Unpaid claims (Tables)

3 Months Ended

Mar. 31, 2021

Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]

Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense

Activity in the liability for unpaid claims, including claims adjustment expenses, for the three months ended March 31, 2021 and 2020, is summarized as follows:

Three Months Ended March 31,	2021		2020
	(in thousands)
Beginning of period balance - gross and net	$	103,976	$	77,886
Incurred related to:
Current year		213,147		146,440
Prior years		1,285		(112	)
Total incurred		214,432		146,328
Paid related to:
Current year		130,459		74,502
Prior years		70,367		59,359
Total paid		200,826		133,861
End of period balance - gross and net	$	117,582	$	90,353