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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Policy claims and other benefits payable:    
Life insurance $ 194,222 $ 196,298
Policy claims and other benefits payable 351,729 350,826
Health premium    
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 157,507 $ 154,528