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Reinsurance (Tables)
 12 Months Ended
Dec. 31, 2020
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, 2020 and 2019 were as follows:
In millions20202019
Reinsurer
Hartford Life and Accident Insurance Company$2,364 $3,085 
Lincoln Life & Annuity Company of New York406 413 
WellCare Health Plans13 355 
VOYA Retirement Insurance and Annuity Company 170 175 
All Other102 103 
Total$3,055 $4,131 
Schedule of direct, assumed and ceded premiums earned
Direct, assumed and ceded premiums earned for the years ended December 31, 2020, 2019 and 2018 were as follows:
In millions202020192018
Direct$69,711 $62,968 $8,365 
Assumed478 2,108 38 
Ceded(825)(1,954)(219)
Net premiums$69,364 $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, 2020, 2019 and 2018 were as follows:
In millions202020192018
Direct$56,077 $52,592 $6,773 
Assumed329 1,562 32 
Ceded(727)(1,625)(211)
Net benefit costs$55,679 $52,529 $6,594