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DEFERRED POLICY ACQUISITION COSTS
3 Months Ended
Mar. 31, 2023
Insurance [Abstract]  
DEFERRED POLICY ACQUISITION COSTS DEFERRED POLICY ACQUISITION COSTSThe following tables present a rollforward of deferred policy acquisition costs by reporting segment and disaggregated by product type.
March 31, 2023
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOtherTotal
Deferred policy acquisition costs:
Balance at December 31, 2022
$3,035 $2,161 $525 $55 $904 $613 $1,304 $418 $88 $135 $1 $9,239 
Capitalization76 33 9 4 39 31 41 21 2 14 0 270 
Amortization expense(48)(28)(9)0 (34)(28)(34)(16)(3)(6)1 (205)
Foreign currency translation and
  other
(19)(13)(3)(1)0 0 0 0 0 0 (1)(37)
Balance at March 31, 2023
$3,044 $2,153 $522 $58 $909 $616 $1,311 $423 $87 $143 $1 $9,267 
December 31, 2022
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOtherTotal
Deferred policy acquisition costs:
Balance at December 31, 2021
$3,464 $2,372 $595 $51 $887 $604 $1,270 $399 $90 $115 $$9,848 
Capitalization291 161 33 12 147 117 160 80 11 40 1,052 
Amortization expense(188)(112)(35)(3)(130)(108)(126)(61)(13)(20)(792)
Foreign currency translation and
  other
(532)(260)(68)(5)(4)(869)
Balance at December 31, 2022
$3,035 $2,161 $525 $55 $904 $613 $1,304 $418 $88 $135 $$9,239 

The Company uses the following constant level bases to amortize deferred policy acquisition costs:
Policy TypeConstant-level Basis
Life Products (U.S.)Face Value
Health Products (U.S.)Policy Count
Health & Life Products (Japan)Units in Force

Face value is the stated dollar amount that the policy’s beneficiaries receive upon the death of the insured. For life and health products issued in Japan, the constant-level basis used is units in force, which is a proxy for face amount and insurance in force, respectively. Future DAC amortization is impacted by persistency.

There were no changes to the inputs, judgements, assumptions and methods used to determine amortization amounts during the three-month periods ended March 31, 2023 and 2022.

See Note 1 of the Notes to the Consolidated Financial Statements for more information on deferred policy acquisition costs.