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Future Policy Benefits - Summary of Liability for Future Policy Benefit Activity (Detail) - USD ($)
$ in Millions
 6 Months Ended 12 Months Ended
Jun. 30, 2024
Dec. 31, 2023
Present value of expected future policy benefits:    
Net liability for future policy benefits $ 53,774 $ 57,655
Long-term Care Insurance    
Present value of expected net premiums:    
Beginning balance 18,650 19,895
Beginning balance, at original discount rate 18,346 19,959
Effect of changes in cash flow assumptions 31 (276)
Effect of actual variances from expected experience (251) (365)
Adjusted beginning balance 18,126 19,318
Issuances 0 2
Interest accretion 463 994
Net premiums collected [1] (916) (1,968)
Derecognition (lapses and withdrawals) 0 0
Other 0 0
Ending balance, at original discount rate 17,673 18,346
Effect of changes in discount rate assumptions (280) 304
Ending balance 17,393 18,650
Present value of expected future policy benefits:    
Beginning balance 62,579 61,352
Beginning balance, at original discount rate 60,513 61,148
Effect of changes in cash flow assumptions (55) (292)
Effect of actual variances from expected experience (203) (50)
Adjusted beginning balance 60,255 60,806
Issuances 0 2
Interest accretion 1,641 3,327
Benefit payments (1,984) (3,621)
Derecognition (lapses and withdrawals) 0 0
Other 0 (1)
Ending balance, at original discount rate 59,912 60,513
Effect of changes in discount rate assumptions (1,495) 2,066
Ending balance 58,417 62,579
Net liability for future policy benefits, before flooring adjustments 41,024 43,929
Flooring adjustments [2] 0 0
Net liability for future policy benefits 41,024 43,929
Less: reinsurance recoverable 6,994 7,572
Net liability for future policy benefits, net of reinsurance recoverable $ 34,030 $ 36,357
Weighted-average liability duration (years) 13 years 13 years 8 months 12 days
Life Insurance    
Present value of expected net premiums:    
Beginning balance $ 4,180 $ 4,083
Beginning balance, at original discount rate 3,918 3,922
Effect of changes in cash flow assumptions 0 180
Effect of actual variances from expected experience (15) 38
Adjusted beginning balance 3,903 4,140
Issuances 0 0
Interest accretion 108 217
Net premiums collected [1] (226) (439)
Derecognition (lapses and withdrawals) 0 0
Other 1 0
Ending balance, at original discount rate 3,786 3,918
Effect of changes in discount rate assumptions 74 262
Ending balance 3,860 4,180
Present value of expected future policy benefits:    
Beginning balance 5,412 5,556
Beginning balance, at original discount rate 5,146 5,374
Effect of changes in cash flow assumptions 0 261
Effect of actual variances from expected experience (3) 61
Adjusted beginning balance 5,143 5,696
Issuances 0 0
Interest accretion 137 281
Benefit payments (409) (823)
Derecognition (lapses and withdrawals) 0 0
Other 0 (8)
Ending balance, at original discount rate 4,871 5,146
Effect of changes in discount rate assumptions 104 266
Ending balance 4,975 5,412
Net liability for future policy benefits, before flooring adjustments 1,115 1,232
Flooring adjustments [2] 470 466
Net liability for future policy benefits 1,585 1,698
Less: reinsurance recoverable 818 852
Net liability for future policy benefits, net of reinsurance recoverable $ 767 $ 846
Weighted-average liability duration (years) 5 years 8 months 12 days 5 years 10 months 24 days
Fixed annuities    
Present value of expected net premiums:    
Beginning balance $ 0 $ 0
Beginning balance, at original discount rate 0 0
Effect of changes in cash flow assumptions 0 0
Effect of actual variances from expected experience 0 0
Adjusted beginning balance 0 0
Issuances 20 42
Interest accretion 0 0
Net premiums collected [1] (20) (42)
Derecognition (lapses and withdrawals) 0 0
Other 0 0
Ending balance, at original discount rate 0 0
Effect of changes in discount rate assumptions 0 0
Ending balance 0 0
Present value of expected future policy benefits:    
Beginning balance 11,829 11,923
Beginning balance, at original discount rate 9,920 10,300
Effect of changes in cash flow assumptions 0 (33)
Effect of actual variances from expected experience (42) (30)
Adjusted beginning balance 9,878 10,237
Issuances 16 35
Interest accretion 322 663
Benefit payments (490) (1,016)
Derecognition (lapses and withdrawals) 0 0
Other 5 1
Ending balance, at original discount rate 9,731 9,920
Effect of changes in discount rate assumptions 1,241 1,909
Ending balance 10,972 11,829
Net liability for future policy benefits, before flooring adjustments 10,972 11,829
Flooring adjustments [2] 0 0
Net liability for future policy benefits 10,972 11,829
Less: reinsurance recoverable 8,365 9,008
Net liability for future policy benefits, net of reinsurance recoverable $ 2,607 $ 2,821
Weighted-average liability duration (years) 10 years 3 months 18 days 11 years 1 month 6 days
[1] Represents the portion of gross premiums collected from policyholders that is used to fund expected benefit payments.
[2] Flooring adjustments are necessary when a cohort’s present value of future net premiums exceeds the present value of future benefits. The flooring adjustment ensures that the liability for future policy benefits for each cohort is not less than zero. This adjustment is most prevalent in our term life insurance products due to their product design of a level premium period followed by annual premium rate increases.