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Reinsurance (Tables)
 12 Months Ended
Dec. 31, 2019
Reinsurance Disclosures [Abstract]  
Schedule of reinsurance recoverables
Reinsurance recoverables (recorded as other current assets or other assets on the consolidated balance sheets) at December 31, 2019 and 2018 were as follows:
In millions
2019
 
2018
Reinsurer
 
 
 
Hartford Life and Accident Insurance Company
$
3,085

 
$
3,470

Lincoln Life & Annuity Company of New York
413

 
424

WellCare Health Plans
355

 
—

VOYA Retirement Insurance and Annuity Company
175

 
186

All Other
103

 
461

Total
$
4,131

 
$
4,541
Schedule of direct, assumed and ceded premiums earned
Direct, assumed and ceded premiums earned for the years ended December 31, 2019 and 2018 were as follows:
In millions
2019
 
2018
Direct
$
62,968

 
$
8,365

Assumed
2,108

 
38

Ceded
(1,954
)
 
(219
)
Net premiums
$
63,122

 
$
8,184
Schedule of impact of reinsurance on benefit costs
The impact of reinsurance on benefit costs for the years ended December 31, 2019 and 2018 were as follows:
In millions
2019
 
2018
Direct
$
52,592

 
$
6,773

Assumed
1,562

 
32

Ceded
(1,625
)
 
(211
)
Net benefit costs
$
52,529

 
$
6,594