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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Sep. 30, 2020
Dec. 31, 2019
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 367,453 $ 365,402
Life insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable 207,569 201,594
Health premium    
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 159,884 $ 163,808