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Policy Claims and Benefits (Tables)
6 Months Ended
Jun. 30, 2019
Insurance [Abstract]  
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]
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