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POLICY LIABILITIES
3 Months Ended
Mar. 31, 2023
Insurance Loss Reserves [Abstract]  
POLICY LIABILITIES POLICY LIABILITIES
Future Policy Benefits

The liability for future policy benefits is determined as the present value of future benefits to be paid to or on the behalf of policyholders and certain related expenses less the present value of future net premiums receivable under the Company's insurance contracts, where future net premiums receivable are future gross premiums receivable under the contract multiplied by the NPR.

The following tables present the changes in the present value of expected net premiums and the present value of expected future policy benefits 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 InsuranceOther
Present value of expected premiums:
Balance at December 31, 2022
$19,298 $16,714 $7,485 $1,256 $2,534 $1,635 $4,486 $1,220 $211 $724 $110 
Beginning balance at original discount rate 18,221 16,195 7,284 1,242 2,760 1,775 5,050 1,365 231 799 118 
Effect of changes in cash flow assumptions0 0 0 0 0 0 0 0 0 0 0 
Effect of actual variances from expected
   experience
(120)(25)(14)(2)(48)(20)(104)(39)(7)(4)(1)
Adjusted beginning of period balance18,101 16,170 7,270 1,240 2,712 1,755 4,946 1,326 224 795 117 
Issuances229 104 111 8 117 120 192 103 10 49 14 
Interest accrual111 92 33 5 25 15 46 11 2 7 1 
Net premiums earned (1)
(420)(344)(286)(31)(118)(95)(147)(62)(10)(33)(4)
Foreign currency translation(109)(100)(44)(8)0 0 0 0 0 0 0 
Other0 0 0 0 0 0 0 0 2 4 9 
Ending balance at original discount rate17,912 15,922 7,084 1,214 2,736 1,795 5,037 1,378 228 822 137 
Effect of changes in discount rate assumptions1,542 1,045 319 42 (173)(112)(444)(117)(15)(60)(6)
Balance at March 31, 2023
$19,454 $16,967 $7,403 $1,256 $2,563 $1,683 $4,593 $1,261 $213 $762 $131 
Present value of expected future policy benefits:
Balance at December 31, 2022
$54,766 $27,419 $31,954 $5,582 $3,098 $2,445 $11,489 $2,074 $488 $1,526 $622 
Beginning balance at original discount rate47,677 27,566 32,800 5,940 3,391 2,636 12,846 2,300 532 1,778 624 
Effect of changes in cash flow assumptions0 0 0 0 0 0 0 0 0 0 0 
Effect of actual variances from expected
   experience
(136)(24)(14)0 (55)(24)(120)(48)(9)(6)(2)
Adjusted beginning of period balance47,541 27,542 32,786 5,940 3,336 2,612 12,726 2,252 523 1,772 622 
Issuances232 108 112 9 124 127 201 111 12 53 13 
Interest accrual396 163 166 27 31 23 133 21 5 16 8 
Benefit payments(825)(367)(493)(61)(115)(118)(224)(69)(15)(29)(11)
Foreign currency translation(295)(171)(201)(35)0 0 0 0 0 0 0 
Other0 0 0 0 0 0 0 0 2 4 9 
Ending balance at original discount rate47,049 27,275 32,370 5,880 3,376 2,644 12,836 2,315 527 1,816 641 
Effect of changes in discount rate assumptions8,750 1,164 344 (110)(227)(149)(1,019)(176)(33)(210)15 
Balance at March 31, 2023
55,799 28,439 32,714 5,770 3,149 2,495 11,817 2,139 494 1,606 656 
Net liability for future policy benefits36,345 11,472 25,311 4,514 586 812 7,224 878 281 844 525 
Less: reinsurance recoverable0 1,643 0 0 0 0 0 0 0 10 0 
Net liability for future policy benefits after
   reinsurance recoverable
$36,345 $9,829 $25,311 $4,514 $586 $812 $7,224 $878 $281 $834 $525 
(1) Net premiums earned represent the portion of gross premiums collected from policyholders that is used to fund expected benefit payments.
December 31, 2022
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOther
Present value of expected premiums:
Balance at December 31, 2021
$25,893 $21,174 $10,847 $1,586 $3,283 $1,862 $6,023 $1,467 $264 $834 $153 
Beginning balance at original discount rate 22,470 18,681 10,064 1,461 2,999 1,760 5,391 1,380 241 780 135 
Effect of changes in cash flow assumptions(639)317 (494)25 (52)(38)42 10 (1)(12)
Effect of actual variances from expected
   experience
(284)61 (81)(10)(152)(43)(421)(111)(20)(16)
Adjusted beginning of period balance21,547 19,059 9,489 1,476 2,795 1,722 4,932 1,311 231 763 129 
Issuances947 639 221 62 355 384 537 273 33 146 
Interest accrual459 364 146 22 105 57 193 45 27 
Net premiums earned (1)
(1,734)(1,376)(1,229)(123)(496)(382)(612)(261)(42)(131)(17)
Foreign currency translation(2,997)(2,488)(1,343)(195)
Other(1)(3)(6)(3)(6)
Ending balance at original discount rate18,221 16,195 7,284 1,242 2,760 1,775 5,050 1,365 231 799 118 
Effect of changes in discount rate assumptions1,077 519 201 14 (226)(140)(564)(145)(20)(75)(8)
Balance at December 31, 2022
$19,298 $16,714 $7,485 $1,256 $2,534 $1,635 $4,486 $1,220 $211 $724 $110 
Present value of expected future policy benefits:
Balance at December 31, 2021
$72,747 $36,021 $42,720 $7,322 $3,949 $2,871 $15,388 $2,552 $616 $1,843 $837 
Beginning balance at original discount rate56,807 31,398 39,002 6,787 3,594 2,670 13,079 2,300 549 1,694 645 
Effect of changes in cash flow assumptions(721)352 (550)96 (70)(43)40 13 (1)(15)
Effect of actual variances from expected
   experience
(333)83 (91)(10)(177)(48)(465)(130)(23)(21)
Adjusted beginning of period balance55,753 31,833 38,361 6,873 3,347 2,627 12,571 2,210 539 1,672 637 
Issuances960 646 222 68 364 397 550 282 34 149 
Interest accrual1,599 642 670 106 128 94 539 85 21 62 32 
Benefit payments(3,050)(1,375)(1,248)(202)(456)(483)(823)(277)(62)(103)(45)
Foreign currency translation(7,585)(4,180)(5,205)(905)
Other(2)
Ending balance at original discount rate47,677 27,566 32,800 5,940 3,391 2,636 12,846 2,300 532 1,778 624 
Effect of changes in discount rate assumptions7,089 (147)(846)(358)(293)(191)(1,357)(226)(44)(252)(2)
Balance at December 31, 2022
54,766 27,419 31,954 5,582 3,098 2,445 11,489 2,074 488 1,526 622 
Net liability for future policy benefits35,468 10,705 24,469 4,326 564 810 7,003 854 277 802 512 
Less: reinsurance recoverable1,579 
Net liability for future policy benefits after
   reinsurance recoverable
$35,468 $9,126 $24,469 $4,326 $564 $810 $7,003 $854 $277 $793 $512 
(1) Net premiums earned represent the portion of gross premiums collected from policyholders that is used to fund expected benefit payments.
The following tables present the weighted-average interest rates and weighted-average liability duration (calculated using the original discount rate) by reporting segment and disaggregated by product type.
March 31, 2023
Aflac JapanAflac U.S.
CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOther
Weighted-average interest, original discount rate (1)
3.9 %2.6 %2.1 %1.8 %3.9 %4.2 %4.6 %4.4 %4.3 %3.7 %5.4 %
Weighted-average interest, current discount rate (1)
1.7 %2.2 %1.7 %2.0 %5.0 %5.0 %5.1 %5.1 %5.0 %5.0 %5.1 %
Weighted-average liability duration (years)13.726.717.318.08.55.611.89.68.012.99.5
(1) The weighted-average interest rates are calculated using the reserve balances as the weights. No adjustments were made to observable market information.

December 31, 2022
Aflac JapanAflac U.S.
CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOther
Weighted-average interest, original discount rate (1)
4.1 %2.6 %2.1 %1.8 %3.8 %4.2 %4.6 %4.4 %4.3 %3.7 %5.4 %
Weighted-average interest, current discount rate (1)
1.6 %2.2 %1.6 %1.9 %4.8 %4.7 %4.8 %4.8 %4.8 %4.8 %4.8 %
Weighted-average liability duration (years)13.726.917.318.28.55.612.09.48.113.19.6
(1) The weighted-average interest rates are calculated using the reserve balances as the weights. No adjustments were made to observable market information.
The following table presents a reconciliation of the disaggregated rollforwards above to the ending future policy benefits presented in the Consolidated Balance Sheets. The deferred profit liability for limited-payment contracts and the deferred profit liability for reinsurance is presented together with the liability for future policy benefits in the Consolidated Balance Sheets and has been included as a reconciling item in the table below.
(In millions)March 31,
2023
December 31, 2022
Balances included in future policy benefits rollforward:
Aflac Japan
Cancer$36,345 $35,468 
Medical and other health11,472 10,705 
Life insurance25,311 24,469 
Other4,514 4,326 
Aflac U.S.
Accident586 564 
Disability812 810 
Critical care7,224 7,003 
Hospital indemnity878 854 
Dental/vision281 277 
Life insurance844 802 
Other525 512 
Corporate and other31 19 
Deferred profit liability - limited-payment contracts1,788 1,740 
Deferred profit liability - reinsurance682 692 
Total$91,293 $88,241 

Discount rates are determined using upper-medium grade (low-credit-risk) fixed-income instrument yields that reflect the duration characteristics of the liability. Locked-in discount rates are determined as a weighted average of monthly upper-medium grade (low-credit-risk) fixed-income instrument forward curves, where the weights are the annualized premiums issued for each month of the cohort. Discount rates are updated each reporting period and require estimation techniques (e.g., interpolation, extrapolation) for determination of points on the curve for which there is limited or no observable market data.

More specifically, the Company constructs a discount rate curve separately for discounting cash flows used to calculate each of the Japan and U.S. liabilities for future policy benefits, reflective of the characteristics of the corresponding insurance liabilities, such as currency and tenor.

In the Aflac Japan segment, all long-duration insurance policies are denominated in yen. A significant portion of policies are characterized by tenors exceeding the availability of liquid market data in Japan for single-A rated (as a proxy for upper-medium grade) corporate yen-denominated debt. The discount rate curve is designed to prioritize the observable inputs where available, while past the last liquid point, the data is derived based on estimation techniques consistent with the fair value guidance in ASC 820. The Aflac Japan segment curve utilizes liquid market indices tracking publicly traded yen-denominated single-A corporate debt for the initial 10-year tenor. For the bonds within these market indices where only local ratings are available, the Company prioritizes the bonds with local ratings that are equivalent to a single-A rating based on international rating standards.

For the discount rates applicable to tenors for which the Japan single-A debt market is not liquid but there is sufficient observable market data and/or the observable market data is available for similar instruments (between 10 and 30 years), the Company estimates tenor-specific single-A credit spreads and applies them to risk-free government rates. Lastly, for the tenors where there is limited or no observable single-A or similar market data or risk-free government rates (beyond 30 years), the discount curve is derived by extrapolation of risk free rates beyond their last liquid point following the Smith-Wilson method and grading of the estimated forward credit spread anchored by the ultimate forward rate. The ultimate forward rate is based on the economic value-based solvency regime, which is consistent with the International Association of Insurance Supervisors (IAIS) Insurance Capital Standards (ICS) (which is expected to be introduced in Japan in 2025), and is adjusted for credit and inflation components.
For the Aflac U.S. segment where all long-duration insurance policies are denominated in U.S. dollar and substantially all have cash flow duration within 30 years, for which the U.S. upper-medium grade fixed-income market is liquid and observable, the Company uses data from a liquid fixed-income market index tracking single-A U.S. corporate debt. For the insignificant portion of the policies with cash flow tenors exceeding 30 years, the discount curve beyond that tenor is extrapolated following the Smith-Wilson method from year 30 to the same ultimate forward rate calculated for the Japan discount curve at year 60 and held constant thereafter. The use of the same ultimate rate for U.S. and Japan segments is based on the assumption of long-term global economic convergence.

For the three-month periods ended March 31, 2023 and 2022, the Company recognized $(2.8) billion and $4.2 billion in other comprehensive income (loss) net of tax, respectively, due to changes in the future policy benefits estimate from updating the discount rate assumptions. There were no changes to the methods used to determine the discount rates during the three-month periods ended March 31, 2023 and 2022.

For the year ended December 31, 2022, the Company recognized $13.7 billion in other comprehensive income (loss) net of tax, due to changes in the future policy benefits estimate from updating the discount rate assumptions. There were no changes to the methods used to determine the discount rates during the year ended December 31, 2022.

Mortality rate assumptions are based on industry tables and adjusted for the Company's actual or expected experience where credible or appropriate. These assumptions typically will vary by age, gender, and other demographic characteristics such as smoking status.

Morbidity assumptions are based on the Company's internal data and consider emerging experience. These assumptions are reflective of the coverage and benefits provided and generally vary by age, gender, duration, and any other material policyholder characteristics. In cases where a calendar-year trend is significant, future cash flow projections may include a trend adjustment.

In Japan, separate lapse assumptions are set based on actual or expected experience. These lapse and total termination rate assumptions will vary by line of business and with policyholder characteristics such as duration. In the U.S., the majority of the future cash flows are modeled using total termination rates (which include both lapse and mortality) and are adjusted for actual experience. Policy provisions, such as reaching premium paid-up status, are taken into account when setting assumptions.

During the three-month periods ended March 31, 2023 and 2022, the Company's adjustment for actual variances from expected experience resulted in reserve remeasurement gains of $53 million and $34 million in the consolidated statement of earnings, respectively. The variance of actual experience from expected experience was primarily due to favorable variances in morbidity assumptions as compared to actual experience. There were no changes to the inputs, judgments, assumptions and methods used in measuring the liability for future policy benefits during the three-month periods ended March 31, 2023 and 2022.

In 2022, the Company's annual review process resulted in favorable changes to its morbidity assumptions due to favorable claims experience, primarily. This, together with the variance of actual experience from expected experience, resulted in reserve remeasurement gains of $215 million in the consolidated statement of earnings for the year ended December 31, 2022.
The following table summarizes the amount of net earned premiums recognized in the Consolidated Statements of Earnings by reporting segment and disaggregated by product type.
  
Three Months Ended March 31,
(In millions)20232022
Net earned premiums:
Aflac Japan
Cancer$1,132 $1,336 
Medical and other health689 828 
Life insurance399 524 
Other39 44 
Aflac U.S.
Accident329 337 
Disability309 296 
Critical care443 446 
Hospital indemnity184 185 
Dental/vision53 49 
Life insurance115 99 
Other10 10 
Corporate and other90 42 
Reinsurance ceded(104)(117)
Total$3,688 $4,079 

The following table summarizes the amount of interest expense related to insurance contracts recognized in total benefits and claims, net in the Consolidated Statements of Earnings by reporting segment and disaggregated by product type.
  
Three Months Ended March 31,
(In millions)20232022
Interest expense:
Aflac Japan
Cancer$285 $329 
Medical and other health71 80 
Life insurance133 149 
Other22 24 
Aflac U.S.
Accident6 
Disability8 
Critical care87 86 
Hospital indemnity10 10 
Dental/vision3 
Life insurance9 
Other7 
Corporate and other0 
Total$641 $710 
The following tables summarize the amount of undiscounted expected future gross premiums and expected future benefits and expenses and discounted (discounted at the current period discount rate) expected future gross premiums and expected future benefits and expenses by reporting segment and disaggregated by product type. Future gross premiums represent the expected amount of future premiums to be received. For limited-payment policies, the premiums are collected over a shorter period than the policy term over which benefits are provided. As a result, once the policy reaches premium paid-up status, the future gross premiums can be significantly less than the future benefit payments. Further, benefits and expenses are generally greater in the later years of a policy. These are the primary factors that result in future gross premiums lower than future benefit and expense payments for certain lines of business of the Company.
March 31, 2023December 31, 2022
(In millions)Gross
Premiums
Benefits and ExpensesGross PremiumsBenefits and Expenses
Undiscounted expected future gross premiums
  and expected future benefits and expenses:
Aflac Japan
Cancer$74,863 $83,549 $75,529 $84,246 
Medical and other health50,153 50,573 50,720 50,778 
Life insurance16,690 52,993 16,946 53,271 
Other2,309 9,379 2,322 9,433 
Aflac U.S.
Accident9,467 4,621 9,481 4,636 
Disability5,889 3,286 5,858 3,267 
Critical care21,134 22,085 21,069 22,113 
Hospital indemnity5,213 3,360 5,164 3,338 
Dental/vision1,194 754 1,208 759 
Life insurance2,466 2,871 2,375 2,787 
Other359 1,165 333 1,147 
Total$189,737 $234,636 $191,005 $235,775 


March 31, 2023December 31, 2022
(In millions)Gross PremiumsBenefits and ExpensesGross PremiumsBenefits and Expenses
Discounted expected future gross premiums
  and expected future benefits and expenses:
Aflac Japan
Cancer$53,806 $55,799 $53,278 $54,766 
Medical and other health35,030 28,439 34,693 27,419 
Life insurance12,875 32,714 12,951 31,954 
Other1,712 5,770 1,697 5,582 
Aflac U.S.
Accident6,625 3,149 6,510 3,098 
Disability4,554 2,495 4,468 2,445 
Critical care13,013 11,817 12,659 11,489 
Hospital indemnity3,592 2,139 3,483 2,074 
Dental/vision826 494 821 488 
Life insurance1,756 1,606 1,663 1,526 
Other252 656 228 622 
Total$134,041 $145,078 $132,451 $141,463 
Loss expense as a result of net premium ratio capping for the three-month periods ended March 31, 2023 and 2022 was immaterial.

Other Policyholders' Funds

As of March 31, 2023 and December 31, 2022, the largest component of the other policyholders' funds liability was the Company's annuity line of business in Aflac Japan. The Company's annuities have fixed benefits and premiums.

The following table presents the changes in other policyholders’ funds.
(In millions)March 31,
2023
December 31, 2022
Other policyholders' funds:
Fixed annuities account balance, beginning of period (1)
$6,423 $7,410 
Premiums received39 150 
Transfers from WAYS conversions58 214 
Surrenders and withdrawals(14)(52)
Benefit payments(104)(367)
Interest credited14 57 
Foreign currency translation and other(40)(989)
Fixed annuities account balance, end of period6,376 6,423 
Other deposit type reserves292 220 
Total$6,668 $6,643 
(1) Aflac Japan fixed annuities

The following table presents other policyholders’ funds balances by range of guaranteed crediting rates.
March 31, 2023December 31, 2022
(In millions)
Range of Guaranteed Minimum Crediting Rates (2)
At Guaranteed MinimumCash Surrender Value
Range of Guaranteed Minimum Crediting Rates (2)
At Guaranteed MinimumCash Surrender Value
Fixed annuities (1)
0.5% - 2.3%
$6,376$6,281
0.5% - 2.3%
$6,423$6,326
(1) Aflac Japan fixed annuities
(2) Weighted-average crediting rate of 1.5% at March 31, 2023 and December 31, 2022, respectively.

Aflac Japan’s fixed annuities have guaranteed fixed crediting rates which results in the policyholders' funds balances being able to cover all guaranteed benefit amounts. The reserves are adequate to fully fund future benefits at any given time.

See Note 1 of the Notes to the Consolidated Financial Statements for additional information on policy liabilities.