Policy Liabilities | Note 6—Policy Liabilities The liability for future policy benefits is determined based on the net level premium method, which requires the liability be calculated as the present value of estimated future policyholder benefits and the related termination expenses, less the present value of estimated future net premiums to be collected from policyholders. The following tables summarize balances and changes in the net liability for future policy benefits, before reinsurance, for traditional life long-duration contracts: Life Present value of expected future net premiums American Income DTC Liberty National Other Total Balance at January 1, 2022 $ 4,925,192 $ 7,264,905 $ 1,332,469 $ 559,972 $ 14,082,538 Beginning balance at original discount rates 3,906,098 5,533,741 1,040,242 416,141 10,896,222 Effect of changes in assumptions of future cash flows — — — — — Effect of actual variances from expected experience (4,315) (29,595) (625) 1,652 (32,883) Adjusted balance at January 1, 2022 3,901,783 5,504,146 1,039,617 417,793 10,863,339 Issuances (1) 215,926 173,775 22,965 7,300 419,966 Interest accrual (2) 43,074 67,608 12,810 5,172 128,664 Net premiums collected (3) (120,203) (149,757) (31,627) (10,831) (312,418) Effect of changes in the foreign exchange rate 2,900 — — — 2,900 Ending balance at original discount rates 4,043,480 5,595,772 1,043,765 419,434 11,102,451 Effect of change from original to current discount rates 603,267 1,114,883 181,223 92,398 1,991,771 Balance at March 31, 2022 $ 4,646,747 $ 6,710,655 $ 1,224,988 $ 511,832 $ 13,094,222 Balance at January 1, 2023 $ 4,273,156 $ 5,910,224 $ 1,094,407 $ 470,741 $ 11,748,528 Beginning balance at original discount rates 4,246,723 5,680,864 1,066,123 449,209 11,442,919 Effect of changes in assumptions of future cash flows — — — — — Effect of actual variances from expected experience (29,981) (47,988) (5,590) (1,886) (85,445) Adjusted balance at January 1, 2023 4,216,742 5,632,876 1,060,533 447,323 11,357,474 Issuances (1) 192,555 168,952 30,142 7,241 398,890 Interest accrual (2) 47,898 70,991 13,288 5,670 137,847 Net premiums collected (3) (127,239) (153,919) (33,188) (11,557) (325,903) Effect of changes in the foreign exchange rate (3,999) — — — (3,999) Ending balance at original discount rates 4,325,957 5,718,900 1,070,775 448,677 11,564,309 Effect of change from original to current discount rates 141,680 391,650 57,308 34,379 625,017 Balance at March 31, 2023 $ 4,467,637 $ 6,110,550 $ 1,128,083 $ 483,056 $ 12,189,326 (1) Issuances represent the present value, using the original discount rate, of the expected net premiums related to new policies issued during each respective period. (2) The interest accrual is the interest earned on the beginning present value of the expected net premiums, as well as the interest on actual net premiums earned during the period, using the original interest rate. (3) Net premiums collected represent the product of the current period net premium ratio, and the gross premiums collected during the period on the in-force business. Life Present value of expected future policy benefits American Income DTC Liberty National Other Total Balance at January 1, 2022 $ 11,773,519 $ 11,859,408 $ 4,542,697 $ 5,488,684 $ 33,664,308 Beginning balance at original discount rates 7,744,201 8,157,259 3,206,164 3,267,306 22,374,930 Effect of changes in assumptions of future cash flows — — — — — Effect of actual variances from expected experience (2,959) (25,850) 153 1,680 (26,976) Adjusted balance at January 1, 2022 7,741,242 8,131,409 3,206,317 3,268,986 22,347,954 Issuances (1) 215,926 173,775 22,965 7,300 419,966 Interest accrual (2) 100,336 106,928 42,230 48,280 297,774 Benefit payments (3) (104,321) (173,611) (63,457) (34,297) (375,686) Effect of changes in the foreign exchange rate 6,511 — — — 6,511 Ending balance at original discount rates 7,959,694 8,238,501 3,208,055 3,290,269 22,696,519 Effect of change from original to current discount rates 2,692,562 2,511,848 858,179 1,558,106 7,620,695 Balance at March 31, 2022 $ 10,652,256 $ 10,750,349 $ 4,066,234 $ 4,848,375 $ 30,317,214 Balance at January 1, 2023 $ 9,119,104 $ 9,225,451 $ 3,429,256 $ 3,976,150 $ 25,749,961 Beginning balance at original discount rates 8,409,761 8,477,892 3,272,980 3,403,704 23,564,337 Effect of changes in assumptions of future cash flows — — — — — Effect of actual variances from expected experience (31,526) (48,947) (7,054) (2,896) (90,423) Adjusted balance at January 1, 2023 8,378,235 8,428,945 3,265,926 3,400,808 23,473,914 Issuances (1) 192,555 168,952 30,142 7,241 398,890 Interest accrual (2) 109,329 112,768 43,256 50,378 315,731 Benefit payments (3) (96,674) (147,061) (54,730) (30,892) (329,357) Effect of changes in the foreign exchange rate (9,711) — — — (9,711) Ending balance at original discount rates 8,573,734 8,563,604 3,284,594 3,427,535 23,849,467 Effect of change from original to current discount rates 1,063,729 1,061,076 274,418 738,992 3,138,215 Balance at March 31, 2023 $ 9,637,463 $ 9,624,680 $ 3,559,012 $ 4,166,527 $ 26,987,682 (1) Issuances represent the present value, using the original discount rate, of the expected future policy benefits related to new policies issued during each respective period. (2) The interest accrual is the interest earned on the beginning present value of the expected future policy benefits, as well as the interest on actual benefits and expenses paid during the period, using the original interest rate. (3) Benefit payments represent the release of the present value, using the original discount rate, of the actual future policy benefits incurred during the period due to death, lapse, and maturity benefit payments based on the revised expected assumptions. Life Net liability for future policy benefits as of March 31, 2022 American Income DTC Liberty National Other Total Net liability for future policy benefits at original discount rates $ 3,916,214 $ 2,642,729 $ 2,164,290 $ 2,870,835 $ 11,594,068 Effect of changes in discount rate assumptions 2,089,295 1,396,965 676,956 1,465,708 5,628,924 Net liability for future policy benefits at current discount rates 6,005,509 4,039,694 2,841,246 4,336,543 17,222,992 Other Adjustments (1) (11) 2,820 (10,446) (43,598) (51,235) Net liability for future policy benefits, after other adjustments, at current discount rates $ 6,005,498 $ 4,042,514 $ 2,830,800 $ 4,292,945 $ 17,171,757 (1) Other adjustments include the Company's reinsurance recoverable and the effects of capping and flooring the liability. Life Net liability for future policy benefits as of March 31, 2023 American Income DTC Liberty National Other Total Net liability for future policy benefits at original discount rates $ 4,247,777 $ 2,844,704 $ 2,213,819 $ 2,978,858 $ 12,285,158 Effect of changes in discount rate assumptions 922,049 669,426 217,110 704,613 2,513,198 Net liability for future policy benefits at current discount rates 5,169,826 3,514,130 2,430,929 3,683,471 14,798,356 Other Adjustments (1) (46) 4,546 486 (36,765) (31,779) Net liability for future policy benefits, after other adjustments, at current discount rates $ 5,169,780 $ 3,518,676 $ 2,431,415 $ 3,646,706 $ 14,766,577 (1) Other adjustments include the Company's reinsurance recoverable and the effects of capping and flooring the liability. The following tables summarize balances and changes in the net liability for future policy benefits for long-duration health contracts: Health Present value of expected future net premiums United American Family Heritage Liberty National American Income DTC Total Balance at January 1, 2022 $ 3,611,659 $ 1,944,714 $ 517,368 $ 222,553 $ 121,724 $ 6,418,018 Beginning balance at original discount rates 2,949,851 1,688,590 414,409 178,801 96,776 5,328,427 Effect of changes in assumptions of future cash flows — — — — — — Effect of actual variances from expected experience (49,560) (15,162) (15,462) (2,465) (1,880) (84,529) Adjusted balance at January 1, 2022 2,900,291 1,673,428 398,947 176,336 94,896 5,243,898 Issuances (1) 90,034 53,518 10,815 10,452 880 165,699 Interest accrual (2) 30,339 14,940 4,872 1,831 1,182 53,164 Net premiums collected (3) (62,895) (42,751) (12,883) (5,252) (2,550) (126,331) Effect of changes in the foreign exchange rate — — — 312 — 312 Ending balance at original discount rates 2,957,769 1,699,135 401,751 183,679 94,408 5,336,742 Effect of change from original to current discount rates 379,383 91,102 61,701 24,385 15,326 571,897 Balance at March 31, 2022 $ 3,337,152 $ 1,790,237 $ 463,452 $ 208,064 $ 109,734 $ 5,908,639 Balance at January 1, 2023 $ 2,908,501 $ 1,594,992 $ 423,490 $ 190,296 $ 90,143 $ 5,207,422 Beginning balance at original discount rates 2,941,261 1,729,219 415,442 192,631 87,751 5,366,304 Effect of changes in assumptions of future cash flows — — — — — — Effect of actual variances from expected experience (34,132) (18,758) (16,585) (1,621) (2,573) (73,669) Adjusted balance at January 1, 2023 2,907,129 1,710,461 398,857 191,010 85,178 5,292,635 Issuances (1) 75,839 67,787 13,303 10,212 2,392 169,533 Interest accrual (2) 31,587 16,199 4,890 2,036 1,057 55,769 Net premiums collected (3) (65,914) (43,979) (12,403) (5,424) (2,661) (130,381) Effect of changes in the foreign exchange rate — — — (388) — (388) Ending balance at original discount rates 2,948,641 1,750,468 404,647 197,446 85,966 5,387,168 Effect of change from original to current discount rates 49,082 (86,054) 16,800 3,220 4,277 (12,675) Balance at March 31, 2023 $ 2,997,723 $ 1,664,414 $ 421,447 $ 200,666 $ 90,243 $ 5,374,493 (1) Issuances represent the present value, using the original discount rate, of the expected net premiums related to new policies issued during each respective period. (2) The interest accrual is the interest earned on the beginning present value of the expected net premiums, as well as the interest on actual net premiums earned during the period, using the original interest rate. (3) Net premiums collected represent the product of the current period net premium ratio, and the gross premiums collected during the period on the in-force business. Health Present value of expected future policy benefits United American Family Heritage Liberty National American Income DTC Total Balance at January 1, 2022 $ 3,810,559 $ 3,840,322 $ 1,201,317 $ 380,915 $ 119,888 $ 9,353,001 Beginning balance at original discount rates 3,090,901 3,193,342 921,608 285,604 95,628 7,587,083 Effect of changes in assumptions of future cash flows — — — — — — Effect of actual variances from expected experience (50,453) (15,668) (15,790) (2,645) (2,025) (86,581) Adjusted balance at January 1, 2022 3,040,448 3,177,674 905,818 282,959 93,603 7,500,502 Issuances (1) 89,904 53,518 10,866 10,452 876 165,616 Interest accrual (2) 32,308 29,583 12,120 3,432 1,182 78,625 Benefit payments (3) (67,243) (28,494) (23,065) (5,044) (3,389) (127,235) Effect of changes in the foreign exchange rate — — — 557 — 557 Ending balance at original discount rates 3,095,417 3,232,281 905,739 292,356 92,272 7,618,065 Effect of change from original to current discount rates 413,068 244,358 176,686 59,275 14,762 908,149 Balance at March 31, 2022 $ 3,508,485 $ 3,476,639 $ 1,082,425 $ 351,631 $ 107,034 $ 8,526,214 Balance at January 1, 2023 $ 3,046,829 $ 3,005,664 $ 941,574 $ 312,750 $ 87,532 $ 7,394,349 Beginning balance at original discount rates 3,080,633 3,336,344 904,865 303,713 85,212 7,710,767 Effect of changes in assumptions of future cash flows — — — — — — Effect of actual variances from expected experience (31,443) (19,779) (15,995) (1,578) (2,302) (71,097) Adjusted balance at January 1, 2023 3,049,190 3,316,565 888,870 302,135 82,910 7,639,670 Issuances (1) 75,683 67,787 13,285 10,212 2,388 169,355 Interest accrual (2) 33,480 32,289 11,840 3,668 1,057 82,334 Benefit payments (3) (78,563) (29,261) (23,976) (7,137) (3,354) (142,291) Effect of changes in the foreign exchange rate — — — (708) — (708) Ending balance at original discount rates 3,079,790 3,387,380 890,019 308,170 83,001 7,748,360 Effect of change from original to current discount rates 52,672 (212,708) 59,977 18,363 4,089 (77,607) Balance at March 31, 2023 $ 3,132,462 $ 3,174,672 $ 949,996 $ 326,533 $ 87,090 $ 7,670,753 (1) Issuances represent the present value, using the original discount rate, of the expected future policy benefits related to new policies issued during each respective period. (2) The interest accrual is the interest earned on the beginning present value of the expected future policy benefits, as well as the interest on actual benefits and expenses paid during the period, using the original interest rate. (3) Benefit payments represent the release of the present value, using the original discount rate, of the actual future policy benefits incurred during the period due to death, lapse, and maturity benefit payments based on the revised expected assumptions. Health Net liability for future policy benefits as of March 31, 2022 United American Family Heritage Liberty National American Income Direct to Consumer Total Net liability for future policy benefits at original discount rates $ 137,648 $ 1,533,146 $ 503,988 $ 108,677 $ (2,136) $ 2,281,323 Effect of changes in discount rate assumptions 33,685 153,256 114,985 34,890 (564) 336,252 Net liability for future policy benefits at current discount rates 171,333 1,686,402 618,973 143,567 (2,700) 2,617,575 Other Adjustments (1,812) (10,847) 1,508 12 3,812 (7,327) Net liability for future policy benefits, after other adjustments, at current discount rates $ 169,521 $ 1,675,555 $ 620,481 $ 143,579 $ 1,112 $ 2,610,248 (1) Other adjustments include the Company's reinsurance recoverable and the effects of capping and flooring the liability. Health Net liability for future policy benefits as of March 31, 2023 United American Family Heritage Liberty National American Income Direct to Consumer Total Net liability for future policy benefits at original discount rates 131,149 1,636,912 485,372 110,724 (2,965) 2,361,192 Effect of changes in discount rate assumptions 3,590 (126,654) 43,177 15,143 (188) (64,932) Net liability for future policy benefits at current discount rates 134,739 1,510,258 528,549 125,867 (3,153) 2,296,260 Other Adjustments 1,771 (9,362) 4,348 333 4,162 1,252 Net liability for future policy benefits, after other adjustments, at current discount rates $ 136,510 $ 1,500,896 $ 532,897 $ 126,200 $ 1,009 $ 2,297,512 (1) Other adjustments include the Company's reinsurance recoverable and the effects of capping and flooring the liability. During the three-month periods ended March 31, 2023 and 2022, the Company's results for actual variances from expected experience produced a net reserve remeasurement gain of $659 thousand and a net reserve remeasurement loss of $3.8 million in the Condensed Consolidated Statements of Operations , respectively. The variance of actual experience from expected experience during the first quarter of 2023 was primarily due to favorable variances from mortality assumptions as compared to actual experience in our life insurance segment (a $2.7 million gain), and unfavorable variances from morbidity assumptions as compared to actual experience in our health insurance segment (a $2.0 million loss). The variance of actual experience from expected experience during the first quarter of 2022 was primarily due to unfavorable variances from mortality assumptions as compared to actual experience in our life insurance segment (a $5.8 million loss), and favorable variances from morbidity assumptions as compared to actual experience in our health insurance segment (a $2.0 million gain). The life segment has experienced lower claims in the first quarter of 2023 versus the prior year mainly driven by lower excess claims due to COVID and non-COVID causes, which was seen in the American Income, Direct to Consumer, and Liberty National channels. The health segment's utilization has returned to normal levels in 2023, specifically in the United American and Liberty National channels. There were no changes to the inputs, judgments, assumptions and methods used in measuring the liability for future policy benefits during the three-month periods ended March 31, 2023 and 2022. The following table reconciles the liability for future policy benefits to the C onsolidated B alance S heets as of March 31, 2023: At Original Discount Rates At Current Discount Rates As of March 31, As of March 31, 2023 2022 2023 2022 Life (1) : American Income $ 4,247,758 $ 3,916,187 $ 5,169,780 $ 6,005,498 Direct to Consumer 2,844,707 2,642,729 3,518,676 4,042,514 Liberty National 2,206,288 2,153,030 2,431,415 2,830,800 Other 2,952,802 2,846,161 3,646,706 4,292,945 Net liability for future policy benefits—long duration life 12,251,555 11,558,107 14,766,577 17,171,757 Health (1) : United American 130,992 135,891 136,510 169,521 Family Heritage 1,626,881 1,524,185 1,500,896 1,675,555 Liberty National 488,546 505,319 532,897 620,481 American Income 111,096 108,693 126,200 143,579 Direct to Consumer 961 1,004 1,009 1,112 Net liability for future policy benefits—long duration health 2,358,476 2,275,092 2,297,512 2,610,248 Deferred profit liability 177,248 184,451 177,248 184,451 Deferred annuity 907,797 1,027,087 907,797 1,027,087 Interest sensitive life 737,900 744,244 737,900 744,244 Other 9,540 8,118 9,540 8,118 Total future policy benefits $ 16,442,516 $ 15,797,099 $ 18,896,574 $ 21,745,905 (1) Balances are presented net of the reinsurance recoverable and the effects of flooring the liability. The following tables provide the weighted-average original and current discount rates for the liability for future policy benefits and the additional insurance liabilities for the periods ended March 31, 2023 and 2022: Life Weighted-average Discount Rates March 31, 2023 March 31, 2022 American Income DTC Liberty National Other American Income DTC Liberty National Other Original discount rate 5.8 % 6.0 % 5.6 % 6.2 % 5.8 % 6.0 % 5.6 % 6.2 % Current discount rate 4.9 % 5.0 % 5.0 % 5.0 % 4.0 % 4.0 % 3.9 % 3.9 % Health Weighted-average Discount Rates March 31, 2023 March 31, 2022 United American Family Heritage Liberty National American Income DTC United American Family Heritage Liberty National American Income DTC Original discount rate 5.2 % 4.3 % 5.8 % 5.9 % 5.2 % 5.2 % 4.4 % 5.8 % 5.9 % 5.2 % Current discount rate 4.8 % 4.9 % 4.9 % 4.8 % 4.8 % 3.8 % 3.9 % 3.6 % 3.8 % 3.8 % The following table provides the weighted-average durations of the liability for future policy benefits and the additional insurance liabilities for the periods ended March 31, 2023 and 2022: March 31, 2023 2022 At original discount rates At current discount rates At original discount rates At current discount rates Life American Income 22.90 23.33 22.80 23.78 Direct to Consumer 20.24 21.82 20.81 22.93 Liberty National 14.94 15.63 15.08 16.85 Other 16.52 18.23 16.76 19.59 Health United American 11.40 10.80 11.68 11.83 Family Heritage 14.91 14.43 15.28 15.80 Liberty National 9.31 9.66 9.01 10.11 American Income 12.15 12.74 12.45 13.95 Direct to Consumer 11.40 10.80 11.68 11.83 The following tables summarize the amount of gross premiums and interest, net of reinsurance, related to long duration life and health contracts that are recognized in the Condensed Consolidated Statements of Operations : Life Three Months Ended March 31, 2023 Three Months Ended March 31, 2022 Gross Interest Gross Interest American Income $ 387,145 $ 61,431 $ 369,737 $ 57,262 Direct to Consumer 244,707 41,714 242,662 39,292 Liberty National 84,072 29,769 79,348 29,285 Other 51,835 44,275 52,387 42,697 Total $ 767,759 $ 177,189 $ 744,134 $ 168,536 Health Three Months Ended March 31, 2023 Three Months Ended March 31, 2022 Gross Interest Gross Interest United American $ 97,833 $ 1,822 $ 92,266 $ 1,914 Family Heritage 96,090 15,977 89,540 14,545 Liberty National 46,745 6,920 47,496 7,226 American Income 28,096 1,632 27,937 1,601 Direct to Consumer 3,542 — 3,536 — Total $ 272,306 $ 26,351 $ 260,775 $ 25,286 Gross premiums are included within life and health premium on the Condensed Consolidated Statements of Operations , while the related interest expense is included in life and health policyholder benefits. The following tables provide the undiscounted and discounted expected future net premiums, expected future gross premiums and expected future policy benefits, at both original and current discount rates, for life and health contracts: Life Three Months Ended March 31, 2023 Three Months Ended March 31, 2022 Not discounted At original discount rates At current discount rates Not discounted At original discount rates At current discount rates American Income PV of expected future net premiums $ 7,617,532 $ 4,325,957 $ 4,467,637 $ 7,115,131 $ 4,043,480 $ 4,646,747 PV of expected future gross premiums 23,041,514 13,054,486 13,575,751 21,851,854 12,374,587 14,324,455 PV of expected future policy benefits 28,821,998 8,573,734 9,637,463 26,930,450 7,959,694 10,652,256 DTC PV of expected future net premiums $ 10,832,386 $ 5,718,900 $ 6,110,550 $ 10,630,110 $ 5,595,772 $ 6,710,655 PV of expected future gross premiums 17,479,516 9,165,113 9,773,835 17,414,120 9,103,648 10,912,941 PV of expected future policy benefits 25,582,750 8,563,604 9,624,680 24,876,834 8,238,501 10,750,349 Liberty National PV of expected future net premiums $ 1,889,419 $ 1,070,775 $ 1,128,083 $ 1,855,371 $ 1,043,765 $ 1,224,988 PV of expected future gross premiums 4,453,139 2,599,082 2,667,795 4,265,146 2,485,460 2,848,626 PV of expected future policy benefits 8,658,766 3,284,594 3,559,012 8,514,395 3,208,055 4,066,234 Other PV of expected future net premiums $ 919,924 $ 448,677 $ 483,056 $ 869,727 $ 419,434 $ 511,832 PV of expected future gross premiums 3,798,669 1,920,302 2,126,949 3,907,011 1,950,624 2,441,512 PV of expected future policy benefits 12,392,224 3,427,535 4,166,527 12,277,130 3,290,269 4,848,375 Total PV of expected future net premiums $ 21,259,261 $ 11,564,309 $ 12,189,326 $ 20,470,339 $ 11,102,451 $ 13,094,222 PV of expected future gross premiums 48,772,838 26,738,983 28,144,330 47,438,131 25,914,319 30,527,534 PV of expected future policy benefits 75,455,738 23,849,467 26,987,682 72,598,809 22,696,519 30,317,214 As of March 31, 2023 for the life segment using current discount rates, the Company anticipates $12.2 billion of expected future net premiums and $28.1 billion of expected future gross premiums. As of March 31, 2022 using current discount rates, the Company anticipated $13.1 billion in expected future net premiums and $30.5 billion of expected future gross premiums. For each respective period, only expected future net premiums are included in the determination of the liability for future policy benefits on the balance sheet, while the difference between the expected future gross premiums and the expected future net premiums is not. . Health Three Months Ended March 31, 2023 Three Months Ended March 31, 2022 Not discounted At original discount rates At current discount rates Not discounted At original discount rates At current discount rates United American PV of expected future net premiums $ 4,685,306 $ 2,948,641 $ 2,997,723 $ 4,763,592 $ 2,957,769 $ 3,337,152 PV of expected future gross premiums 6,783,819 4,279,547 4,346,007 6,781,444 4,226,705 4,765,664 PV of expected future policy benefits 4,909,212 3,079,790 3,132,462 5,057,861 3,095,417 3,508,485 Family Heritage PV of expected future net premiums $ 2,908,079 $ 1,750,468 $ 1,664,414 $ 2,784,235 $ 1,699,135 $ 1,790,237 PV of expected future gross premiums 6,442,316 3,846,392 3,682,300 5,897,650 3,570,212 3,791,575 PV of expected future policy benefits 6,358,594 3,387,380 3,174,672 6,004,155 3,232,281 3,476,639 Liberty National PV of expected future net premiums $ 634,061 $ 404,647 $ 421,447 $ 641,225 $ 401,751 $ 463,452 PV of expected future gross premiums 2,232,290 1,396,334 1,468,763 2,174,779 1,356,873 1,577,158 PV of expected future policy benefits 1,575,745 890,019 949,996 1,594,836 905,739 1,082,425 American Income PV of expected future net premiums $ 351,655 $ 197,446 $ 200,666 $ 323,828 $ 183,679 $ 208,064 PV of expected future gross premiums 1,760,671 984,216 1,037,339 1,723,857 963,321 1,130,227 PV of expected future policy benefits 626,151 308,170 326,533 599,187 292,356 351,631 Direct to Consumer PV of expected future net premiums $ 131,187 $ 85,966 $ 90,243 $ 148,614 $ 94,408 $ 109,734 PV of expected future gross premiums 171,266 112,442 118,105 204,317 130,162 151,140 PV of expected future policy benefits 124,597 83,001 87,090 143,711 92,272 107,034 Total PV of expected future net premiums 8,710,288 5,387,168 5,374,493 8,661,494 5,336,742 5,908,639 PV of expected future gross premiums 17,390,362 10,618,931 10,652,514 16,782,047 10,247,273 11,415,764 PV of expected future policy benefits 13,594,299 7,748,360 7,670,753 13,399,750 7,618,065 8,526,214 As of March 31, 2023 for the health segment using current discount rates, the Company anticipates $5.4 billion of expected future net premiums and $10.6 billion of expected future gross premiums. As of March 31, 2022 using current discount rates, the Company anticipated $5.9 billion in expected future net premiums and $11.4 billion of expected future gross premiums. For each respective period, only expected future net premiums are included in the determination of the liability for future policy benefits on the balance sheet, while the difference between the expected future gross premiums and the expected future net premiums is not. The following table summarizes the balances of, and changes in, policyholders’ account balances as of March 31, 2023 and 2022: Policyholders' Account Balances 2023 2022 Interest Sensitive Life Deferred Annuity Other Policyholders' Funds Interest Sensitive Life Deferred Annuity Other Policyholders' Funds Balance at January 1 , $ 739,105 954,318 123,234 $ 745,335 $ 1,033,525 $ 99,468 Issuances — 202 — — 340 — Premiums received 6,030 4,776 21,662 6,297 8,216 2,044 Policy charges (3,319) — — (3,474) — — Surrenders and withdrawals (5,384) (43,533) (3,303) (5,280) (11,873) (2,805) Benefit payments (7,844) (15,784) — (8,999) (12,073) — Interest credited 7,135 7,560 1,238 7,170 8,290 1,125 Other 2,177 258 (145) 3,195 662 292 Balance at March 31 , $ 737,900 $ 907,797 $ 142,686 $ 744,244 $ 1,027,087 $ 100,124 Weighted-average credit rate 3.92 % 3.29 % 3.78 % 3.91 % 3.26 % 4.58 % Net amount at risk $ 1,847,128 N/A N/A $ 1,952,631 N/A N/A Cash surrender value 676,247 907,797 142,686 693,201 1,027,064 100,124 The following tables present the policyholders' account balances by range of guaranteed minimum crediting rates and the related range of difference, if any, in basis points between rates being credited to policy holders and the respective guaranteed minimums: At March 31, 2023 Range of guaranteed minimum crediting rates Interest Sensitive Life (1) Deferred Annuity (1) Other Policyholders' Funds (1) At guaranteed minimum Less than 3.00% $ — $ 1,971 $ 43,191 3.00%-3.99% 28,956 698,952 4,097 4.00%-4.99% 619,411 206,874 57,596 Greater than 5.00% 89,533 — 37,802 Total $ 737,900 $ 907,797 $ 142,686 (1) All of the Company's policyholders' account balances had actual crediting rates at the guaranteed minimum. At March 31, 2022 Range of guaranteed minimum crediting rates Interest Sensitive Life (1) Deferred Annuity (1) Other Policyholders' Funds (1) At guaranteed minimum Less than 3.00% $ — $ 2,254 $ — 3.00%-3.99% 28,684 811,865 2,911 4.00%-4.99% 626,179 212,968 58,990 Greater than 5.00% 89,381 — 38,223 Total $ 744,244 $ 1,027,087 $ 100,124 |