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Reinsurance
 12 Months Ended
Dec. 31, 2022
Reinsurance Disclosures [Abstract]  
Reinsurance Reinsurance
The Company utilizes reinsurance agreements primarily to: (a) reduce required capital and (b) facilitate the acquisition or disposition of certain insurance contracts. Ceded reinsurance agreements permit the Company to recover a portion of its losses from reinsurers, although they do not discharge the Company’s primary liability as the direct insurer of the risks reinsured.

In January 2023, the Company entered into two four-year reinsurance agreements with an unrelated reinsurer that allow it to reduce required capital and provide collateralized excess of loss reinsurance coverage on a portion of the Health Care Benefits segment’s group Commercial Insured business.

Reinsurance recoverables (recorded as other current assets or other assets on the consolidated balance sheets) at December 31, 2022 and 2021 were as follows:
In millions20222021
Reinsurer
Hartford Life and Accident Insurance Company$1,593 $1,887 
Lincoln Life & Annuity Company of New York385 395 
VOYA Retirement Insurance and Annuity Company 159 167 
Fresenius Medical Care Reinsurance Company (Cayman) Ltd. 102 46 
All Other55 54 
Total$2,294 $2,549 
Direct, assumed and ceded premiums earned for the years ended December 31, 2022, 2021 and 2020 were as follows:
In millions202220212020
Direct$85,670 $76,320 $69,711 
Assumed432 492 478 
Ceded(772)(680)(825)
Net premiums$85,330 $76,132 $69,364 

The impact of reinsurance on benefit costs for the years ended December 31, 2022, 2021 and 2020 were as follows:
In millions202220212020
Direct$71,567 $64,414 $56,077 
Assumed379 398 329 
Ceded(665)(552)(727)
Net benefit costs$71,281 $64,260 $55,679 

There is not a material difference between premiums on a written basis versus an earned basis.

The Company also has various agreements with unrelated reinsurers that do not qualify for reinsurance accounting under GAAP, and consequently are accounted for using deposit accounting. The Company entered into these contracts to reduce the risk of catastrophic loss which in turn reduces the Company’s capital and surplus requirements. Total deposit assets and liabilities related to reinsurance agreements that do not qualify for reinsurance accounting under GAAP were not material as of December 31, 2022 or 2021.