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DEFERRED POLICY ACQUISITION COSTS AND INSURANCE EXPENSES (Tables)
12 Months Ended
Dec. 31, 2023
Deferred Policy Acquisition Costs Disclosures [Abstract]  
Schedule of Deferred Policy Acquisition Costs
The following tables present a rollforward of deferred policy acquisition costs by reporting segment and disaggregated by product type for the years ended December 31.
2023
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOtherTotal
Deferred policy acquisition costs:
Balance, beginning of year$3,035 $2,161 $525 $55 $904 $613 $1,304 $418 $88 $135 $1 $9,239 
Capitalization317 123 33 8 151 125 173 84 10 61 1 1,086 
Amortization expense(184)(105)(34)(3)(138)(113)(141)(66)(12)(24)4 (816)
Foreign currency translation and
  other
(197)(138)(33)(4)0 0 0 0 0 0 (5)(377)
Balance, end of year$2,971 $2,041 $491 $56 $917 $625 $1,336 $436 $86 $172 $1 $9,132 
Prior-year amounts have been adjusted for the adoption of accounting guidance on January 1, 2023 related to accounting for long-duration insurance contracts.

2022
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOtherTotal
Deferred policy acquisition costs:
Balance, beginning of year$3,464 $2,372 $595 $51 $887 $604 $1,270 $399 $90 $115 $$9,848 
Capitalization291 161 33 12 147 117 160 80 11 40 1,052 
Amortization expense(188)(112)(35)(3)(130)(108)(126)(61)(13)(20)(792)
Foreign currency translation and
  other
(532)(260)(68)(5)(4)(869)
Balance, end of year$3,035 $2,161 $525 $55 $904 $613 $1,304 $418 $88 $135 $$9,239 
Prior-year amounts have been adjusted for the adoption of accounting guidance on January 1, 2023 related to accounting for long-duration insurance contracts.
Advertising Expense Advertising expense, which is included in insurance expenses in the consolidated statements of earnings, was as follows for the years ended December 31:
(In millions)202320222021
Advertising expense:
Aflac Japan$58 $77 $91 
Aflac U.S.130 127 138 
          Total advertising expense$188 $204 $229 
Schedule Of Depreciation And Amortization Expense
Depreciation and other amortization expenses, which are included in insurance expenses in the consolidated statements of earnings, were as follows for the years ended December 31:
(In millions)202320222021
Depreciation expense$35 $40 $39 
Other amortization expense4 
          Total depreciation and other amortization expense$39 $45 $45