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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Sep. 30, 2022
Dec. 31, 2021
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 417,739 $ 412,940
Life insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable 239,900 245,108
Health insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 177,839 $ 167,832