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Revenue from Contracts with Customers (Tables)
 9 Months Ended
Sep. 30, 2019
Revenue from Contract with Customer [Abstract]  
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
 
 
Three Months Ended September 30
 
Nine Months Ended September 30
 
 
2019
 
2018
 
2019
 
2018
Commercial Risk Solutions
 
$
1,057

 
$
1,029

 
$
3,342

 
$
3,379

Reinsurance Solutions
 
291

 
279

 
1,499

 
1,401

Retirement Solutions
 
484

 
501

 
1,323

 
1,356

Health Solutions
 
279

 
278

 
1,082

 
1,038

Data & Analytic Services
 
271

 
263

 
893

 
834

Elimination
 
(3
)
 
(1
)
 
(11
)
 
(8
)
Total revenue
 
$
2,379

 
$
2,349

 
$
8,128

 
$
8,000

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 September 30
 
Nine Months Ended September 30
 
 
2019
 
2018
 
2019
 
2018
United States
 
$
1,209

 
$
1,215

 
$
3,516

 
$
3,456

Americas other than United States
 
256

 
203

 
723

 
683

United Kingdom
 
358

 
264

 
1,210

 
1,161

Europe, Middle East, & Africa other than United Kingdom
 
283

 
399

 
1,793

 
1,871

Asia Pacific
 
273

 
268

 
886

 
829

Total revenue
 
$
2,379

 
$
2,349

 
$
8,128

 
$
8,000
Capitalized Contract Cost
An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
 
 
Three Months Ended September 30
 
Nine Months Ended September 30
 
 
2019
 
2018
 
2019
 
2018
Balance at beginning of period
 
$
216

 
$
216

 
$
329

 
$
298

Additions
 
326

 
332

 
1,008

 
1,043

Amortization
 
(299
)
 
(305
)
 
(1,095
)
 
(1,090
)
Impairment
 
—

 
—

 
—

 
—

Foreign currency translation and other
 
(4
)
 
5

 
(3
)
 
(3
)
Balance at end of period
 
$
239

 
$
248

 
$
239

 
$
248



An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
 
 
Three Months Ended September 30
 
Nine Months Ended September 30
 
 
2019
 
2018
 
2019
 
2018
Balance at beginning of period
 
$
161

 
$
144

 
$
156

 
$
145

Additions
 
14

 
16

 
40

 
37

Amortization
 
(11
)
 
(9
)
 
(33
)
 
(30
)
Impairment
 
—

 
—

 
—

 
—

Foreign currency translation and other
 
(1
)
 
(1
)
 
—

 
(2
)
Balance at end of period
 
$
163

 
$
150

 
$
163

 
$
150