Unpaid Claims - Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense (Details) - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2024	Mar. 31, 2023
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Gross and net balance, beginning of period	$ 137,100	$ 137,395
Incurred related to:
Current year	277,871	272,258
Prior years	(17,647)	804
Total incurred	260,224	273,062
Paid related to:
Current year	84,549	167,360
Prior years	73,292	104,581
Total paid	157,841	271,941
Gross and net balance, end of period	239,483	138,516
Unpaid claims	$ 239,483	$ 138,516

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- Definition

Amount, after effects of reinsurance, of payments to settle claims incurred in the current period and related claims settlement costs.

+ References

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Amount, after effects of reinsurance, of payments to settle claims incurred in prior periods and related claims settlement costs.

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Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred and costs incurred in the claim settlement process.

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Liability as of the balance sheet date for amounts representing estimated cost of settling unpaid claims under the terms of the underlying insurance policies, less estimated reinsurance recoveries on such claims. This includes an estimate for claims which have been incurred but not reported. Claim adjustment expenses represent the costs estimated to be incurred in the settlement of unpaid claims.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period.

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Amount, after effects of reinsurance, of payments to settle insured claims and pay costs incurred in the claims settlement process.

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Amount, after effects of reinsurance, of expense for claims incurred in the current reporting period and related claims settlement costs.

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Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred in prior reporting periods and related claims settlement costs.

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