Policy Claims and Other Benefits Payable - Schedule of Liability For Policy Claims and Other Benefits Payable (Details) - USD ($) $ in Thousands		6 Months Ended
		Jun. 30, 2020	Jun. 30, 2019
Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]
Policy claims and other benefits payable, beginning of period		$ 339,954	$ 313,862
Reinsured policy claims and other benefits payable, beginning of period		388,797	318,653
Net balance, beginning of period		(48,843)	(4,791)
Incurred related to current year		113,647	92,355
Incurred related to prior years	[1]	(4,464)	(1,456)
Total incurred		109,183	90,899
Claims paid related to current year, net of reinsured policy claims received		(181,280)	(150,765)
Reinsured policy claims received related to prior years, net of claims paid		60,043	16,105
Total paid		(121,237)	(134,660)
Foreign currency translation		(297)	323
Net balance, end of period		(61,194)	(48,229)
Reinsured policy claims and other benefits payable, end of period		473,640	370,646
Policy claims and other benefits payable, end of period		$ 412,446	$ 322,417

[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.