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Aflac Inc

Exchange: NYSESector: Financial ServicesIndustry: Insurance - Life

Aflac Incorporated, a Fortune 500 company, has helped provide financial protection and peace of mind for more than seven decades to millions of policyholders and customers through its subsidiaries in the U.S. and Japan. In the U.S., Aflac is the No. 1 provider of supplemental health insurance products. 1 In Japan, Aflac Life Insurance Japan is the leading provider of cancer and medical insurance in terms of policies in force. 2 The company takes pride in being there for its policyholders when they need us most, as well as being included in the World's Most Ethical Companies by Ethisphere for 20 consecutive years (2026) and Fortune's World's Most Admired Companies for 25 years (2026). In addition, the company became a signatory of the Principles for Responsible Investment ( PRI ) in 2021. To find out how to get help with expenses health insurance doesn't cover, get to know us at aflac.com or aflac.com/español.

Current Price

$117.22

-0.49%

GoodMoat Value

$165.14

40.9% undervalued
Profile
Valuation (TTM)
Market Cap$60.53B
P/E13.06
EV$58.06B
P/B2.05
Shares Out516.37M
P/Sales3.34
Revenue$18.11B
EV/EBITDA10.74

Aflac Inc (AFL) — Q3 2023 Earnings Call Transcript

Apr 4, 202619 speakers7,898 words72 segments

AI Call Summary AI-generated

The 30-second take

Aflac reported very strong earnings for the quarter, with profits up significantly in both the U.S. and Japan. The company is excited about growing sales and announced a big increase to its shareholder dividend. However, management is closely watching a challenging commercial real estate market where some property loans are struggling.

Key numbers mentioned

  • Adjusted earnings per diluted share increased 27.8% year-over-year to $1.84.
  • Japan sales increased 12.4% year-over-year.
  • U.S. sales increased 7.5% in the quarter.
  • Quarterly share repurchase was $700 million.
  • Commercial real estate watch list remains approximately $1 billion.
  • Unencumbered holding company liquidity stood at $3.3 billion.

What management is worried about

  • The commercial real estate markets are going through the worst cycle in decades, especially in the office subsector.
  • We are seeing most property values quoted down 25% to 40%, but some distressed situations are driving market values down as much as 60%.
  • There is a potential Department of Labor rule that could impact the tax treatment of some insurance products like hospital indemnity.
  • Lapses in Japan were somewhat elevated but within our expectations.

What management is excited about

  • In Japan, cancer insurance sales increased nearly 23% year-over-year, with a significant contribution from the Japan Post alliance.
  • The new medical insurance product in Japan is being well received in early indications.
  • The Board increased the first quarter of 2024 dividend by 19% to $0.50 per share.
  • The U.S. continued to build on its momentum as it nears pre-pandemic levels.
  • The company intends to execute another reinsurance transaction in Q4 with a similar structure and economics to the beneficial January transaction.

Analyst questions that hit hardest

  1. Tom Gallagher, Evercore ISI: Succession planning for the COO role. Management emphasized a preference for a planned, internal transition overseen by the Board but did not commit to filling the COO role.
  2. Jimmy Bhullar, JPMorgan: Modest loan loss reserves relative to the $1 billion commercial real estate watch list. Management gave a detailed, technical explanation citing high initial loan-to-value ratios and the lengthy appraisal process during workouts.
  3. Suneet Kamath, Jefferies: Potential for future reserve releases in the U.S. Management was cautious, stating they have incorporated new trends into models but outcomes can still vary in either direction.

The quote that matters

We continue to believe our ability to take ownership of these quality buildings and manage them through this cycle will allow us to maximize our recoveries.

Brad Dyslin — Global Chief Investment Officer

Sentiment vs. last quarter

Omit this section as no previous quarter context was provided.

Original transcript

DY
David YoungVice President of Investor and Rating Agency Relations

Good morning and welcome. This morning, we will be hearing remarks about the third quarter related to our operations in Japan and the United States from Dan Amos, Chairman and CEO of Aflac Incorporated, and Fred Crawford, President and COO of Aflac Incorporated. Max Broden, Executive Vice President and CFO of Aflac Incorporated will provide an update on our financial results in current capital and liquidity, which can also be found with the materials that we posted along with our earnings release and financial supplement on investors.aflac.com. We also posted under financials on the same site updated slides of investment details related to our commercial real estate and middle market loans. In addition, Max provided his quarterly video update, which you will find there also. Other members of our executive management team who are joining us for Q&A include Virgil Miller, President of Aflac US; Charles Lake, Chairman and Representative Director, President of Aflac International; Masatoshi Koide, President and Representative Director, Aflac Life Insurance Japan; Brad Dyslin, Global Chief Investment Officer, President of Aflac Global Investments. Before we begin, some statements in this teleconference are forward-looking within the meaning of federal securities laws. Although we believe these statements are reasonable, we can give no assurance that they will prove to be accurate because they are prospective in nature. Actual results could differ materially from those we discussed today. We encourage you to look at our annual report on Form 10-K for some of the various risk factors that could materially impact our results. As I mentioned earlier, the earnings release is available on investors.aflac.com and includes reconciliations of certain non-US GAAP measures. I'll now hand the call over to Dan.

DA
Dan AmosChairman and CEO

Thank you, David. Good morning. We're glad you joined us. Reflecting on the third quarter of 2023, our management team, employees, and sales distribution have continued to work tirelessly as dedicated stewards of our business. This has allowed us to be there for the policyholders when they need us most, just as we promised. Aflac Incorporated delivered very strong earnings for both the quarter and for the first nine months. Beginning with Japan, I am pleased with our 12.4% year-over-year increase in sales, which was largely driven by a nearly 23% increase in cancer insurance sales, with a significant contribution from Japan Post Company and Japan Post Insurance. I am also pleased to see continued improvements in cancer insurance sales through our other alliances, Dai-ichi Life and Daido Life. These alliance partners, along with agencies and banks, combine to form our extensive distribution channels that are so important to being where the customer wants to buy insurance and providing them with financial protection. We continue to work hard to support each channel. We also introduced our new medical insurance product on September 19. The product design is simple to appeal to younger policyholders with basic needs and older or existing policyholders who desire additional or updated coverage. While it's too early to evaluate the success of this product launch, early indications show that it's being well received. We continue to gain new customers through WAYS and Child Endowment, while also increasing opportunities to sell our third sector products. Since the launch of our refreshed WAYS product, approximately 80% of our sales are to younger customers below the age of 50, and the level of concurrent third sector sales remains approximately 50%. Thus far, our product strategy in Japan has served us well, and I'm encouraged by our progress so far. Turning to the US, I'm encouraged by our sales increase of 7.5% in the quarter. This reflects continued productivity improvements and the contribution from our growth initiatives of group life and disability, consumer markets, network dental and vision. We remain focused on driving scale, stabilizing new platforms, and leveraging our ability to bundle essential product lines as we work with brokers on larger groups. Agents and brokers contributed to the growth of our individual business. Our group platform benefited significantly from the sales of group life and disability. I am very excited about our new cancer protection assurance policy, which provides enhanced benefits at no additional cost. We know that when people experience the value of our products, it increases persistency, which benefits our policyholders and lowers our expenses. I believe that the need for our products and solutions we offer is strong or stronger than ever before in both Japan and the United States. We are leveraging every opportunity and avenue to share this message with consumers, particularly given that our products are sold, not bought. As we communicate the value of our products, we know that a strong brand alone is not enough. We must paint a better picture of how our products help address the gap that people face when they get medical treatments, even though they may have major medical insurance. Knowing our products help lift people up when they need it most is something that makes all of us at Aflac very proud and propels us to do more and achieve more. We continue to reinforce our leading position and build on that momentum. As always, we are committed to prudent liquidity and capital management. We continue to generate strong investment results while remaining in a defensive position as we monitor evolving economic conditions. In addition, we have taken proactive steps in recent years to defend our cash flow and deployable capital against a weakening yen. As an insurance company, our primary responsibility is to fulfill the promises we make to our policyholders. At the same time, we are listening to our shareholders and understanding the importance of prudent liquidity and capital management. We remain committed to maintaining strong capital ratios on behalf of the policyholders and balance this financial strength with tactical capital deployment. I am very pleased with the Board's declaration of the fourth quarter dividend, and declaring this dividend of 2023 marks the 41st consecutive year of dividend increases, a record that we treasure. I am even more pleased with the Board's action to increase the first quarter of 2024 dividend by 19% to $0.50 per share. We also remain in the market purchasing shares at a historically high level of $700 million, as seen in the first two quarters of this year. We intend to continue prudently managing our liquidity and capital to preserve the strength of our capital and cash flows, which support both our dividend track record and tactical share repurchase. Overall, I think we can say that it has been a very strong quarter, especially when a vast number of factors are in our favor. Aflac Japan had a strong quarter for sales as we executed product and distribution strategy. Aflac US continued to build on its momentum as it nears pre-pandemic levels. Pre-tax profit margins remain strong in both Japan at 32.8% and the US at 28.8%. Plus, our capital ratios remain very strong, and our quarterly share repurchase was, like last quarter, one of the largest in the company's history. Before I hand it over to Fred, I want to address an announcement of his retirement. I have enjoyed working closely with Fred over the last eight years and certainly understand his desire to retire and spend more time with family and personal interests. Fred, you will be missed, and I look forward to working with you and Aflac's executive team to ensure a smooth transition until your official retirement day. I wish you many happy years. As for me and the company, we have some outstanding candidates who are capable of running Aflac. It is my responsibility to continue to train and watch the progress of these potential heirs apparent while the Board oversees the process. To be prepared for any unknowns, we have always had an interim CEO ready should something abruptly happen to me, as well as a strong process within the Board's corporate governance committee. I recently had a physical at Emory University and received an excellent report. So I plan on being around to prepare our leaders for the future and drive shareholder value. With that, I'll now turn the program over to Fred.

FC
Fred CrawfordPresident and COO

Thank you, Dan. As announced last night, I plan to retire in September of next year to spend more time with my family and pursue other interests. It's a personal decision, but also a recognition of the very capable leadership team surrounding Dan and the company being in a very strong position. While I believe this is the best for me and my family, I also believe it is in the best interest of Aflac. I've enjoyed 25 years as an executive in the insurance industry and feel blessed to have worked with talented professionals and leaders throughout. However, the highlight has clearly been my time here working for Dan and for Aflac. Over the next year, I will be focused on transition and helping on select initiatives where I can add value. I'll now hand the call back over to Max.

MB
Max BrodenExecutive Vice President and CFO

Thank you, Fred. For the third quarter, adjusted earnings per diluted share increased 27.8% year-over-year to $1.84 with a $0.06 negative impact from FX in the quarter. With this being the third quarter under the new LDTI accounting regime, we evaluate our reserve assumptions for morbidity, persistency, and mortality, at least annually, to see if an update is needed. If necessary, these assumptions will be unlocked on a prospective basis as they were in this quarter, leading to remeasurement gains of $205 million. Variable investment income ran $13 million or $0.02 per share below our long-term return expectations. We also wrote down certain software intangibles in our US segment, impacting our results by $0.04 per share. Adjusted book value per share, including foreign currency translation gains and losses, increased 10.3%, and the adjusted ROE was 15.6%, a significant spread to our cost of capital. Overall, we view these results in the quarter as solid. Starting with our Japan segment, net earned premium for the quarter declined 2.8%, reflecting the impact of paid-up policies, our January 1 reinsurance transaction and deferred profit liability. Lapses were somewhat elevated but within our expectations. However, if adjusting for all these factors, the earned premium declined an estimated 1.7%. Japan's total benefit ratio came in at 65.1% for the quarter, down 170 basis points year-over-year, and the third sector benefit ratio was 54.8%, down approximately 460 basis points year-over-year. We continue to experience favorable actual to expected on our well-priced, large and mature in-force block. We estimate the impact from remeasurement gains to be 260 basis points favorable to the benefit ratio in Q3. Long-term experience trends as it relates to treatment of cancer and hospitalization continue to be in place, leading to favorable underwriting experience. Persistency remained solid with a rate of 93.5% but was down 80 basis points year-over-year. With product refreshments, we tend to experience some elevation in lapses as customers update and refresh their coverage, which was the case with the recently refreshed cancer and first sector products. Our expense ratio in Japan was 19%, down 100 basis points year-over-year, driven primarily by good expense control and, to some extent, by expense allowance from reinsurance transactions and DAC commission true-up. For the full year, we would expect to end up towards the low end of our expense ratio range of 20% to 22%. Adjusted net investment income in yen terms was up 7.2% as we experienced higher yields on our US dollar-denominated investments and related favorable FX and a return on our alternatives portfolio, more in line with our long-term return expectations. This was offset by transfer of assets due to reinsurance. In the quarter, we reduced our FX forwards and increased FX put options notional, leading to lower run rate hedge costs and a more efficient use of our investment risk capital. The pretax margin for Japan in the quarter was 32.8%, up 350 basis points year-over-year, a very good result for the quarter. Turning to US results, net earned premium was up 3.2%. Persistency increased 80 basis points year-over-year to 78.7%. This is a function of poor persistency quarters falling out of the metric and stabilization across numerous product categories, especially group voluntary benefits. Our total benefit ratio came in lower than expected at 35.9%, a full 890 basis points lower than Q3 2022. We estimate that the remeasurement gains impacted the benefit ratio by 12.1 percentage points in the quarter. Claims utilization remains subdued. And as we incorporate more recent experience into our reserve models, we have released some reserves. For the full year, we now estimate our benefit ratio to be materially below our outlook range of 47% to 50%. Excluding remeasurement gains, however, we are tracking well within the 47% to 50% outlook range. Our expense ratio in the US was 40.6%, up 70 basis points year-over-year. This includes a 190 basis points impact from a software intangibles write-down. Adjusting for this write-down, we are trending in the right direction. Our growth initiatives, group life and disability, network dental and vision, direct-to-consumer increased our total expense ratio by 330 basis points. We would expect this impact to decrease over time as these businesses grow to scale and improve their profitability. For the full year, we now expect our expense ratio to come in slightly above our outlook range of 37% to 40%. Adjusted net investment income in the US was up 13%, mainly driven by higher yields on both our fixed and floating rate portfolios and variable investment income in the quarter more in line with long-term return expectations. Profitability in the US segment was solid, with a pretax margin of 28.8%, driven primarily by the remeasurement gains from unlocking. As you know, the commercial real estate markets are going through the worst cycle in decades, especially in the office subsector. We're seeing most property values quoted down 25% to 40%, but some distressed situations are driving market values down as much as 60%, far exceeding the 35% to 40% declines of the financial crisis. Our total commercial real estate watch list remains approximately $1 billion, with around two-thirds of these in active foreclosure proceedings. As a result of these current low valuation marks, we increased our CECL reserves associated with these loans by $34 million this quarter. We also moved two properties into real estate owned, which resulted in a $53 million write-down. We do not believe the current distressed market is indicative of the true intrinsic economic value of the underlying properties currently undergoing a foreclosure process. We continue to believe our ability to take ownership of these quality buildings and manage them through this cycle will allow us to maximize our recoveries. In our Corporate segment, we recorded a pretax loss of $49 million, which is somewhat smaller than a year ago, primarily due to our reinsurance transaction. Adjusted net investment income was $8 million lower than last year due to an increased volume of tax credit investments. Higher rates began to earn in, and amortized hedge income increased. These tax credit investments impacted the corporate net investment income line for US GAAP purposes negatively by $64 million, with an associated credit to the tax line. The net impact to our bottom line was a positive $3.8 million in the quarter. To date, these investments are performing well and in line with expectations. We are continuing to build out our reinsurance platform, and I'm pleased with the outcome and performance. In Q4, we intend to execute another tranche with a similar structure and economics to our first transaction from January this year. Our capital position remains strong, and we ended the quarter with an SMR above 1,000% in Japan. Our combined RBC, while not finalized, we estimate to be greater than 650%. Unencumbered holding company liquidity stood at $3.3 billion, $1.6 billion above our minimum balance. These are strong capital ratios which we actively monitor, stress and manage to withstand credit cycles as well as external shocks. US stat impairments were $4 million and Japan FSA impairments JPY2.9 billion or roughly $20 million. This is well within our expectations and with limited impact on both earnings and capital. Leverage remains at a comfortable 18.8%, just below our leverage corridor of 20% to 25%. The decline in the quarter is primarily driven by the weakening yen. As we hold approximately two-thirds of our debt denominated in yen, our leverage will fluctuate with movements in the yen-dollar rate. This is intentional and part of our enterprise hedging program, protecting the economic value of Aflac Japan in US dollar terms. We repurchased $700 million of our own stock and paid dividends of $248 million in Q3, offering good relative IRR on these capital deployments. We will continue to be flexible and tactical in how we manage the balance sheet and deploy capital in order to drive strong risk-adjusted ROE with a meaningful spread to our cost of capital.

DY
David YoungVice President of Investor and Rating Agency Relations

Thank you, Max. Before we begin our Q&A, we ask that you please limit yourself to one initial question and a related follow-up. Then, you are welcome to rejoin the queue to ask an additional question. We will now take the first question.

Operator

Our first question will come from Tom Gallagher with Evercore ISI. You may now go ahead.

O
TG
Tom GallagherAnalyst

Good morning. Dan, wanted to start with your comment about succession planning and having several strong candidates. Should we take that to mean you won't be looking to do an outside search to replace Fred? And are you looking to replace Fred in the COO role? A little bit of color on what you're thinking overall there. Thanks.

DA
Dan AmosChairman and CEO

Sure. First, I want to emphasize that one reason we established the Chief Operating Officer role and sent Fred to Japan was during the COVID period, where we aimed for increased interaction with Japan. Fred was open to going there, which was beneficial for us. We continue to rotate personnel between Japan and the United States. For instance, Steve Beaver, who has been with us for a long time, will be collaborating with him. Regarding how this will develop, decisions will ultimately come from the Board. There are two perspectives to consider during transitions: one being a sudden change and the other being a structured approach. We prefer a planned transition over a long period and have internal candidates in mind, especially given the unique nature of our operations in Japan. The Board, specifically the Corporate Governance Committee, will review all aspects to ensure we select the best candidate for the role. We will factor this into our decisions as we proceed. As I mentioned earlier, I'm enjoying my work with the company and wish to continue. However, as people retire and move on, it happens, and I've witnessed many transitions. There’s a sense of pride that keeps me here because of the family aspect, and I genuinely enjoy what I do. I'm excited about working with the new and potential talent we’re bringing in. I feel optimistic about our position, and this quarter has demonstrated our managerial strength, which we will maintain moving forward.

TG
Tom GallagherAnalyst

Thank you for that, Dan. I have an operational question for my follow-up. Max, could you explain the reasons behind the larger reserve release in the US and whether it will have any impact on future earnings? I expected to see a more significant benefit from Japan, considering the strength and efficiency of margins there. Could you provide some insights into how the actuarial review compared between the US and Japan? Thank you.

MB
Max BrodenExecutive Vice President and CFO

Thank you, Tom. So obviously, this is the first year we're running on an LDTI basis, and the third quarter is when we do the unlockings, including prospective unlockings. When you think about it, if you go back and look at the last couple of years and you see the morbidity trends and also trends in hospitalization and outpatient treatment, and you compare and contrast Japan and the United States, in the US, we shut down a lot more than what you ended up doing in Japan as it relates to how people went to the hospital and how people changed their behavior. That is coming through in our morbidity experience. For example, we did see accident hospitalizations drop a lot more in the United States than what you saw in Japan. And that was simply a factor of the COVID virus having a much more significant spread in the US than what it did have in Japan. In Japan, you really had a big spike in the third quarter of 2022. But outside of that, it was a significantly lower spread than what we had in the US. And that is why you're now seeing that having a much more pronounced impact on the morbidity experience that is feeding into our actuarial models that is then leading to the outcome that you saw this quarter.

TG
Tom GallagherAnalyst

Okay. Thanks.

Operator

Our next question will come from Jimmy Bhullar with JPMorgan. You may now go ahead.

O
JB
Jimmy BhullarAnalyst

Hi, good morning. So Fred, I'm sure we'll be dealing with you a little bit more over the next year, but good luck in the future. I had, first, a question on just any updates you have on the potential tri-agency rules. And in sort of the worst-case scenario, what are the products that are in scope and what could be the impact on your business, assuming that the industry does not get any concessions from the rule as it's initially written?

VM
Virgil MillerPresident of Aflac US

Good morning. This is Virgil Miller from the US. I'll take that question for you. So we continue to advocate on behalf of our policyholders to provide them the protection when they need it most. The comment period is closed, but you can see and review our comments out there as well as others. I'll just say that we saw no impact in the third quarter to our sales. If you think about it, our hospital indemnity product could be one that's impacted. We had relatively flat sales in the third quarter. But you've heard Dan mention in his comments about our cancer insurance protection plan. We saw our cancer sales up in the third quarter. I would say this also that remember, one of the considerations as part of the proposal is around pretax implications. Aflac has been selling, we were selling our policies without those pretax benefits long before it actually occurred years ago. So I think we'll be positioned well even if the rule were to pass.

DA
Dan AmosChairman and CEO

Let me make one other comment. I was in Washington for three days about three weeks ago and met with probably 18 senators and congressmen to just see their positions on it. I want to go back to the pretax situation that Virgil was talking about because it was an anomaly. What actually happened was it ended up being passed. We, as a company, back 20-something years ago, we didn't sell pretax for the first two years because the Congress said it was a mistake and it was never really meant to happen. And so once it was in the bill, then when they tried to take it out, they thought about taking it out, and it looked like it was a free tax. If they took it out, it became a tax on the average American. You take, for example, a schoolteacher that has come down with cancer, to say you're going to tax their benefits will not sit well with the contingency of people that they deal with. We were able to talk to a lot of people about it, and we had no feedback that thought that it should be the opposite. Now saying that, we know that this has been submitted by the branch outside Congress through the executive branch, and we've got to handle it, and we plan on talking to them. It will absolutely be a direct tax. We sold in that environment. One thing about me being around a long time is I remember a lot of things. I was around when we sold in a pretax environment. In fact, I was in the sales force for 10 years and saw it. It’s a matter of adjustment no matter what happens. What I've always said is with change comes opportunity. No matter what happens, we're going to find a way to do well in that environment.

JB
Jimmy BhullarAnalyst

Okay. And if I could ask just one more. Your comments on CRE seem fairly negative and the environment is pretty challenging as well. But how do you square the watch list of over $1 billion or around $1 billion with your CECL reserve, which seems pretty modest at around $34 million?

BD
Brad DyslinGlobal Chief Investment Officer

Good morning, Jimmy, this is Brad Dyslin. I'll take that. There's a couple of things behind the relatively modest reserving that you've seen so far compared to that $1 billion watch list. One is the average LTV of the portfolio and the price declines we've seen. What happens when we go through the foreclosure process is we have to mark that asset to the lower of the principal balance of the loan or the value of the asset. When you're starting at a 60% LTV, you've got a fair amount of cushion before you start to realize losses on that mark. The second dynamic at play here is we are still in process on about half of that $1 billion of watch list, which means we are in workout negotiations with the borrower. Those can be very long-lasting and they can ebb and flow in a lot of different directions. Once we get certainty that we expect to foreclose, we have to order a third-party appraisal. Those take time to come in. As they come in, that's when we end up re-marking our assets. So it's a combination of our relatively conservative LTVs and the fact that we've still got about half that portfolio subject to appraisal.

JB
Jimmy BhullarAnalyst

Thank you.

Operator

Our next question will come from Ryan Krueger with KBW. You may now go ahead.

O
RK
Ryan KruegerAnalyst

Hey, thanks. Good morning. My first question was on the changes you made to the FX hedging program. And I just wanted to confirm, you had a pretty major decline in the hedge costs in the third quarter versus the last couple of quarters. Just wanted to confirm that that's a reasonable expectation on the hedge cost going forward for the foreseeable future?

MB
Max BrodenExecutive Vice President and CFO

Yeah. Thank you, Ryan. Yes, I think what you saw in terms of hedge cost for the third quarter, it's a blend of us rolling into our new structure, so it's a mix between the old structure and the new structure. In terms of run rate hedge costs going forward, I do think that the third quarter hedge cost that you saw, it's certainly not going to be higher. We're probably going to, on a run rate basis going forward, be at this level or slightly lower going forward in terms of actual hedge cost. That is obviously subject to capital markets inputs and everything that impacts the cost of a put option and also, to some extent, if we decide to increase our forward exposure in the future as well. So things like the FX volatility, interest rates, etc. will come into play here. But in the near future, I would expect our hedge cost to be similar to the third quarter level or slightly lower.

RK
Ryan KruegerAnalyst

And there's no offset anywhere else, right, that would drop to the bottom line?

MB
Max BrodenExecutive Vice President and CFO

The way to think about this in terms of the P&L, this will drop to the bottom line. When you think about the P&L here, what we have done when we move gradually from using forwards to put options, what happens is that we are now increasing the volatility for small moves in the yen-dollar as it relates to our capital ratios in Japan, i.e., the SMR and ESR. For a strengthening yen or a weakening yen, you're going to see slightly higher volatility in that ratio for small moves. But what the put options give us is that we have dramatically reduced the tails. Any dramatic moves or shock moves in the yen-dollar, we have reduced our risk exposure to those kinds of events. We feel that this is a very good risk reward for us.

RK
Ryan KruegerAnalyst

Thanks. And then on the reinsurance transaction, the transaction you did last year, I think, freed up $900 million of capital. But then I think around half of it or so was retained and then the other half was available for redeployment to shareholders. On this next transaction, would you expect closer to all of it to be available to return to shareholders?

MB
Max BrodenExecutive Vice President and CFO

We will deploy the capital appropriately in the respective business units, and if we have good opportunities to deploy the capital there, we will do so. If we feel that we have significant surplus capital, it will be moved up to the holding company. The holding company will deploy it in the different sort of capital distributions that the holding company generally does, i.e., dividends, buybacks, etc.

Operator

Our next question will come from Suneet Kamath with Jefferies. You may now proceed.

O
SK
Suneet KamathAnalyst

Thanks, good morning. I just wanted to follow up to Tom's question on the US reserve releases. It sounded like some of the benefit here was lower hospitalizations in the US due to COVID. I just want to understand, are you assuming that kind of that lower level of hospitalization sort of persist going forward? Or are you assuming some sort of reversion to historical trend?

MB
Max BrodenExecutive Vice President and CFO

Let me kick off on that question, and I would ask Al Riggieri to fill in any blanks and add his color as well. The fact of the matter is that we have seen lower levels, generally speaking, in terms of hospitalizations come through. We've also seen changes in the way treatments are being done, i.e., more outpatient treatments as well. So we believe that we have seen a shift in both the way hospitals are operating and also the way individuals are going for their treatments. We have factored that in to some extent.

AR
Al RiggieriAnalyst

Yeah, this is Al Riggieri. Just to add in a little bit on that. Remember, the COVID period dropped all hospital utilization, treatment patterns. Many of that during COVID would have some ups and downs during the period as hospitals had more capacity and people would return and get elective surgeries and all that. What we did this year was begin to recognize that 2022 was the first year in the United States where you would say that the pandemic was kind of in the rearview mirror. So we broadened the experience for 2022. We did still remove the experience, very low experience during the COVID period. We brought in the post-COVID period, we called it, for 2022. And as Max was saying, continued to see even in that period in '22, that we did have lower experience. So we've built that into the experience base or updating the assumptions.

SK
Suneet KamathAnalyst

And I think, Max, you said you factored some of that into your reserve. Does that mean that if things sort of persist the way they are, that there would be the potential for some more reserve releases down the road?

MB
Max BrodenExecutive Vice President and CFO

We believe we have effectively incorporated the new trends we are observing into our models. However, it is important to remember that these are just models. If these trends improve beyond our current experience, there could be opportunities for further adjustments, whether positive or negative. We have reflected this in the best way possible, based on the data available to us. It is crucial that we acknowledge the nature of these estimates, as outcomes can vary in either direction.

SK
Suneet KamathAnalyst

Yeah. No, that makes sense. My other one is on Japan and the earned premium drop of 1.7% sort of adjusted. I would have thought at some point, the impact of the paid-up policies would sort of have run its course. I know some of those policies were very long-dated, but I believe that they were sold quite a bit ago. So are we getting closer to the point where that impact is expected to fall off?

MB
Max BrodenExecutive Vice President and CFO

Looking ahead at the paid-up schedules, we anticipate a slight decline in 2024, followed by a further decrease in 2025. This is when we expect our paid-up figures to align more closely with a normalized basis. It's important to note that the significant sales of the WAYS product occurred between 2012 and 2014, with five-year and ten-year payment options. As those policies mature, we expect to see that drop-off in 2024 and an additional decline in 2025. Nevertheless, we typically incorporate paid-up options into both our first and third sector products. I wanted to highlight 2024 and 2025 because we will transition to a more standard schedule, resulting in fewer substantial year-over-year variations.

SK
Suneet KamathAnalyst

Okay. Thanks.

Operator

Our next question will come from Alex Scott with Goldman Sachs. You may now go ahead.

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MR
Marly ReeseAnalyst

Good morning. It's Marly on for Alex. I was hoping you could provide a little more color on the Japan Post sales and partnership. It looks like it's been progressing, so I was hoping to hear a little more on this versus the longer-term sales guidance.

KY
Koichiro YoshizumiSales Manager

This is Yoshizumi. I oversee sales in Japan. The sales of our cancer insurance, new cancer insurance wings, and the lump-sum serious disease benefit rider continue to be very strong. We will aim for growth in cancer insurance sales by providing support to the sales offices and post offices of Japan Post Company and Japan Post Insurance nationwide, including managing the sales process and sharing best practices. We are also actively focused on training and developing sales agents across all branches nationwide by sharing effective strategies. We expect to achieve even more sales growth through these solid activities. And that's all for me.

DA
Dan AmosChairman and CEO

Yeah. I want to make one other comment. We've been waiting for Japan Post to come back for several years now. We had assurances that they would do that and I'm happy to see it take place. They are our largest shareholder. What is good for us is good for them and vice versa. I believe this is a strong alliance and will continue to be strong as we move forward.

MR
Marly ReeseAnalyst

Thank you. And then just as a follow-up, if we could turn to capital a little bit, would you mind providing an update on what you view as near-term versus longer-term capital management priorities or capital deployment?

MB
Max BrodenExecutive Vice President and CFO

So obviously, the capital ratios in our subsidiaries, they are strong, and that's obviously priority number one to make sure that we have adequate and strong capital in our operating subsidiaries. And then obviously, we want to move operating cash flow up to the holding company and then deploy it from there. You did see that in the quarter, we bought back $700 million of our own stock. I view that as quite a strong capital deployment. We also increased the dividend by 19% starting in the first quarter of next year. Overall, the company is generating significant cash flow, and we are deploying significant cash flow as well.

Operator

Our next question will come from John Barnidge with Piper Sandler. You may now go ahead.

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JB
John BarnidgeAnalyst

Good morning. Thanks for the opportunity. Fred, congrats on the retirement. Question is around Japan and the expense reduction efforts. I know there was a paperless effort and other expense efficiencies. Have you already completed any required software installations or do you have any planned upcoming? Thank you.

FC
Fred CrawfordPresident and COO

Why don't I just make a couple of comments on that, and then Koide-san can comment. But what we are focused on in Japan from an efficiency perspective is digitizing the platform. That's the major thrust of what we're looking at, which is a long-term plan of investment followed by returns. That is a plan to digitize or increase the usage of digital applications away from paper applications, the use of digital self-service where policyholders go online and serve themselves through technology as opposed to inundating our call center and then claims payments or digital claims. We've been making steady progress on both the digital application front and on the customer self-service, but we are engaged currently in updating those tools. Think of it as no different than your iPhone 1 to iPhone 11. We are updating those tools to modernize them and improve the customer experience. We have been in a proof of concept over the last year and, in fact, have moved those digital adoption rates up. With that will come natural efficiencies over time, but it will take time. So it's a long-term progress of moving customer and agent experience to digital and away from paper, but that will yield benefits. The claims side of it is more stubborn. The reason for that has nothing to do with Aflac; it's because the Japanese healthcare system is a paper-based healthcare system that requires the exchange of paper forms when one goes to the doctor. That's really requiring a modernization of the healthcare system in Japan. Interestingly, they actually do have an effort underway to attempt to modernize or digitize the healthcare system. But until that takes place, our ability to process claims digitally will be somewhat contained. But over time, we expect to improve. So what you should expect as investors is that over the long time, we will be increasing that digital adoption. It will yield a lower per-policy expense outcome from an administrative standpoint, but it will be over multiple years of slow and steady progress because this is about adoption, it's not about installing software, okay?

JB
John BarnidgeAnalyst

Very helpful. Thank you very much. And then on the investment portfolio, those properties you took keys, can you maybe talk about the occupancy rates in those versus the ones that remain on the watch list? Thanks a lot.

BD
Brad DyslinGlobal Chief Investment Officer

Sure, thank you. The two properties that we took back, the current occupancy levels are in the low to mid-50s, which has been pretty stable since we first got involved and did the loan. The occupancy across the portfolio does range a fair amount. We've got a few that are below 50%, given the nature of the asset class, the nature of transitional real estate. But for the most part, our averages are right around the 55% to 65%.

JB
John BarnidgeAnalyst

Thank you very much.

Operator

Our next question will come from Wilma Burdis with Raymond James. You may now go ahead.

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WB
Wilma BurdisAnalyst

Thank you. Good morning. Is it fair to think that Aflac can rewrite its hospital indemnity policies to comply with the potential DOL-HHS rule without compromising the attractiveness of the product? And has Aflac started to work on this? If so, does the burden appear manageable?

VM
Virgil MillerPresident of Aflac US

This is Virgil from the US. We absolutely are taking precautions to make sure that we prepare just in case the proposal does go through, and we are confident that we can do that. We've been continuing to enhance our benefits while current policies are out there. I think Dan stated earlier, we were clear that we've sold before in an environment without some of the pretax benefits that currently exist, and we're confident we'll be able to do that again. We have a random process here that we are always looking to innovate and reinvent our products and enhance our benefits. We demonstrated that this past year with our cancer enhancements we did that really had no additional cost to our policyholders. So you can expect more of the same related to that.

WB
Wilma BurdisAnalyst

Okay. Thank you. And then I just want to confirm, I know you guys sort of said it but I just want to make sure that I understand. In the reinsurance deal that you just recently completed, you freed up around $900 million of capital, and it sounds like that could either be used to reinvest or maybe ultimately for shareholder returns.

MB
Max BrodenExecutive Vice President and CFO

Yeah. Obviously, our priorities with all the capital that we have is always to deploy it into writing new business and use it in our operating entities. That is where we get generally the best IRR on that capital. If we cannot deploy it in our operating entities, then it will flow up to the holding company.

Operator

Our next question will come from Josh Shanker with Bank of America. You may now go ahead.

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JS
Josh ShankerAnalyst

Yes. Thank you. When I think about the commercial loan portfolio, are the properties most at risk, those that have been more recently loaned to or the ones that have a longer vintage in terms of when they were established? Along those lines, when did you cool the deployment of new investment flows into commercial loans?

BD
Brad DyslinGlobal Chief Investment Officer

Sure. The loans currently on our watch list were originated a couple of years ago. Our primary focus is on transitional real estate, which has shorter maturities compared to traditional commercial loan portfolios. These loans typically have three-year fixed maturities with options to extend up to five or seven years, depending on certain criteria and performance metrics. We're primarily dealing with loans maturing in 2023 and a few in 2024, and as those maturities approach, we will either need to address them through repayment or enter into workout discussions if repayment isn't an option. This year, we have significantly scaled back our investments in this asset class, primarily due to market conditions. There is a notable gap between what buyers are willing to pay and what sellers expect to receive. The rise in interest rates has negatively impacted valuations, as buyers are looking to capitalize on current levels while sellers want prices from the past. Consequently, we are not seeing many solid transactions, and market liquidity is low, which restricts our opportunities. We also continuously refine our underwriting standards to align with current market conditions, making our terms and conditions slightly stricter.

JS
Josh ShankerAnalyst

And then related, is there any way you can frame the capital consumption or rating agency charge for those two properties? What was it before they were converted into wholly-owned properties and what is it now?

MB
Max BrodenExecutive Vice President and CFO

When properties transition from being a CML to real estate owned, there is a notable increase in the capital charge. For us, this increase is still minor, likely in the low single digits when considering RBC points. The same situation applies to SMR. Additionally, regarding the distribution of our capital base, about 85% of the investment portfolio is in Japan, while 15% is in the US.

JS
Josh ShankerAnalyst

Okay, thank you very much for that.

Operator

Our next question will come from Wes Carmichael with Wells Fargo. You may now go ahead.

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WC
Wes CarmichaelAnalyst

Hey, good morning. Just wanted to follow up on capital a bit. Max, I know you said that your first priority is to deploy that within the subs on organic. But to the extent that there's not that opportunity, I just wanted to get your thoughts around potential M&A and given that you've got pretty significant excess at the holdco and subs.

MB
Max BrodenExecutive Vice President and CFO

Yeah. If you think about our track record, you have seen what we have done historically. Aflac has not been an acquisitive company. This is a company that is built selling one policy at a time. We've done a number of, I would call it, tuck-in acquisitions in the United States to broaden our product portfolio. We do feel that we are in a good spot in terms of the products that we have to offer in our go-to-market strategy. At this point, I don't see that we have any holes that need to be filled using M&A.

WC
Wes CarmichaelAnalyst

Got it. Thanks. I have a follow-up regarding the middle market loan book excluding commercial real estate. The current yield of the book is nearly 11%. I'm curious if you are observing any changes in terms or any decline in collateral. Additionally, if interest rates stay high for about a year, do you anticipate defaults in that portfolio?

BD
Brad DyslinGlobal Chief Investment Officer

Yeah. Thank you. So far, we have been extremely pleased with the performance of the middle market loan portfolio. It is, frankly, performing better than we expected, given where we are at this point in the cycle. There are several reasons for that. Ultimately, it boils down to fundamentals, underwriting, and then how we've chosen to build the portfolio. We have a very small average loan size. We have maintained a discipline around only first-lien secured structures. We've kept leverage at a very modest level. We've maintained our use of strong covenants. Ultimately, it's about good businesses, good companies with sound business plans that are seeing good top-line growth and have the margins and cash flow, avoiding cyclical companies, and that's really played out. We have built this as our primary below-investment grade portfolio. We do expect to incur some losses. But relative to the outsized yields we've received, they are really quite modest. As I said, it is doing better than we expected at this point in the cycle. Going forward, we're going to have to wait and see just how the macro environment does. It does look like we've got the possibility of a soft or at least a soft-ish landing. How quickly rates turn around is something that we're going to watch very closely.

WC
Wes CarmichaelAnalyst

Thank you.

Operator

Our next question will come from Joel Hurwitz with Dowling & Partners. You may now go ahead.

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JH
Joel HurwitzAnalyst

Hey, good morning. So RBC is strong at over 650%, well above your 400% target. Can you just talk about plans in managing that down towards the target?

MB
Max BrodenExecutive Vice President and CFO

In the US, we are experiencing some growth, particularly in areas that are generating additional new business strain. This situation has resulted in us operating with a higher Risk-Based Capital ratio than our target of 400%. However, I anticipate that over the next few years, we will be able to reduce it back down to that 400% level in the long term.

JH
Joel HurwitzAnalyst

Okay. Do you expect that to be driven by the needs for growth or do you expect to actually draw that down with outsized dividends to the holdco?

MB
Max BrodenExecutive Vice President and CFO

The preferred option would be to drive it by growth because that's where we're getting the best returns on our capital by just writing more policies. At the same time, even though we have some lines of business that are consuming a little bit more capital, overall, we're a relatively capital-light business. So given that we're operating at a 650% RBC right now, I don't see that growth alone will necessarily drive us all the way down to 400%. In order to do so, we probably would, over time, need to address our capital base through special dividends, etc.

JH
Joel HurwitzAnalyst

Okay. Thank you.

Operator

This concludes our question-and-answer session. I would like to turn the conference back over to David Young for any closing remarks.

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DY
David YoungVice President of Investor and Rating Agency Relations

Thank you, Anthony, and thank you all for joining us this morning. While we are not hosting our financial analyst briefing this year, we will be in 2024, but we will also be giving an outlook for 2024 on our fourth quarter 2023 earnings call. In the interim, please reach out to the Investor and Rating Agency Relations team if you have any questions, and we look forward to speaking to you then. Everyone, have a great day. Thank you.

Operator

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

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