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POLICY LIABILITIES
12 Months Ended
Dec. 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 expected future policy benefits to be paid to or on the behalf of policyholders and certain related expenses less the present value of expected future net premiums receivable under the Company's insurance contracts. 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 future net premiums and the present value of expected future policy benefits by reporting segment and disaggregated by product type for the years ended December 31. The present value of expected future net premiums and the present value of expected future policy benefits are presented gross of internal and external ceded reinsurance.
2023
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOther
Present value of expected future net 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 assumptions(165)(470)43 (12)(16)(51)(494)(142)(9)61 (9)
Effect of actual variances from expected
   experience
(315)(137)(42)(15)(58)(29)(223)(73)(17)(25)(2)
Adjusted beginning of period balance17,741 15,588 7,285 1,215 2,686 1,695 4,333 1,150 205 835 107 
Issuances1,034 418 335 26 323 376 493 249 44 181 169 
Interest accrual412 334 124 20 102 62 179 45 8 31 6 
Net premiums collected (1)
(1,564)(1,261)(1,017)(112)(473)(390)(580)(247)(39)(137)(17)
Foreign currency translation(1,170)(1,038)(469)(80)0 0 0 0 0 0 0 
Other(1)(1)0 0 (8)(5)(9)(4)(1)(1)7 
Ending balance at original discount rate16,452 14,040 6,258 1,069 2,630 1,738 4,416 1,193 217 909 272 
Effect of changes in discount rate assumptions1,057 657 230 19 (142)(86)(342)(86)(11)(56)5 
Balance at December 31, 2023
$17,509 $14,697 $6,488 $1,088 $2,488 $1,652 $4,074 $1,107 $206 $853 $277 
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 assumptions(147)(507)65 (27)(11)(59)(592)(194)(14)72 (13)
Effect of actual variances from expected
   experience
(385)(154)(51)(15)(75)(59)(271)(99)(22)(32)(4)
Adjusted beginning of period balance47,145 26,905 32,814 5,898 3,305 2,518 11,983 2,007 496 1,818 607 
Issuances1,059 432 341 32 331 392 505 258 46 185 169 
Interest accrual1,473 608 625 100 127 96 524 84 21 68 33 
Benefit payments(2,987)(1,153)(1,415)(206)(464)(465)(893)(274)(59)(105)(48)
Foreign currency translation(3,064)(1,769)(2,109)(380)0 0 0 0 0 0 0 
Other0 0 0 0 3 0 1 1 2 5 8 
Ending balance at original discount rate43,626 25,023 30,256 5,444 3,302 2,541 12,120 2,076 506 1,971 769 
Effect of changes in discount rate assumptions6,535 234 (525)(266)(193)(119)(830)(133)(28)(207)29 
Balance at December 31, 2023
50,161 25,257 29,731 5,178 3,109 2,422 11,290 1,943 478 1,764 798 
Net liability for future policy benefits32,652 10,560 23,243 4,090 621 770 7,216 836 272 911 521 
Less: reinsurance recoverable4,135 1,521 0 0 0 0 0 0 0 15 0 
Net liability for future policy benefits after
   reinsurance recoverable
$28,517 $9,039 $23,243 $4,090 $621 $770 $7,216 $836 $272 $896 $521 
(1) Net premiums collected represent the portion of gross premiums collected from policyholders that is used to fund expected future benefit payments.
2022
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOther
Present value of expected future net 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 collected (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 collected represent the portion of gross premiums collected from policyholders that is used to fund expected future 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 as of December 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)
1.8 %2.3 %1.7 %2.1 %5.3 %5.3 %5.3 %5.3 %5.3 %5.3 %5.3 %
Weighted-average liability duration (years)13.124.916.317.38.15.611.39.37.913.69.4
(1) The weighted-average interest rates are calculated using the reserve balances as the weights. No adjustments were made to observable market information.

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 as of December 31. The deferred profit liability for limited-payment contracts and the deferred reinsurance gain liability are presented together with the liability for future policy benefits in the consolidated balance sheets and have been included as reconciling items in the table below.
(In millions)20232022
Balances included in future policy benefits rollforward:
Aflac Japan
Cancer$32,652 $35,468 
Medical and other health10,560 10,705 
Life insurance23,243 24,469 
Other4,090 4,326 
Aflac U.S.
Accident621 564 
Disability770 810 
Critical care7,216 7,003 
Hospital indemnity836 854 
Dental/vision272 277 
Life insurance911 802 
Other521 512 
Corporate and other4,225 686 
Deferred profit liability1,806 1,740 
Deferred reinsurance gain liability1,012 692 
Intercompany eliminations (1)
(5,017)(667)
Total$83,718 $88,241 
(1) Elimination entry necessary due to the internal reinsurance transactions with Aflac Re and to recapture a portion of policy liabilities ceded externally as a result of the reinsurance retrocession transaction. See Note 8 for additional details.

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 separately for each issue-year cohort as a single discount rate, calculated as the weighted-average of monthly upper-medium grade (low credit risk) fixed-income instrument forward curves in the calendar year, where the weights are the annualized premiums issued for each month of the cohort. The single discount rate for each issue-year cohort is determined by solving for a rate that produces an equivalent net premium ratio to the forward curve and will remain unchanged after the calendar year of issue.

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. The Company constructs a current 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 years ended December 31, 2023, 2022 and 2021, the Company recognized approximately $(460) million, $13.7 billion and $2.7 billion, respectively, 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 years ended December 31, 2023 and 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 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 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.

In 2023 and 2022, 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 or methods used in measuring the liability for future policy benefits in 2023 and 2022.

In 2023, the Company's annual assumption review process resulted in favorable changes to its morbidity and termination assumptions, largely due to reflecting more recent favorable U.S. morbidity experience. In 2022, the Company's annual assumption review process resulted in favorable changes to its morbidity assumptions due to favorable claims experience, primarily.
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 for the years ended December 31.
(In millions)202320222021
Net earned premiums:
Aflac Japan
Cancer$4,063 $4,716 $5,731 
Medical and other health2,631 2,917 3,570 
Life insurance1,532 1,769 2,282 
Other149 161 186 
Aflac U.S.
Accident1,288 1,317 1,366 
Disability1,256 1,179 1,170 
Critical care1,749 1,758 1,801 
Hospital indemnity725 725 733 
Dental/vision214 199 188 
Life insurance475 396 350 
Other45 38 42 
Corporate and other400 145 180 
Reinsurance ceded(404)(419)(504)
Total$14,123 $14,901 $17,095 

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 for the years ended December 31.
(In millions)202320222021
Interest expense:
Aflac Japan
Cancer$1,061 $1,140 $1,428 
Medical and other health274 278 330 
Life insurance501 524 631 
Other80 84 102 
Aflac U.S.
Accident25 23 21 
Disability34 37 39 
Critical care345 346 343 
Hospital indemnity39 40 40 
Dental/vision13 12 13 
Life insurance37 35 33 
Other27 27 27 
Total$2,436 $2,546 $3,007 
The following tables summarize the amount of undiscounted expected future gross premiums and expected future policy benefits and expenses and discounted (discounted at the current period discount rate) expected future gross premiums and expected future policy benefits and expenses by reporting segment and disaggregated by product type as of December 31. These tables are presented gross of internal and external ceded reinsurance. 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.
20232022
(In millions)Gross
Premiums
Benefits and ExpensesGross PremiumsBenefits and Expenses
Undiscounted expected future gross premiums
  and expected future policy benefits and expenses:
Aflac Japan (1)
Cancer$59,169 $66,427 $65,454 $73,009 
Medical and other health38,583 39,884 43,954 44,005 
Life insurance12,677 42,541 14,685 46,166 
Other1,781 7,448 2,012 8,175 
Aflac U.S.
Accident9,095 4,548 9,481 4,636 
Disability5,776 3,177 5,858 3,267 
Critical care19,886 20,626 21,069 22,113 
Hospital indemnity4,922 3,025 5,164 3,338 
Dental/vision1,162 726 1,208 759 
Life insurance2,719 3,260 2,375 2,787 
Other724 1,396 333 1,147 
Total$156,494 $193,058 $171,593 $209,402 
(1) Prior-year amounts reflect the immaterial revision of amounts disclosed in the Company's Quarterly Reports on Form 10-Q for 2023 to correctly apply the yen/dollar exchange rate in effect for the period presented.
20232022
(In millions)Gross PremiumsBenefits and ExpensesGross PremiumsBenefits and Expenses
Discounted expected future gross premiums
  and expected future policy benefits and expenses:
Aflac Japan
Cancer$48,363 $50,161 $53,278 $54,766 
Medical and other health30,757 25,257 34,693 27,419 
Life insurance11,240 29,731 12,951 31,954 
Other1,512 5,178 1,697 5,582 
Aflac U.S.
Accident6,369 3,109 6,510 3,098 
Disability4,488 2,422 4,468 2,445 
Critical care12,417 11,290 12,659 11,489 
Hospital indemnity3,419 1,943 3,483 2,074 
Dental/vision807 478 821 488 
Life insurance1,914 1,764 1,663 1,526 
Other467 798 228 622 
Total$121,753 $132,131 $132,451 $141,463 
Loss expense as a result of net premium ratio capping for the years ended December 31, 2023, 2022 and 2021 was immaterial.

Other Policyholders' Funds

As of December 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 for the years ended December 31.
(In millions)20232022
Other policyholders' funds:
Fixed annuities account balance, beginning of period (1)
$6,423 $7,410 
Premiums received126 150 
Transfers from WAYS conversions229 214 
Surrenders and withdrawals(59)(52)
Benefit payments(419)(367)
Interest credited53 57 
Foreign currency translation and other(414)(989)
Fixed annuities account balance, end of period5,939 6,423 
Other deposit type reserves230 220 
Total$6,169 $6,643 
(1) Aflac Japan fixed annuities

The following table presents other policyholders’ funds balances by range of guaranteed crediting rates as of December 31.
20232022
(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%
$5,939$5,850
0.5% - 2.3%
$6,423$6,326
(1) Aflac Japan fixed annuities
(2) Weighted-average crediting rate of 1.5% at December 31, 2023 and December 31, 2022.

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 for additional information on policy liabilities.