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Unpaid Claims - Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 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 1,016,131 996,158
Prior years (30,539) (9,000)
Total incurred 985,592 987,158
Paid related to:    
Current year 869,574 865,930
Prior years 96,722 121,523
Total paid 966,296 987,453
Gross and net balance, end of period $ 156,396 $ 137,100