Policy Claims and Other Benefits Payable - Schedule of Liability For Policy Claims and Other Benefits Payable (Details) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2023	Mar. 31, 2022
Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]
Policy claims and other benefits payable, beginning of period		$ 538,250	$ 585,382
Reinsured policy claims and other benefits payable, beginning of period		542,613	638,007
Net balance, beginning of period		(4,363)	(52,625)
Incurred related to current year		65,820	77,232
Incurred related to prior years	[1]	(2,732)	(4,547)
Total incurred		63,088	72,685
Claims paid related to current year, net of reinsured policy claims received		(141,557)	(161,818)
Reinsured policy claims received related to prior years, net of claims paid		8,422	64,532
Total paid		(133,135)	(97,286)
Foreign currency translation		38	(12)
Net balance, end of period		(74,372)	(77,238)
Reinsured policy claims and other benefits payable, end of period		572,855	652,088
Policy claims and other benefits payable, end of period		$ 498,483	$ 574,850

[1] Includes the difference between our estimate of claims incurred but not yet reported as of period-end and the actual incurred claims reported after period-end.