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DEFERRED POLICY ACQUISITION COSTS
3 Months Ended
Mar. 31, 2024
Insurance [Abstract]  
DEFERRED POLICY ACQUISITION COSTS DEFERRED POLICY ACQUISITION COSTS
The following tables present a rollforward of deferred policy acquisition costs by reporting segment and disaggregated by product type.
March 31, 2024
Aflac JapanAflac U.S.
(In millions)CancerMedical and Other HealthLife InsuranceOtherAccidentDisabilityCritical CareHospital IndemnityDental/VisionLife InsuranceOtherTotal
Deferred policy acquisition costs:
Balance at December 31, 2023
$2,971 $2,041 $491 $56 $917 $625 $1,336 $436 $86 $172 $1 $9,132 
Capitalization72 29 9 0 32 29 39 19 4 19 2 254 
Amortization expense(49)(25)(8)(1)(36)(29)(38)(18)(4)(7)0 (215)
Foreign currency translation and
  other
(189)(129)(32)(2)0 0 0 0 0 0 0 (352)
Balance at March 31, 2024
$2,805 $1,916 $460 $53 $913 $625 $1,337 $437 $86 $184 $3 $8,819 
December 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 $$9,239 
Capitalization317 123 33 151 125 173 84 10 61 1,086 
Amortization expense(184)(105)(34)(3)(138)(113)(141)(66)(12)(24)(816)
Foreign currency translation and
  other
(197)(138)(33)(4)(5)(377)
Balance at December 31, 2023
$2,971 $2,041 $491 $56 $917 $625 $1,336 $436 $86 $172 $$9,132 

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

Face amount 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, judgments, assumptions and methods used to determine amortization amounts during the three-month periods ended March 31, 2024 and 2023. For additional information on deferred policy acquisition costs, see Notes 1 and 6 of the Notes to the Consolidated Financial Statements in the 2023 Annual Report.