Unpaid Claims - Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Gross and net balance, beginning of period	$ 137,395	$ 136,317
Incurred related to:
Current year	515,089	529,440
Prior years	(3,168)	(20,228)
Total incurred	511,921	509,212
Paid related to:
Current year	409,780	408,580
Prior years	122,956	84,180
Total paid	532,736	492,760
Gross and net balance, end of period	116,580	152,769
Claims Development [Line Items]
Unpaid claims	116,580	152,769
Non-Insurance
Paid related to:
Gross and net balance, end of period	2,200	8,900
Claims Development [Line Items]
Unpaid claims	$ 2,200	$ 8,900