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Deferred Premium Acquisition Costs
 12 Months Ended
Dec. 31, 2020
Insurance Contracts [Abstract]  
Deferred Premium Acquisition Costs Deferred Premium Acquisition Costs
Changes in deferred premium acquisition costs for the years ended December 31 were as follows:
20202019
Balance – January 1
1,344.3 1,127.3 
Premium acquisition costs deferred
3,629.4 3,271.4 
Amortization(1)
(3,424.0)(3,068.2)
Assets held for sale (note 23)
— (1.7)
Foreign exchange effect and other
(6.0)15.5 
Balance – December 31
1,543.7 1,344.3 
(1)    Excludes in 2020 amortization of European Run-off's commission expenses of $7.7 as the assets of European Run-off were included in assets held for sale on the consolidated balance sheet at December 31, 2019 and European Run-off was deconsolidated on March 31, 2020 as described in note 23.