| 4,181 | 4,798 | 4,339 | 3,930 | 3,626 | 5,097 |
| 2,565 | -402 | 527 | -4,249 | 26,861 | 1,825 |
Changes in Reinsurance Contract Assets | 128 | 25 | -136 | 10 | 593 | 86 |
Changes in Claims Reserves | 928 | 3,542 | 2,526 | 7,100 | -24,889 | 2,415 |
Changes in Income Taxes Payable | -1,003 | -978 | -1,138 | -1,240 | -795 | -1,028 |
Changes in Other Operating Activities | -1,443 | -4,186 | -3,586 | 61 | -1,085 | -10,252 |
| 5,356 | 2,799 | 2,532 | 5,612 | 4,311 | -1,857 |
Operating Cash Flow Growth | 15.51% | 10.54% | -54.88% | 30.18% | - | - |
Payments for Business Acquisitions | 25 | 25 | - | -439 | -2,633 | -412 |
Proceeds from Business Divestments | - | - | - | 297 | - | - |
Other Investing Activities | -355 | -345 | -337 | -417 | -230 | -391 |
| -330 | -320 | -337 | -559 | -2,863 | -803 |
| 216 | -308 | -340 | 141 | 1,786 | 108 |
Net Short-Term Debt Issued (Repaid) | 216 | -308 | -340 | 141 | 1,786 | 108 |
| 1,991 | 1,991 | 746 | 497 | 646 | 1,992 |
| - | - | -750 | -1,000 | -400 | -650 |
Net Long-Term Debt Issued (Repaid) | 1,991 | 1,991 | -4 | -503 | 246 | 1,342 |
| 47 | 37 | 43 | 49 | 6 | 36 |
Repurchase of Common Stock | -1,187 | -1,707 | -855 | -186 | - | - |
Net Common Stock Issued (Repurchased) | -1,140 | -1,670 | -812 | -137 | 6 | 36 |
Repurchase of Preferred Stock | - | - | - | - | - | -1,025 |
Net Preferred Stock Issued (Repurchased) | - | - | - | - | - | -1,025 |
Other Financing Activities | -5,073 | -2,649 | -2,726 | -2,587 | -2,109 | -721 |
| -4,006 | -2,636 | -3,882 | -3,086 | -71 | -260 |
Effect of Exchange Rate Changes on Cash and Cash Equivalents | -179 | -198 | 471 | -169 | 302 | -35 |
| 841 | -355 | -1,216 | 1,798 | 1,679 | -2,955 |
| 5,356 | 2,799 | 2,532 | 5,612 | 4,311 | -1,857 |
| 91.35% | 10.54% | -54.88% | 30.18% | - | - |
| 15.41% | 8.05% | 7.62% | 18.25% | 15.61% | -5.20% |
| 9.52 | 4.95 | 4.35 | 9.53 | 7.32 | -3.15 |
| 2,898 | 16 | -2,155 | 1,555 | 3,616 | -5,810 |
| 1,425 | -942.38 | -1,056 | 2,787 | 2,171 | 17,406 |