Goodwill and Intangible Assets - Schedule of Intangible Assets (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2021	Dec. 31, 2020
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 37,970	$ 37,136
Accumulated Amortization	2,660	2,491
Net Carrying Value	$ 35,310	$ 34,645
Weighted Average Life
Goodwill, Gross Carrying Value	$ 29,303	$ 29,303
Goodwill, Accumulated Amortization		0
Goodwill, Net Carrying Value	29,303	29,303
License (indefinite lived)
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	4,917	4,500
Accumulated Amortization		0
Net Carrying Value	$ 4,917	$ 4,500
Weighted Average Life
Plan Member Relationship
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 2,700	$ 2,700
Accumulated Amortization	2,172	2,034
Net Carrying Value	$ 528	$ 666
Weighted Average Life	9 years	9 years
Other
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 1,050	$ 633
Accumulated Amortization	488	457
Net Carrying Value	$ 562	$ 176
Other | Minimum
Indefinite Lived Intangible Assets By Major Class [Line Items]
Weighted Average Life	2 years	2 years
Other | Maximum
Indefinite Lived Intangible Assets By Major Class [Line Items]
Weighted Average Life	10 years	10 years