Unpaid Claims (Tables)

12 Months Ended

Dec. 31, 2021

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 years ended December 31, 2021 and 2020, is summarized as follows:

Years ended December 31,	2021		2020
	(in thousands)
Gross and net balance, beginning of period (1)	$	103,976	$	77,886
Incurred related to:
Current year	822,300		599,147
Prior years	15,834		(13,715)
Total incurred	838,134		585,432
Paid related to:
Current year	692,116		496,303
Prior years	113,677		63,039
Total paid	805,793		559,342
Gross and net balance, end of period (1)(2)	$	136,317	$	103,976

(1)    Includes amounts due to related parties.

(2) Differs from the total unpaid claims amount reported on the Consolidated Balance Sheets due to the fact the figure here excludes unpaid claims for the Corporation’s DCE of $4.6 million as of December 31, 2021.

Schedule of Claims Development and Claim Frequency

The following tables provide information regarding incurred and paid claims development for medical claims, as well as cumulative claim frequency and the total of incurred but not reported liabilities as of December 31, 2021, respectively:

	Cumulative incurred claims for the years ended December 31,
Incurred year	2019*		2020*		2021		Total IBNR(1)		Number of reported claims
	(in thousands)								(in ones)
2019 and prior	$	962,373	$	948,658	$	947,323	$	843	2,926,156
2020			599,148		616,316		5,289		1,433,039
2021					822,300		130,184		2,384,691
Total	$	962,373	$	1,547,806	$	2,385,940	$	136,317	6,743,886

(1)    Differs from the total unpaid claims amount reported on the Consolidated Balance Sheets due to the fact the figure here excludes unpaid claims for the Corporation’s DCE of $4.6 million as of December 31, 2021.

	Cumulative net paid claims through December 31,
Paid year	2019*		2020*		2021
	(in thousands)
Incurred year
2019 and prior	$	894,877	$	947,526	$	946,480
2020			496,304		611,027
2021					692,116
Total	$	894,877	$	1,443,830	$	2,249,623

*Unaudited supplemental information

Reconciliation of Incurred and Paid Claims Development

The reconciliation of net incurred and paid claims development tables to unpaid claims and claims adjustment expenses for medical claims on the Consolidated Balance Sheets is as follows:

December 31, 2021	(in thousands)
Cumulative incurred claims, net	$	2,385,940
Less: cumulative paid claims, net	2,249,623
Net unpaid claims, including claims adjustment expenses(1)	$	136,317

(1) The following balance reflects the unpaid claims for Medicare Advantage only. The DCE and other medical unpaid claims should be included in order to reconcile to the total unpaid claims on the Consolidated Balance Sheets.