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BENEFITS PAYABLE
3 Months Ended
Mar. 31, 2022
Insurance [Abstract]  
BENEFITS PAYABLE BENEFITS PAYABLE
On a consolidated basis, activity in benefits payable was as follows for the three months ended March 31, 2022 and 2021:
For the three months ended March 31,
20222021
 (in millions)
Balances, beginning of period$8,289 $8,143 
Acquisitions— 42 
Incurred related to:
Current year19,985 17,851 
Prior years(360)(555)
Total incurred19,625 17,296 
Paid related to:
Current year(12,284)(10,842)
Prior years(6,252)(5,988)
Total paid(18,536)(16,830)
Balances, end of period $9,378 $8,651 
Amounts incurred related to prior periods vary from previously estimated liabilities as the claims ultimately are settled. Negative amounts reported for incurred related to prior years result from claims being ultimately settled for amounts less than originally estimated (favorable development).
Our reserving practice is to consistently recognize the actuarial best estimate of our ultimate liability for claims. Actuarial standards require the use of assumptions based on moderately adverse experience, which generally results in favorable reserve development, or reserves that are considered redundant.
Incurred and Paid Claims Development
The following discussion provides information about incurred and paid claims development for our Retail and Group and Specialty segments as of March 31, 2022 and 2021, net of reinsurance, and the total estimate of benefits payable for claims incurred but not reported, or IBNR, included within the net incurred claims amounts.
Retail Segment
Activity in benefits payable for our Retail segment was as follows for the three months ended March 31, 2022 and 2021:
For the three months ended March 31,
20222021
 (in millions)
Balances, beginning of period$7,675 $7,428 
Acquisitions— 42 
Incurred related to:
Current year19,078 16,762 
Prior years(328)(463)
Total incurred18,750 16,299 
Paid related to:
Current year(11,882)(10,330)
Prior years(5,741)(5,401)
Total paid(17,623)(15,731)
Balances, end of period$8,802 $8,038 
At March 31, 2022, benefits payable for our Retail segment included IBNR of approximately $5.3 billion, primarily associated with claims incurred in 2022.
Group and Specialty Segment
Activity in benefits payable for our Group and Specialty segment was as follows for the three months ended March 31, 2022 and 2021:
For the three months ended March 31,
20222021
 (in millions)
Balances, beginning of period$614 $715 
Incurred related to:
Current year1,078 1,237 
Prior years(32)(92)
Total incurred1,046 1,145 
Paid related to:
Current year(573)(660)
Prior years(511)(587)
Total paid(1,084)(1,247)
Balances, end of period$576 $613 
At March 31, 2022, benefits payable for our Group and Specialty segment included IBNR of approximately $492 million, primarily associated with claims incurred in 2022.