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Policy Claims and Benefits Policy Claims and Benefits (Rollforward of Claims and Claim Adjustment Expense) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Liability for Claims and Claims Adjustment Expense Beginning Balance $ 5,896,469 $ 5,180,802 $ 4,977,836
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance (455,547) (394,821) (405,583)
Liability For Unpaid Claims And Claims Adjustment Expense Net Of Recoverable, Beginning Balance 5,440,922 4,785,981 4,572,253
Current Year Claims and Claims Adjustment Expense 10,048,866 8,911,640 8,562,036
Prior Year Claims and Claims Adjustment Expense 131,181 14,364 (134,765)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims 10,180,047 8,926,004 8,427,271
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year (4,602,535) (4,513,606) (4,385,839)
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years (4,691,722) (4,004,038) (3,777,137)
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid (9,294,257) (8,517,644) (8,162,976)
Interest On Liability For Policy And Contract Claims 24,802 19,443 18,151
Liability for Unpaid Claims and Claims Adjustment Expense, Foreign Currency Translation Gain (Loss) (199,428) 227,138 (68,718)
Liability for Unpaid Claims and Claims Adjustment Expense Other (174,626) 246,581 (50,567)
Liability For Unpaid Claims And Claims Adjustment Expense Net Of Recoverable, Ending Balance 6,152,086 5,440,922 4,785,981
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance 432,582 455,547 394,821
Liability for Claims and Claims Adjustment Expense, Ending Balance $ 6,584,668 $ 5,896,469 $ 5,180,802