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, 2022	Mar. 31, 2021
Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]
Policy claims and other benefits payable, beginning of period		$ 585,382	$ 519,711
Reinsured policy claims and other benefits payable, beginning of period		638,007	545,857
Net balance, beginning of period		(52,625)	(26,146)
Incurred related to current year		77,232	73,626
Incurred related to prior years	[1]	(4,547)	(1,534)
Total incurred		72,685	72,092
Claims paid related to current year, net of reinsured policy claims received		(161,818)	(194,270)
Reinsured policy claims received related to prior years, net of claims paid		64,532	36,508
Total paid		(97,286)	(157,762)
Foreign currency translation		(12)	87
Net balance, end of period		(77,238)	(111,729)
Reinsured policy claims and other benefits payable, end of period		652,088	638,383
Policy claims and other benefits payable, end of period		$ 574,850	$ 526,654

[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.