Unpaid Claims (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2021

Dec. 31, 2020

Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [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 nine months ended September 30, 2021 and 2020, is summarized as follows:

Nine Months Ended September 30,	2021		2020
	(in thousands)
Gross and net balance, beginning of period	$	103,976	$	77,886
Incurred related to:
Current year	1,092,280		425,941
Prior years	17,095		(15,401)
Total incurred	1,109,375		410,540
Paid related to:
Current year	963,779		339,252
Prior years	109,362		55,559
Total paid	1,073,141		394,811
Gross and net balance, end of period	$	140,210	$	93,615

Activity in the liability for unpaid claims, including claims adjustment expenses, is summarized as follows:

Year ended December 31,	2020		2019
	(in thousands)
Gross balance, beginning of year	$	77,886	$	54,004
Less: reinsurance recoverable, beginning of year	—		(12,344)
Net balance, beginning of year	77,886		41,660
Incurred related to:
Current year	604,183		453,423
Prior years	(13,715)		(2,778)
Total incurred	590,468		450,645
Paid related to:
Current year	501,339		376,677
Prior years	63,039		37,742
Total paid	564,378		414,419
Net balance, end of year	103,976		77,886
Plus: reinsurance recoverable, end of year	—		—
Gross balance, end of year	$	103,976	$	77,886