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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Mar. 31, 2020
Dec. 31, 2019
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 364,276 $ 365,402
Life insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable 202,242 201,594
Health premium    
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 162,034 $ 163,808