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Policy Liabilities - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Mar. 31, 2023
Dec. 31, 2022
Mar. 31, 2022
Dec. 31, 2021
Health                
Liability for Future Policy Benefit, Activity [Line Items]                
Policyholder benefits net of remeasurement gain (loss) $ 5,000 $ 3,800 $ 5,600 $ 0        
Effect of actual variances from expected experience         $ (28,000) $ (99,098) $ (19,801) $ (106,381)
PV of expected future gross premiums 10,603,159 10,669,395 10,603,159 10,669,395        
PV of expected future net premiums 5,346,643 5,510,459 5,346,643 5,510,459 5,374,493 5,207,422 5,908,639 6,418,018
Life                
Liability for Future Policy Benefit, Activity [Line Items]                
Effect of actual variances from expected experience         (133,457) (223,880) (91,081) (118,057)
PV of expected future gross premiums 27,938,263 28,297,604 27,938,263 28,297,604        
PV of expected future net premiums 12,042,720 12,129,478 12,042,720 12,129,478 $ 12,189,326 $ 11,748,528 $ 13,094,222 $ 14,082,538
Mortality | Health                
Liability for Future Policy Benefit, Activity [Line Items]                
Effect of actual variances from expected experience 5,100 (4,100) 5,100 (4,100)        
Morbidity | Health                
Liability for Future Policy Benefit, Activity [Line Items]                
Effect of actual variances from expected experience $ 500 $ 4,000 $ 500 $ 4,000