 8,477,892 3,272,980 3,403,704 23,564,337 
Effect of change from original to current discount rates709,343 747,559 156,276 572,446 2,185,624 
Balance at December 31, 2022
$9,119,104 $9,225,451 $3,429,256 $3,976,150 $25,749,961 
Balance at January 1, 2023
$9,119,104 $9,225,451 $3,429,256 $3,976,150 $25,749,961 
Beginning balance at original discount rates8,409,761 8,477,892 3,272,980 3,403,704 23,564,337 
Effect of changes in assumptions on future cash flows13,344 34,407 6,156 11,661 65,568 
Effect of actual variances from expected experience(164,900)(318,687)(46,341)(24,195)(554,123)
Adjusted balance at January 1, 2023
8,258,205 8,193,612 3,232,795 3,391,170 23,075,782 
Issuances(1)
733,700 579,365 127,062 27,959 1,468,086 
Interest accrual(2)
452,640 458,587 174,995 204,083 1,290,305 
Benefit payments(3)
(396,031)(574,812)(196,600)(116,353)(1,283,796)
Effect of changes in the foreign exchange rate13,319 — — — 13,319 
Ending balance at original discount rates9,061,833 8,656,752 3,338,252 3,506,859 24,563,696 
Effect of change from original to current discount rates1,101,794 1,057,764 267,140 732,764 3,159,462 
Balance at December 31, 2023
$10,163,627 $9,714,516 $3,605,392 $4,239,623 $27,723,158 
(1)Issuances represent the present value, using the original discount rate, of the expected future policy benefits related to new policies issued during each respective period.
(2)The interest accrual is the interest earned on the beginning present value of the expected future policy benefits, as well as the interest on actual benefits and expenses paid during the period, using the original interest rate.
(3)Benefit payments represent the release of the present value, using the original discount rate, of the actual future policy benefits incurred during the period due to death, lapse, and maturity benefit payments based on the revised expected assumptions.
Life
Net liability for future policy benefits as of December 31, 2021
American IncomeDTCLiberty NationalOtherTotal
Net liability for future policy benefits at original discount rates
$3,838,103 $2,623,518 $2,165,922 $2,851,165 $11,478,708 
Effect of changes in discount rate assumptions3,010,224 1,970,985 1,044,306 2,077,547 8,103,062 
Other Adjustments(1)
156 2,511 674 72 3,413 
Net liability for future policy benefits, after other adjustments, at current discount rates
6,848,483 4,597,014 3,210,902 4,928,784 19,585,183 
Reinsurance recoverable
(105)— (11,131)(49,899)(61,135)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$6,848,378 $4,597,014 $3,199,771 $4,878,885 $19,524,048 
(1)Other adjustments include the effects of capping and flooring the liability.

Life
Net liability for future policy benefits as of December 31, 2022
American IncomeDTCLiberty NationalOtherTotal
Net liability for future policy benefits at original discount rates
$4,163,038 $2,797,028 $2,206,857 $2,954,495 $12,121,418 
Effect of changes in discount rate assumptions682,910 518,199 127,992 550,914 1,880,015 
Other Adjustments(1)
115 4,913 7,638 48 12,714 
Net liability for future policy benefits, after other adjustments, at current discount rates
4,846,063 3,320,140 2,342,487 3,505,457 14,014,147 
Reinsurance recoverable
(123)— (7,477)(34,830)(42,430)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$4,845,940 $3,320,140 $2,335,010 $3,470,627 $13,971,717 
(1)Other adjustments include the effects of capping and flooring the liability.

Life
Net liability for future policy benefits as of December 31, 2023
American IncomeDTCLiberty NationalOtherTotal
Net liability for future policy benefits at original discount rates
$4,538,504 $2,992,493 $2,260,421 $3,062,910 $12,854,328 
Effect of changes in discount rate assumptions943,235 669,372 215,255 698,661 2,526,523 
Other Adjustments(1)
297 3,315 5,764 62 9,438 
Net liability for future policy benefits, after other adjustments, at current discount rates
5,482,036 3,665,180 2,481,440 3,761,633 15,390,289 
Reinsurance recoverable
(141)— (7,719)(37,848)(45,708)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$5,481,895 $3,665,180 $2,473,721 $3,723,785 $15,344,581 
(1)Other adjustments include the effects of capping and flooring the liability.
The following tables summarize balances and changes in the net liability for future policy benefits for long-duration health contracts for the three years ended December 31, 2023:
Health
Present value of expected future net premiums
United AmericanFamily HeritageLiberty NationalAmerican IncomeDTCTotal
Balance at January 1, 2021
$3,432,493 $1,889,970 $578,518 $205,601 $133,832 $6,240,414 
Beginning balance at original discount rates2,573,470 1,537,512 430,962 150,095 100,380 4,792,419 
Effect of changes in assumptions on future cash flows
— — — — — — 
Effect of actual variances from expected experience86,186 (26,975)(34,535)(4,314)(1,695)18,667 
Adjusted balance at January 1, 2021
2,659,656 1,510,537 396,427 145,781 98,685 4,811,086 
Issuances(1)
413,289 282,898 47,043 45,612 3,859 792,701 
Interest accrual(2)
117,151 59,554 20,736 7,416 4,966 209,823 
Net premiums collected(3)
(240,245)(164,399)(49,797)(19,931)(10,734)(485,106)
Effect of changes in the foreign exchange rate— — — (77)— (77)
Ending balance at original discount rates2,949,851 1,688,590 414,409 178,801 96,776 5,328,427 
Effect of change from original to current discount rates661,808 256,124 102,959 43,752 24,948 1,089,591 
Balance at December 31, 2021
$3,611,659 $1,944,714 $517,368 $222,553 $121,724 $6,418,018 
Balance at January 1, 2022
$3,611,659 $1,944,714 $517,368 $222,553 $121,724 $6,418,018 
Beginning balance at original discount rates2,949,851 1,688,590 414,409 178,801 96,776 5,328,427 
Effect of changes in assumptions on future cash flows
(195,560)(20,931)19,846 (17,911)(9,035)(223,591)
Effect of actual variances from expected experience(37,437)(67,419)(39,029)7,911 (2,301)(138,275)
Adjusted balance at January 1, 2022
2,716,854 1,600,240 395,226 168,801 85,440 4,966,561 
Issuances(1)
360,942 241,052 51,827 39,003 8,224 701,048 
Interest accrual(2)
122,064 60,303 19,141 7,399 4,554 213,461 
Net premiums collected(3)
(258,598)(172,376)(50,752)(21,085)(10,467)(513,278)
Effect of changes in the foreign exchange rate— — — (1,487)— (1,487)
Ending balance at original discount rates2,941,262 1,729,219 415,442 192,631 87,751 5,366,305 
Effect of change from original to current discount rates(32,761)(134,227)8,048 (2,335)2,392 (158,883)
Balance at December 31, 2022
$2,908,501 $1,594,992 $423,490 $190,296 $90,143 $5,207,422 
Balance at January 1, 2023
$2,908,501 $1,594,992 $423,490 $190,296 $90,143 $5,207,422 
Beginning balance at original discount rates2,941,262 1,729,219 415,442 192,631 87,751 5,366,305 
Effect of changes in assumptions on future cash flows
466,883 (30,255)(56,964)(6,061)16,553 390,156 
Effect of actual variances from expected experience(27,178)(69,878)(36,850)(11,152)(2,850)(147,908)
Adjusted balance at January 1, 2023
3,380,967 1,629,086 321,628 175,418 101,454 5,608,553 
Issuances(1)
377,097 266,375 59,768 39,825 14,467 757,532 
Interest accrual(2)
139,824 67,743 18,255 8,528 4,616 238,966 
Net premiums collected(3)
(272,085)(180,031)(51,081)(22,325)(10,657)(536,179)
Effect of changes in the foreign exchange rate— — — 423 — 423 
Ending balance at original discount rates3,625,803 1,783,173 348,570 201,869 109,880 6,069,295 
Effect of change from original to current discount rates71,968 (71,432)9,902 4,512 5,483 20,433 
Balance at December 31, 2023
$3,697,771 $1,711,741 $358,472 $206,381 $115,363 $6,089,728 
(1)Issuances represent the present value, using the original discount rate, of the expected net premiums related to new policies issued during each respective period.
(2)The interest accrual is the interest earned on the beginning present value of the expected net premiums, as well as the interest on actual net premiums earned during the period, using the original interest rate.
(3)Net premiums collected represent the product of the current period net premium ratio, and the gross premiums collected during the period on the in-force business.
Health
Present value of expected future policy benefits
United AmericanFamily HeritageLiberty NationalAmerican IncomeDTCTotal
Balance at January 1, 2021
$3,651,359 $3,782,662 $1,320,597 $367,965 $134,967 $9,257,550 
Beginning balance at original discount rates2,715,869 2,928,457 953,238 252,092 101,632 6,951,288 
Effect of changes in assumptions on future cash flows— — — — — — 
Effect of actual variances from expected experience88,696 (27,704)(34,859)(4,570)(1,614)19,949 
Adjusted balance at January 1, 2021
2,804,565 2,900,753 918,379 247,522 100,018 6,971,237 
Issuances(1)
413,289 282,898 47,453 45,612 3,859 793,111 
Interest accrual(2)
125,346 114,543 50,415 13,679 4,991 308,974 
Benefit payments(3)
(252,299)(104,852)(94,639)(21,147)(13,240)(486,177)
Effect of changes in the foreign exchange rate— — — (62)— (62)
Ending balance at original discount rates3,090,901 3,193,342 921,608 285,604 95,628 7,587,083 
Effect of change from original to current discount rates719,658 646,980 279,709 95,311 24,260 1,765,918 
Balance at December 31, 2021
$3,810,559 $3,840,322 $1,201,317 $380,915 $119,888 $9,353,001 
Balance at January 1, 2022
$3,810,559 $3,840,322 $1,201,317 $380,915 $119,888 $9,353,001 
Beginning balance at original discount rates3,090,901 3,193,342 921,608 285,604 95,628 7,587,083 
Effect of changes in assumptions on future cash flows(194,936)(27,211)18,065 (21,559)(8,270)(233,911)
Effect of actual variances from expected experience(40,316)(70,690)(40,597)10,402 (2,621)(143,822)
Adjusted balance at January 1, 2022
2,855,649 3,095,441 899,076 274,447 84,737 7,209,350 
Issuances(1)
360,642 241,052 52,257 39,006 8,202 701,159 
Interest accrual(2)
129,842 120,700 47,719 13,806 4,553 316,620 
Benefit payments(3)
(265,500)(120,849)(94,187)(20,413)(12,280)(513,229)
Effect of changes in the foreign exchange rate— — — (3,133)— (3,133)
Ending balance at original discount rates3,080,633 3,336,344 904,865 303,713 85,212 7,710,767 
Effect of change from original to current discount rates(33,804)(330,680)36,709 9,037 2,320 (316,418)
Balance at December 31, 2022
$3,046,829 $3,005,664 $941,574 $312,750 $87,532 $7,394,349 
Balance at January 1, 2023
$3,046,829 $3,005,664 $941,574 $312,750 $87,532 $7,394,349 
Beginning balance at original discount rates3,080,633 3,336,344 904,865 303,713 85,212 7,710,767 
Effect of changes in assumptions on future cash flows464,652 (32,428)(60,437)(6,407)15,930 381,310 
Effect of actual variances from expected experience(26,718)(74,797)(36,910)(12,661)(3,325)(154,411)
Adjusted balance at January 1, 2023
3,518,567 3,229,119 807,518 284,645 97,817 7,937,666 
Issuances(1)
376,573 266,375 59,158 39,825 14,446 756,377 
Interest accrual(2)
147,082 134,107 45,614 15,070 4,616 346,489 
Benefit payments(3)
(300,692)(122,912)(95,471)(24,987)(12,378)(556,440)
Effect of changes in the foreign exchange rate— — — 878 — 878 
Ending balance at original discount rates3,741,530 3,506,689 816,819 315,431 104,501 8,484,970 
Effect of change from original to current discount rates72,798 (190,809)48,989 20,073 4,981 (43,968)
Balance at December 31, 2023
$3,814,328 $3,315,880 $865,808 $335,504 $109,482 $8,441,002 
(1)Issuances represent the present value, using the original discount rate, of the expected future policy benefits related to new policies issued during each respective period.
(2)The interest accrual is the interest earned on the beginning present value of the expected future policy benefits, as well as the interest on actual benefits and expenses paid during the period, using the original interest rate.
(3)Benefit payments represent the release of the present value, using the original discount rate, of the actual future policy benefits incurred during the period due to death, lapse, and maturity benefit payments based on the revised expected assumptions.
Health
Net liability for future policy benefits as of December 31, 2021
United AmericanFamily HeritageLiberty NationalAmerican IncomeDirect to ConsumerTotal
Net liability for future policy benefits at original discount rates
$141,050 $1,504,752 $507,199 $106,803 $(1,148)$2,258,656 
Effect of changes in discount rate assumptions57,850 390,856 176,750 51,559 (688)676,327 
Other Adjustments(1)
1,683 43 2,752 27 3,175 7,680 
Net liability for future policy benefits, after other adjustments, at current discount rates
200,583 1,895,651 686,701 158,389 1,339 2,942,663 
Reinsurance recoverable
(4,173)(12,442)(1,715)— — (18,330)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$196,410 $1,883,209 $684,986 $158,389 $1,339 $2,924,333 
(1)Other adjustments include the effects of capping and flooring the liability.

Health
Net liability for future policy benefits as of December 31, 2022
United AmericanFamily HeritageLiberty NationalAmerican IncomeDirect to ConsumerTotal
Net liability for future policy benefits at original discount rates
$139,371 $1,607,125 $489,423 $111,082 $(2,539)$2,344,462 
Effect of changes in discount rate assumptions(1,043)(196,453)28,661 11,372 (72)(157,535)
Other Adjustments(1)
4,055 3,172 5,953 48 3,634 16,862 
Net liability for future policy benefits, after other adjustments, at current discount rates
142,383 1,413,844 524,037 122,502 1,023 2,203,789 
Reinsurance recoverable
(3,820)(9,027)(1,498)— — (14,345)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$138,563 $1,404,817 $522,539 $122,502 $1,023 $2,189,444 
(1)Other adjustments include the effects of capping and flooring the liability.

Health
Net liability for future policy benefits as of December 31, 2023
United AmericanFamily HeritageLiberty NationalAmerican IncomeDirect to ConsumerTotal
Net liability for future policy benefits at original discount rates
115,727 1,723,516 468,249 113,562 (5,379)2,415,675 
Effect of changes in discount rate assumptions830 (119,377)39,087 15,561 (502)(64,401)
Other Adjustments(1)
10,980 84 9,567 857 6,653 28,141 
Net liability for future policy benefits, after other adjustments, at current discount rates
127,537 1,604,223 516,903 129,980 772 2,379,415 
Reinsurance recoverable
(3,287)(10,718)(1,317)— — (15,322)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates
$124,250 $1,593,505 $515,586 $129,980 $772 $2,364,093 
(1)Other adjustments include the effects of capping and flooring the liability.
In accordance with the accounting guidance, the Company reviews, and updates as necessary, its assumptions utilized in the calculation of the liability for future benefits annually in the third quarter and recalculates the net premium ratio. The revised net premium ratio is used to update the liability for future policy benefits as of the beginning of the current reporting period, and is compared to the liability using the prior cash flow assumptions. The difference is recorded as a component of the remeasurement gain or loss for the current period, along with the effect of the difference between actual and expected experience for the period. The total remeasurement gain or loss is included in the Consolidated Statements of Operations.

The following tables include the total remeasurement gain or loss, bifurcated between the gain or loss due to differences between actual and expected experience and the amount due to assumption updates, for each of the three years-ended December 31, 2023.
202320222021
Life Remeasurement Gain (Loss)—Experience
American Income9,430 1,965 (2,008)
Direct to Consumer12,201 (2,243)(4,782)
Liberty National5,013 (1,348)(865)
Other4,760 1,354 664 
31,404 (272)(6,991)
Life Remeasurement Gain (Loss)—Assumption Unlocking
American Income308 (8,707)(750)
Direct to Consumer1,763 (25,334)(2,242)
Liberty National(1,248)(7,872)(733)
Other(2,836)(5,241)(350)
(2,013)(47,154)(4,075)
Total Life Remeasurement Gain (Loss)29,391 (47,426)(11,066)
Health Remeasurement Gain (Loss)—Experience
United American(134)3,502 (2,343)
Family Heritage4,638 2,395 594 
Liberty National628 1,406 304 
American Income1,461 (2,545)199 
Direct to Consumer23 148 16 
6,616 4,906 (1,230)
Health Remeasurement Gain (Loss)—Assumption Unlocking
United American762 (626)— 
Family Heritage2,173 6,283 — 
Liberty National2,171 1,463 — 
American Income119 3,615 — 
Direct to Consumer(80)— 
5,233 10,655 — 
Total Health Remeasurement Gain (Loss)11,849 15,561 (1,230)

The Company performed its annual assumptions review and updated both its life and health assumptions of lapses, mortality, and morbidity, resulting in a net remeasurement gain, due to assumption changes only, of $3.2 million for the period ended December 31, 2023, as compared to a net remeasurement loss of $36.5 million for the period ended December 31, 2022 and a net remeasurement loss of $4.1 million for the period ended December 31, 2021. For the life segment, the updates to our assumptions of lapses and mortality resulted in a remeasurement loss of $2.0 million, $47.2 million, and $4.1 million for the year-ended December 31, 2023, 2022, and 2021, respectively. For the health segment, the updates to our assumptions of lapses and morbidity resulted in a remeasurement gain of $5.2 million, $10.7 million, and $0 for the year-ended December 31, 2023, 2022, and 2021, respectively. The Company did not adjust its assumptions for the health segment in 2021 due to the uncertainty of expected experience during the pandemic.
Excluding the impact of assumption changes, during the year ended December 31, 2023 and 2022, the Company's results for actual variances from expected experience produced net remeasurement gains of $38.0 million and $4.6 million, respectively, and a net remeasurement loss of $8.2 million for the year ended December 31, 2021. The variance of actual experience from expected experience during the year ended 2023 was primarily due to favorable variances from our assumptions as compared to actual experience in our life insurance segment (a $31.4 million gain), and favorable variances from our assumptions as compared to actual experience in our health insurance segment (a $6.6 million gain). The variance of actual experience from expected experience during the year ended 2022 was primarily due to unfavorable variances from our assumptions of life experience as compared to actual experience in our life insurance segment (a $272 thousand loss), and favorable variances from our assumptions of health experience as compared to actual experience in our health insurance segment (a $4.9 million gain). The variance of actual experience from expected experience during the year ended 2021 was primarily due to unfavorable variances from our assumptions of life experience as compared to actual experience in our life insurance segment (a $7.0 million loss), as well as unfavorable variances from our assumptions of health experience as compared to actual experience in our health insurance segment (a $1.2 million loss).
The following table reconciles the liability for future policy benefits to the Consolidated Balance Sheets as of December 31, 2023, 2022, and 2021:
At Original Discount RatesAt Current Discount Rates
As of December 31,As of December 31,
202320222021202320222021
Life(1):
American Income$4,538,775 $4,163,111 $3,838,212 $5,482,036 $4,846,063 $6,848,483 
Direct to Consumer2,992,493 2,797,031 2,623,521 3,665,180 3,320,140 4,597,014 
Liberty National2,260,421 2,206,857 2,165,922 2,481,440 2,342,487 3,210,902 
Other3,062,966 2,954,522 2,851,189 3,761,633 3,505,457 4,928,784 
Net liability for future policy benefits—long duration life12,854,655 12,121,521 11,478,844 15,390,289 14,014,147 19,585,183 
Health(1):
United American124,021 141,362 142,189 127,537 142,383 200,583 
Family Heritage1,723,581 1,607,169 1,504,797 1,604,223 1,413,844 1,895,651 
Liberty National476,559 494,155 509,714 516,903 524,037 686,701 
American Income114,407 111,128 106,848 129,980 122,502 158,389 
Direct to Consumer737 979 1,111 772 1,023 1,339 
Net liability for future policy benefits—long duration health2,439,305 2,354,793 2,264,659 2,379,415 2,203,789 2,942,663 
Deferred profit liability174,717 175,883 184,743 174,717 175,883 184,743 
Deferred annuity773,039 954,318 1,033,525 773,039 954,318 1,033,525 
Interest sensitive life732,948 739,105 745,335 732,948 739,105 745,335 
Other9,951 10,106 8,193 9,945 10,099 8,191 
Total future policy benefits
$16,984,615 $16,355,726 $15,715,299 $19,460,353 $18,097,341 $24,499,640 
(1)Balances are presented net of the effects of capping and flooring the liability.
The following tables provide the weighted-average original and current discount rates for the liability for future policy benefits and the additional insurance liabilities as of December 31, 2023, 2022, and 2021:
As of December 31,
202320222021
Original discount rateCurrent discount rateOriginal discount rateCurrent discount rateOriginal discount rateCurrent discount rate
Life
American Income5.7 %4.9 %5.8 %5.2 %5.9 %3.3 %
Direct to Consumer6.0 %5.0 %6.0 %5.2 %6.0 %3.4 %
Liberty National5.6 %5.0 %5.6 %5.2 %5.6 %3.1 %
Other6.2 %5.0 %6.2 %5.2 %6.2 %3.2 %
Health
United American5.1 %4.8 %5.2 %5.1 %5.1 %2.7 %
Family Heritage4.3 %4.9 %4.3 %5.2 %4.3 %2.9 %
Liberty National5.8 %4.9 %5.8 %5.2 %5.8 %2.7 %
American Income5.8 %4.8 %5.9 %5.1 %6.0 %3.0 %
Direct to Consumer5.1 %4.8 %5.2 %5.1 %5.1 %2.7 %
The following table provides the weighted-average durations of the liability for future policy benefits and the additional insurance liabilities as of December 31, 2023, 2022, and 2021:
As of December 31,
202320222021
At original discount ratesAt current discount ratesAt original discount ratesAt current discount ratesAt original discount ratesAt current discount rates
Life
American Income23.0123.4522.8623.2822.5623.76
Direct to Consumer19.5821.2120.2721.8020.7022.98
Liberty National15.1315.8114.8615.3915.0117.27
Other16.2617.9216.5918.1516.8120.09
Health
United American11.4610.8911.3710.6514.1113.70
Family Heritage14.9914.5414.8714.2216.3916.54
Liberty National9.179.499.269.479.0110.53
American Income12.2112.8412.1212.5612.3714.43
Direct to Consumer11.4610.8911.3710.6514.1113.70
The following tables summarize the amount of gross premiums and interest related to long duration life and health contracts that are recognized in the Consolidated Statements of Operations:
Life
Year Ended
December 31, 2023
Year Ended
December 31, 2022
Year Ended
December 31, 2021
Gross
Premiums
Interest
expense
Gross
Premiums
Interest
expense
Gross
Premiums
Interest
expense
American Income$1,587,304 $252,277 $1,503,537 $234,098 $1,400,501 $219,842 
Direct to Consumer979,739 170,745 973,429 159,945 955,754 154,376 
Liberty National345,196 120,083 322,497 117,681 306,054 116,981 
Other205,998 179,513 208,390 172,967 210,908 167,378 
Total$3,118,237 $722,618 $3,007,853 $684,691 $2,873,217 $658,577 
Health
Year Ended
December 31, 2023
Year Ended
December 31, 2022
Year Ended
December 31, 2021
Gross
Premiums
Interest
expense
Gross
Premiums
Interest
expense
Gross
Premiums
Interest
expense
United American$401,834 $7,002 $380,710 $7,532 $356,580 $7,948 
Family Heritage396,211 65,892 366,803 59,983 343,839 54,634 
Liberty National187,095 27,248 186,268 28,477 186,520 29,586 
American Income113,605 6,542 111,623 6,408 108,740 6,262 
Direct to Consumer14,283 — 14,290 — 14,844 25 
Total$1,113,028 $106,684 $1,059,694 $102,400 $1,010,523 $98,455 
Gross premiums are included within life and health premium on the Consolidated Statements of Operations, while the related interest expense is included in life and health policyholder benefits.
The following tables provide the undiscounted and discounted expected future net premiums, expected future gross premiums, and expected future policy benefits, at both original and current discount rates, for life and health contracts:
Life
As of December 31, 2023As of December 31, 2022As of December 31, 2021
Not discountedAt original discount ratesAt current discount ratesNot discountedAt original discount ratesAt current discount ratesNot discountedAt original discount ratesAt current discount rates
American Income
PV of expected future gross premiums$24,265,464 $13,695,495 $14,264,077 $22,662,540 $12,832,811 $13,006,579 $21,317,703 $12,034,708 $15,278,295 
PV of expected future net premiums8,001,107 4,523,329 4,681,888 7,480,182 4,246,723 4,273,156 6,896,793 3,906,098 4,925,192 
PV of expected future policy benefits30,623,947 9,061,833 10,163,627 28,318,683 8,409,761 9,119,104 26,284,945 7,744,201 11,773,519 
DTC
PV of expected future gross premiums$17,506,091 $9,150,049 $9,761,706 $17,346,469 $9,086,945 $9,432,882 $17,247,115 $9,023,170 $11,852,808 
PV of expected future net premiums10,774,655 5,664,259 6,052,651 10,769,174 5,680,864 5,910,224 10,500,169 5,533,741 7,264,905 
PV of expected future policy benefits25,723,752 8,656,752 9,714,516 25,356,573 8,477,892 9,225,451 24,612,198 8,157,259 11,859,408 
Liberty National
PV of expected future gross premiums$4,660,783 $2,720,264 $2,784,916 $4,396,685 $2,561,304 $2,562,342 $4,239,223 $2,468,402 $3,076,801 
PV of expected future net premiums1,897,696 1,077,831 1,129,716 1,885,533 1,066,123 1,094,407 1,850,891 1,040,242 1,332,469 
PV of expected future policy benefits8,905,815 3,338,252 3,605,392 8,613,975 3,272,980 3,429,256 8,499,589 3,206,164 4,542,697 
Other
PV of expected future gross premiums$3,726,111 $1,889,930 $2,088,668 $3,814,915 $1,925,650 $2,075,874 $3,922,419 $1,956,472 $2,692,682 
PV of expected future net premiums910,786 443,949 478,052 922,500 449,209 470,741 863,126 416,141 559,972 
PV of expected future policy benefits12,431,963 3,506,859 4,239,623 12,371,696 3,403,704 3,976,150 12,248,389 3,267,306 5,488,684 
Total
PV of expected future gross premiums$50,158,449 $27,455,738 $28,899,367 $48,220,609 $26,406,710 $27,077,677 $46,726,460 $25,482,752 $32,900,586 
PV of expected future net premiums21,584,244 11,709,368 12,342,307 21,057,389 11,442,919 11,748,528 20,110,979 10,896,222 14,082,538 
PV of expected future policy benefits77,685,477 24,563,696 27,723,158 74,660,927 23,564,337 25,749,961 71,645,121 22,374,930 33,664,308 

As of December 31, 2023 for the life segment using current discount rates, the Company anticipates $28.9 billion of expected future gross premiums and $12.3 billion of expected future net premiums. As of December 31, 2022 and December 31, 2021 using current discount rates, the Company anticipated $27.1 billion and $32.9 billion of expected future gross premiums and $11.7 billion and $14.1 billion in expected future net premiums, respectively. For each respective period, only expected future net premiums are included in the determination of the liability for future policy benefits on the balance sheet, while the difference between the expected future gross premiums and the expected future net premiums is not.
Health
As of December 31, 2023As of December 31, 2022As of December 31, 2021
Not discountedAt original discount ratesAt current discount ratesNot discountedAt original discount ratesAt current discount ratesNot discountedAt original discount ratesAt current discount rates
United American
PV of expected future gross premiums$8,682,707 $5,295,148 $5,396,402 $6,801,987 $4,285,863 $4,233,647 $6,694,635 $4,198,446 $5,136,704 
PV of expected future net premiums5,955,294 3,625,803 3,697,771 4,680,560 2,941,262 2,908,501 4,719,914 2,949,851 3,611,659 
PV of expected future policy benefits6,148,565 3,741,530 3,814,328 4,915,174 3,080,633 3,046,829 5,015,967 3,090,901 3,810,559 
Family Heritage
PV of expected future gross premiums$6,739,913 $3,982,571 $3,844,287 $6,329,183 $3,787,020 $3,518,288 $5,816,502 $3,531,178 $4,100,733 
PV of expected future net premiums2,997,954 1,783,173 1,711,741 2,865,334 1,729,219 1,594,992 2,757,983 1,688,590 1,944,714 
PV of expected future policy benefits6,655,694 3,506,689 3,315,880 6,245,843 3,336,344 3,005,664 5,916,149 3,193,342 3,840,322 
Liberty National
PV of expected future gross premiums$2,089,005 $1,325,869 $1,390,066 $2,271,423 $1,418,333 $1,458,880 $2,209,171 $1,378,848 $1,732,660 
PV of expected future net premiums518,008 348,570 358,472 652,858 415,442 423,490 661,269 414,409 517,368 
PV of expected future policy benefits1,413,211 816,819 865,808 1,600,943 904,865 941,574 1,620,379 921,608 1,201,317 
American Income
PV of expected future gross premiums$1,768,231 $991,448 $1,047,348 $1,750,393 $977,846 $1,004,239 $1,698,676 $946,772 $1,218,899 
PV of expected future net premiums359,248 201,869 206,381 342,659 192,631 190,296 316,084 178,801 222,553 
PV of expected future policy benefits640,326 315,431 335,504 617,973 303,713 312,750 586,799 285,604 380,915 
Direct to Consumer
PV of expected future gross premiums$236,776 $149,119 $156,612 $177,131 $116,212 $119,457 $206,986 $131,858 $165,674 
PV of expected future net premiums174,738 109,880 115,363 133,995 87,751 90,143 152,336 96,776 121,724 
PV of expected future policy benefits163,087 104,501 109,482 127,911 85,212 87,532 148,843 95,628 119,888 
Total
PV of expected future gross premiums$19,516,632 $11,744,155 $11,834,715 $17,330,117 $10,585,274 $10,334,511 $16,625,970 $10,187,102 $12,354,670 
PV of expected future net premiums10,005,242 6,069,295 6,089,728 8,675,406 5,366,305 5,207,422 8,607,586 5,328,427 6,418,018 
PV of expected future policy benefits15,020,883 8,484,970 8,441,002 13,507,844 7,710,767 7,394,349 13,288,137 7,587,083 9,353,001 

As of December 31, 2023 for the health segment using current discount rates, the Company anticipates $11.8 billion of expected future gross premiums and $6.1 billion of expected future net premiums. As of December 31, 2022 and December 31, 2021 using current discount rates, the Company anticipated $10.3 billion and $12.4 billion of expected future gross premiums and $5.2 billion and $6.4 billion in expected future net premiums, respectively. For each respective period, only expected future net premiums are included in the determination of the liability for future
policy benefits on the balance sheet, while the difference between the expected future gross premiums and the expected future net premiums is not.
The following table summarizes the balances of, and changes in, policyholders’ account balances as of December 31, 2023 and 2022:
Policyholders' Account Balances
202320222021
Interest Sensitive LifeDeferred AnnuityOther Policy-holders' FundsInterest Sensitive LifeDeferred AnnuityOther Policy-holders' FundsInterest Sensitive LifeDeferred AnnuityOther Policy-holders' Funds
Balance at January 1,
$739,105 $954,318 $123,236 $745,335 $1,033,525 $99,468 $750,892 $1,062,999 $98,460 
Issuances— 896 — — 1,528 — — 1,738 — 
Premiums received22,036 13,209 122,136 23,439 22,873 30,591 25,038 28,126 7,784 
Policy charges(12,926)— — (13,573)— — (14,261)— — 
Surrenders and withdrawals(21,215)(165,584)(13,042)(21,994)(92,235)(11,615)(21,029)(48,641)(11,452)
Benefit payments(29,909)(57,937)— (32,889)(44,456)— (36,661)(45,967)— 
Interest credited28,320 28,150 9,314 28,579 32,779 4,589 28,941 33,866 4,503 
Other7,537 (13)(4,686)10,208 304 203 12,415 1,404 173 
Balance at December 31,
$732,948 $773,039 $236,958 $739,105 $954,318 $123,236 $745,335 $1,033,525 $99,468 
The following tables present the policyholders' account balances by range of guaranteed minimum crediting rates and the related range of difference, if any, in basis points between rates being credited to policy holders and the respective guaranteed minimums:
At December 31, 2023
Range of guaranteed minimum crediting ratesInterest Sensitive LifeDeferred AnnuityOther Policyholders' Funds
At guaranteed minimum
Less than 3.00%
$— $1,945 $138,684 
3.00%-3.99%
29,086 574,939 3,790 
4.00%-4.99%
613,704 195,390 6,861 
Greater than 5.00%
90,158 765 37,556 
Total
732,948 773,039 186,891 
51-150 basis points above
Less than 3.00%
— — — 
3.00%-3.99%
— — — 
4.00%-4.99%
— — 50,067 
Greater than 5.00%
— — — 
Total — — 50,067 
Grand Total
$732,948 $773,039 $236,958 
At December 31, 2022
Range of guaranteed minimum crediting ratesInterest Sensitive LifeDeferred AnnuityOther Policyholders' Funds
At guaranteed minimum
Less than 3.00%
$— $2,040 $23,042 
3.00%-3.99%
28,867 743,299 4,074 
4.00%-4.99%
620,594 208,979 58,251 
Greater than 5.00%
89,644 — 37,869 
Total
$739,105 $954,318 $123,236 
51-150 basis points above
Less than 3.00%
$— $— $— 
3.00%-3.99%
— — — 
4.00%-4.99%
— — — 
Greater than 5.00%
— — — 
Total
— — — 
Grand Total
$739,105 $954,318 $123,236 

At December 31, 2021
Range of guaranteed minimum crediting ratesInterest Sensitive LifeDeferred AnnuityOther Policyholders' Funds
At guaranteed minimum
Less than 3.00%
$— $2,182 $— 
3.00%-3.99%
28,562 816,031 2,893 
4.00%-4.99%
627,486 215,312 58,660 
Greater than 5.00%
89,287 — 37,915 
Total
$745,335 $1,033,525 $99,468 
51-150 basis points above
Less than 3.00%
$— $— $— 
3.00%-3.99%
— — — 
4.00%-4.99%
— — — 
Greater than 5.00%
— — — 
Total
— — — 
Grand Total
$745,335 $1,033,525 $99,468