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Revenue from Contracts with Customers
3 Months Ended
Mar. 31, 2019
Revenue from Contract with Customer [Abstract]  
Revenue from Contracts with Customers Revenue from Contracts with Customers
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
 
 
Three Months Ended March 31
 
 
2019
 
2018
Commercial Risk Solutions
 
$
1,118

 
$
1,184

Reinsurance Solutions
 
788

 
742

Retirement Solutions
 
420

 
424

Health Solutions
 
486

 
451

Data & Analytic Services
 
336

 
294

Elimination
 
(5
)
 
(5
)
Total revenue
 
$
3,143

 
$
3,090


Consolidated revenue from contracts with customers by geographic area, which is attributed on the basis of where the services are performed, is as follows (in millions):
 
 
Three Months Ended March 31
 
 
2019
 
2018
United States
 
$
1,161

 
$
1,116

Americas other than United States
 
226

 
237

United Kingdom
 
452

 
484

Europe, Middle East, & Africa other than United Kingdom
 
1,009

 
979

Asia Pacific
 
295

 
274

Total revenue
 
$
3,143

 
$
3,090



Contract Costs

An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
As of
 
March 31,
2019
 
December 31,
2018
Balance at beginning of period
 
$
329

 
$
298

Additions
 
346

 
1,504

Amortization
 
(439
)
 
(1,465
)
Impairment
 

 

Foreign currency translation and other
 

 
(8
)
Balance at end of period
 
$
236

 
$
329



An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
As of
 
March 31,
2019
 
December 31,
2018
Balance at beginning of period
 
$
156

 
$
145

Additions
 
9

 
53

Amortization
 
(11
)
 
(41
)
Impairment
 

 

Foreign currency translation and other
 
1

 
(1
)
Balance at end of period
 
$
155

 
$
156