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BUSINESS SEGMENT AND FOREIGN INFORMATION - Operations by Segment - Revenues (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance $ 4,591 $ 4,636 $ 4,706 $ 4,745 $ 4,580 $ 4,648 $ 4,665 $ 4,638 $ 18,677 $ 18,531 $ 19,225
Net investment income 874 870 862 837 812 811 802 794 3,442 3,220 3,278
Total revenues $ 5,126 $ 5,577 $ 5,589 $ 5,464 $ 5,424 $ 5,506 $ 5,428 $ 5,309 21,758 21,667 22,559
Total adjusted revenues                 21,988 21,589 22,387
Realized investment gains (losses) [1],[2],[3]                 (230) 78 172
Gain (loss) on change in fair value of derivative, corporate                 36    
Life insurance                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 3,674 4,034 4,740
Aflac Japan                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 12,762 12,752 13,537
Net investment income, less amortized hedge costs                 2,403 2,235 2,368
Other income (loss)                 41 41 40
Net investment income                 2,639 2,463 2,554
Total revenues                 15,206 15,028 15,945
Hedge cost                 236 228 186
Aflac Japan | Cancer                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 5,849 5,612 5,639
Aflac Japan | Medical and other health                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 3,516 3,379 3,429
Aflac Japan | Life insurance                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 3,397 3,761 4,469
Aflac U.S.                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 5,708 5,563 5,454
Other income (loss)                 8 5 10
Net investment income                 727 721 703
Total revenues                 6,443 6,289 6,167
Aflac U.S. | Cancer                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 1,311 1,308 1,299
Aflac U.S. | Life insurance                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 278 273 271
Aflac U.S. | Accident and disability                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 2,611 2,537 2,469
Aflac U.S. | Other health                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net premiums, principally supplemental health insurance                 1,508 1,445 1,415
Corporate and other                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Total revenues                 $ 339 $ 272 $ 275
[1] Amortized hedge costs in Aflac Japan were partially offset by derivatives entered into as part of corporate activities and resulted in a benefit of $36 for 2018, which has been reclassified from realized investment gains (losses) and reported as an increase in net investment income when analyzing operations.
[2] Amortized hedge costs related to hedging U.S. dollar-denominated investments held in Aflac Japan were $236, $228 and $186 for 2018, 2017 and 2016, respectively, and have been reclassified from realized investment gains (losses) and reported as a deduction from net investment income when analyzing segment operations.
[3] An immaterial amount of net interest cash flows from derivatives associated with certain investment strategies in 2018, were reclassified from realized investment gains (losses) into net investment income when analyzing operations.