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Reinsurance (Tables)
 12 Months Ended
Dec. 31, 2024
Insurance [Abstract]  
Schedule of Effects of Reinsurance
The effects of the reinsurance agreements on the accompanying consolidated financial statements for the years ended December 31, 2024, 2023, and 2022, respectively, are as follows:
Year ended December 31,
202420232022
(in thousands)
Premiums earned, gross
$1,345,280 $1,236,213 $1,085,339 
Premiums earned, ceded
(399)(444)(470)
Net premiums earned
$1,344,881 $1,235,769 $1,084,869 
Year ended December 31,
202420232022
(in thousands)
Claims incurred, gross$988,208 $987,654 $985,197 
Claims incurred, ceded(2,616)(496)(1,166)
Net claims incurred$985,592 $987,158 $984,031 
Reinsurance recoverable for the MA plan at December 31, 2024 and 2023, respectively, were comprised of the following:
Year ended December 31,
20242023
(in thousands)
Reinsurance recoverable on paid claims, gross and net
$404 $46