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Policy Claims and Benefits (Notes)
6 Months Ended
Jun. 30, 2019
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]  
Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
Policy Claims and Benefits
The liability for unpaid claims is reported in future policy benefits and other policy-related balances within the Company’s consolidated balance sheet. Activity associated with unpaid claims is summarized below (dollars in thousands):
 
 
Six months ended June 30,
 
 
2019
 
2018
Balance at beginning of year
 
$
6,584,668

 
$
5,896,469

Less: reinsurance recoverable
 
(432,582
)
 
(455,547
)
Net balance at beginning of year
 
6,152,086

 
5,440,922

Incurred:
 
 
 
 
Current year
 
5,457,193

 
5,046,146

Prior years
 
58,249

 
66,022

Total incurred
 
5,515,442

 
5,112,168

Payments:
 
 
 
 
Current year
 
(1,063,092
)
 
(1,097,105
)
Prior years
 
(3,978,853
)
 
(3,518,791
)
Total payments
 
(5,041,945
)
 
(4,615,896
)
Other changes:
 
 
 
 
Interest accretion
 
13,185

 
12,299

Foreign exchange adjustments
 
2,663

 
(117,352
)
Total other changes
 
15,848

 
(105,053
)
 
 
 
 
 
Net balance at end the period
 
6,641,431

 
5,832,141

Plus: reinsurance recoverable
 
524,808

 
439,568

Balance at end of the period
 
$
7,166,239

 
$
6,271,709


Incurred claims related to prior years reflected in the table above, resulted in part from developed claims for prior years being different than were anticipated when the liabilities for unpaid claims were originally estimated.  These trends have been considered in establishing the current year liability for unpaid claims.