Policy Liabilities - Schedule of Liability for Future Policy Benefit, Activity (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Jan. 01, 2021	Dec. 31, 2020
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Net liability for future policy benefits—long duration health	$ 19,460,353	$ 18,097,341	$ 24,499,640	$ 25,074,108	$ 15,242,641
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates		18,097,341
Life
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	11,748,528	14,082,538	13,425,359
Beginning balance	11,442,919	10,896,222	9,587,929
Effect of changes in assumptions on future cash flows		64,032	166,770		31,533
Effect of actual variances from expected experience		(520,699)	(416,472)		110,679
Adjusted balance		10,986,252	10,646,520		9,730,141
Issuances	1,468,072	1,561,444	1,848,245
Interest accrual	564,929	522,072	508,937
Net premiums collected	(1,314,975)	(1,268,915)	(1,191,269)
Effect of changes in the foreign exchange rate	5,090	(18,202)	168
Ending balance	11,709,368	11,442,919	10,896,222
Effect of change from original to current discount rates	632,939	305,609	3,186,316
Ending balance	12,342,307	11,748,528	14,082,538
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	25,749,961	33,664,308	33,472,903
Beginning balance	23,564,337	22,374,930	20,550,299
Effect of changes in assumptions on future cash flows		65,568	226,626		35,590
Effect of actual variances from expected experience		(554,123)	(418,233)		119,537
Adjusted balance		23,075,782	22,183,323		20,705,426
Issuances	1,468,086	1,561,463	1,848,236
Interest accrual	1,290,305	1,209,182	1,169,718
Benefit payments	(1,283,796)	(1,345,368)	(1,349,242)
Effect of changes in the foreign exchange rate	13,319	(44,263)	792
Ending balance	24,563,696	23,564,337	22,374,930
Effect of changes in discount rate assumptions	3,159,462	2,185,624	11,289,378		9,085,176
Ending balance	27,723,158	25,749,961	33,664,308
Net liability for future policy benefits at original discount rates	12,854,328	12,121,418	11,478,708
Effect of changes in discount rate assumptions	2,526,523	1,880,015	8,103,062
Other Adjustments	9,438	12,714	3,413
Net liability for future policy benefits—long duration health	15,390,289	14,014,147	19,585,183	20,047,549	10,943,039
Reinsurance recoverable	(45,708)	(42,430)	(61,135)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	15,344,581	13,971,717	19,524,048
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	29,391	(47,426)	(11,066)
Life | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	31,404	(272)	(6,991)
Life | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	(2,013)	(47,154)	(4,075)
Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	5,207,422	6,418,018	6,240,414
Beginning balance	5,366,305	5,328,427	4,792,419
Effect of changes in assumptions on future cash flows		390,156	(223,591)		0
Effect of actual variances from expected experience		(147,908)	(138,275)		18,667
Adjusted balance		5,608,553	4,966,561		4,811,086
Issuances	757,532	701,048	792,701
Interest accrual	238,966	213,461	209,823
Net premiums collected	(536,179)	(513,278)	(485,106)
Effect of changes in the foreign exchange rate	423	(1,487)	(77)
Ending balance	6,069,295	5,366,305	5,328,427
Effect of change from original to current discount rates	20,433	(158,883)	1,089,591
Ending balance	6,089,728	5,207,422	6,418,018
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	7,394,349	9,353,001	9,257,550
Beginning balance	7,710,767	7,587,083	6,951,288
Effect of changes in assumptions on future cash flows		381,310	(233,911)		0
Effect of actual variances from expected experience		(154,411)	(143,822)		19,949
Adjusted balance		7,937,666	7,209,350		6,971,237
Issuances	756,377	701,159	793,111
Interest accrual	346,489	316,620	308,974
Benefit payments	(556,440)	(513,229)	(486,177)
Effect of changes in the foreign exchange rate	878	(3,133)	(62)
Ending balance	8,484,970	7,710,767	7,587,083
Effect of changes in discount rate assumptions	(43,968)	(316,418)	1,765,918		906,651
Ending balance	8,441,002	7,394,349	9,353,001
Net liability for future policy benefits at original discount rates	2,415,675	2,344,462	2,258,656
Effect of changes in discount rate assumptions	(64,401)	(157,535)	676,327
Other Adjustments	28,141	16,862	7,680
Net liability for future policy benefits—long duration health	2,379,415	2,203,789	2,942,663	3,018,160	2,081,486
Reinsurance recoverable	(15,322)	(14,345)	(18,330)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	2,364,093	2,189,444	2,924,333
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	11,849	15,561	(1,230)
Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	6,616	4,906	(1,230)
Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	5,233	10,655	0
American Income | Life
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	4,273,156	4,925,192	4,498,278
Beginning balance	4,246,723	3,906,098	3,263,663
Effect of changes in assumptions on future cash flows		14,265	34,266		5,854
Effect of actual variances from expected experience		(155,293)	(121,230)		43,249
Adjusted balance		4,105,695	3,819,134		3,312,766
Issuances	733,702	760,857	866,716
Interest accrual	200,363	176,102	169,543
Net premiums collected	(521,521)	(491,168)	(443,095)
Effect of changes in the foreign exchange rate	5,090	(18,202)	168
Ending balance	4,523,329	4,246,723	3,906,098
Effect of change from original to current discount rates	158,559	26,433	1,019,094
Ending balance	4,681,888	4,273,156	4,925,192
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	9,119,104	11,773,519	11,374,299
Beginning balance	8,409,761	7,744,201	6,805,088
Effect of changes in assumptions on future cash flows		13,344	48,534		6,584
Effect of actual variances from expected experience		(164,900)	(127,626)		45,921
Adjusted balance		8,258,205	7,665,109		6,857,593
Issuances	733,700	760,856	866,707
Interest accrual	452,640	410,201	389,384
Benefit payments	(396,031)	(382,142)	(370,275)
Effect of changes in the foreign exchange rate	13,319	(44,263)	792
Ending balance	9,061,833	8,409,761	7,744,201
Effect of changes in discount rate assumptions	1,101,794	709,343	4,029,318		3,334,600
Ending balance	10,163,627	9,119,104	11,773,519
Net liability for future policy benefits at original discount rates	4,538,504	4,163,038	3,838,103
Effect of changes in discount rate assumptions	943,235	682,910	3,010,224
Other Adjustments	297	115	156
Net liability for future policy benefits—long duration health	5,482,036	4,846,063	6,848,483	6,876,026
Reinsurance recoverable	(141)	(123)	(105)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	5,481,895	4,845,940	6,848,378
American Income | Life | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	9,430	1,965	(2,008)
American Income | Life | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	308	(8,707)	(750)
American Income | Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	190,296	222,553	205,601
Beginning balance	192,631	178,801	150,095
Effect of changes in assumptions on future cash flows		(6,061)	(17,911)		0
Effect of actual variances from expected experience		(11,152)	7,911		(4,314)
Adjusted balance		175,418	168,801		145,781
Issuances	39,825	39,003	45,612
Interest accrual	8,528	7,399	7,416
Net premiums collected	(22,325)	(21,085)	(19,931)
Effect of changes in the foreign exchange rate	423	(1,487)	(77)
Ending balance	201,869	192,631	178,801
Effect of change from original to current discount rates	4,512	(2,335)	43,752
Ending balance	206,381	190,296	222,553
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	312,750	380,915	367,965
Beginning balance	303,713	285,604	252,092
Effect of changes in assumptions on future cash flows		(6,407)	(21,559)		0
Effect of actual variances from expected experience		(12,661)	10,402		(4,570)
Adjusted balance		284,645	274,447		247,522
Issuances	39,825	39,006	45,612
Interest accrual	15,070	13,806	13,679
Benefit payments	(24,987)	(20,413)	(21,147)
Effect of changes in the foreign exchange rate	878	(3,133)	(62)
Ending balance	315,431	303,713	285,604
Effect of changes in discount rate assumptions	20,073	9,037	95,311		60,366
Ending balance	335,504	312,750	380,915
Net liability for future policy benefits at original discount rates	113,562	111,082	106,803
Effect of changes in discount rate assumptions	15,561	11,372	51,559
Other Adjustments	857	48	27
Net liability for future policy benefits—long duration health	129,980	122,502	158,389	162,364
Reinsurance recoverable	0	0	0
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	129,980	122,502	158,389
American Income | Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	1,461	(2,545)	199
American Income | Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	119	3,615	0
Direct to Consumer | Life
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	5,910,224	7,264,905	7,028,713
Beginning balance	5,680,864	5,533,741	4,963,806
Effect of changes in assumptions on future cash flows		36,170	79,571		18,076
Effect of actual variances from expected experience		(306,004)	(264,286)		7,439
Adjusted balance		5,411,030	5,349,026		4,989,321
Issuances	579,363	663,790	860,279
Interest accrual	287,615	273,494	267,314
Net premiums collected	(613,749)	(605,446)	(583,173)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	5,664,259	5,680,864	5,533,741
Effect of change from original to current discount rates	388,392	229,360	1,731,164
Ending balance	6,052,651	5,910,224	7,264,905
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	9,225,451	11,859,408	11,733,268
Beginning balance	8,477,892	8,157,259	7,472,930
Effect of changes in assumptions on future cash flows		34,407	104,910		20,319
Effect of actual variances from expected experience		(318,687)	(259,285)		13,675
Adjusted balance		8,193,612	8,002,884		7,506,924
Issuances	579,365	663,786	860,279
Interest accrual	458,587	433,611	421,762
Benefit payments	(574,812)	(622,389)	(631,706)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	8,656,752	8,477,892	8,157,259
Effect of changes in discount rate assumptions	1,057,764	747,559	3,702,149		2,195,430
Ending balance	9,714,516	9,225,451	11,859,408
Net liability for future policy benefits at original discount rates	2,992,493	2,797,028	2,623,518
Effect of changes in discount rate assumptions	669,372	518,199	1,970,985
Other Adjustments	3,315	4,913	2,511
Net liability for future policy benefits—long duration health	3,665,180	3,320,140	4,597,014	4,704,555
Reinsurance recoverable	0	0	0
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	3,665,180	3,320,140	4,597,014
Direct to Consumer | Life | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	12,201	(2,243)	(4,782)
Direct to Consumer | Life | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	1,763	(25,334)	(2,242)
Direct to Consumer | Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	90,143	121,724	133,832
Beginning balance	87,751	96,776	100,380
Effect of changes in assumptions on future cash flows		16,553	(9,035)		0
Effect of actual variances from expected experience		(2,850)	(2,301)		(1,695)
Adjusted balance		101,454	85,440		98,685
Issuances	14,467	8,224	3,859
Interest accrual	4,616	4,554	4,966
Net premiums collected	(10,657)	(10,467)	(10,734)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	109,880	87,751	96,776
Effect of change from original to current discount rates	5,483	2,392	24,948
Ending balance	115,363	90,143	121,724
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	87,532	119,888	134,967
Beginning balance	85,212	95,628	101,632
Effect of changes in assumptions on future cash flows		15,930	(8,270)		0
Effect of actual variances from expected experience		(3,325)	(2,621)		(1,614)
Adjusted balance		97,817	84,737		100,018
Issuances	14,446	8,202	3,859
Interest accrual	4,616	4,553	4,991
Benefit payments	(12,378)	(12,280)	(13,240)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	104,501	85,212	95,628
Effect of changes in discount rate assumptions	4,981	2,320	24,260		318
Ending balance	109,482	87,532	119,888
Net liability for future policy benefits at original discount rates	(5,379)	(2,539)	(1,148)
Effect of changes in discount rate assumptions	(502)	(72)	(688)
Other Adjustments	6,653	3,634	3,175
Net liability for future policy benefits—long duration health	772	1,023	1,339	1,598
Reinsurance recoverable	0	0	0
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	772	1,023	1,339
Direct to Consumer | Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	23	148	16
Direct to Consumer | Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	8	(80)	0
Liberty National | Life
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	1,094,407	1,332,469	1,327,203
Beginning balance	1,066,123	1,040,242	967,173
Effect of changes in assumptions on future cash flows		5,178	17,719		5,104
Effect of actual variances from expected experience		(40,961)	(20,027)		61,583
Adjusted balance		1,030,340	1,037,934		1,033,860
Issuances	127,048	104,982	77,272
Interest accrual	54,147	51,326	51,274
Net premiums collected	(133,704)	(128,119)	(122,164)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	1,077,831	1,066,123	1,040,242
Effect of change from original to current discount rates	51,885	28,284	292,227
Ending balance	1,129,716	1,094,407	1,332,469
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	3,429,256	4,542,697	4,710,075
Beginning balance	3,272,980	3,206,164	3,120,435
Effect of changes in assumptions on future cash flows		6,156	33,457		5,837
Effect of actual variances from expected experience		(46,341)	(18,535)		62,981
Adjusted balance		3,232,795	3,221,086		3,189,253
Issuances	127,062	105,006	77,272
Interest accrual	174,995	169,578	168,794
Benefit payments	(196,600)	(222,690)	(229,155)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	3,338,252	3,272,980	3,206,164
Effect of changes in discount rate assumptions	267,140	156,276	1,336,533		1,229,610
Ending balance	3,605,392	3,429,256	4,542,697
Net liability for future policy benefits at original discount rates	2,260,421	2,206,857	2,165,922
Effect of changes in discount rate assumptions	215,255	127,992	1,044,306
Other Adjustments	5,764	7,638	674
Net liability for future policy benefits—long duration health	2,481,440	2,342,487	3,210,902	3,382,872
Reinsurance recoverable	(7,719)	(7,477)	(11,131)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	2,473,721	2,335,010	3,199,771
Liberty National | Life | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	5,013	(1,348)	(865)
Liberty National | Life | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	(1,248)	(7,872)	(733)
Liberty National | Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	423,490	517,368	578,518
Beginning balance	415,442	414,409	430,962
Effect of changes in assumptions on future cash flows		(56,964)	19,846		0
Effect of actual variances from expected experience		(36,850)	(39,029)		(34,535)
Adjusted balance		321,628	395,226		396,427
Issuances	59,768	51,827	47,043
Interest accrual	18,255	19,141	20,736
Net premiums collected	(51,081)	(50,752)	(49,797)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	348,570	415,442	414,409
Effect of change from original to current discount rates	9,902	8,048	102,959
Ending balance	358,472	423,490	517,368
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	941,574	1,201,317	1,320,597
Beginning balance	904,865	921,608	953,238
Effect of changes in assumptions on future cash flows		(60,437)	18,065		0
Effect of actual variances from expected experience		(36,910)	(40,597)		(34,859)
Adjusted balance		807,518	899,076		918,379
Issuances	59,158	52,257	47,453
Interest accrual	45,614	47,719	50,415
Benefit payments	(95,471)	(94,187)	(94,639)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	816,819	904,865	921,608
Effect of changes in discount rate assumptions	48,989	36,709	279,709		220,313
Ending balance	865,808	941,574	1,201,317
Net liability for future policy benefits at original discount rates	468,249	489,423	507,199
Effect of changes in discount rate assumptions	39,087	28,661	176,750
Other Adjustments	9,567	5,953	2,752
Net liability for future policy benefits—long duration health	516,903	524,037	686,701	742,589
Reinsurance recoverable	(1,317)	(1,498)	(1,715)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	515,586	522,539	684,986
Liberty National | Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	628	1,406	304
Liberty National | Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	2,171	1,463	0
Other premium | Life
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	470,741	559,972	571,165
Beginning balance	449,209	416,141	393,287
Effect of changes in assumptions on future cash flows		8,419	35,214		2,499
Effect of actual variances from expected experience		(18,441)	(10,929)		(1,592)
Adjusted balance		439,187	440,426		394,194
Issuances	27,959	31,815	43,978
Interest accrual	22,804	21,150	20,806
Net premiums collected	(46,001)	(44,182)	(42,837)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	443,949	449,209	416,141
Effect of change from original to current discount rates	34,103	21,532	143,831
Ending balance	478,052	470,741	559,972
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	3,976,150	5,488,684	5,655,261
Beginning balance	3,403,704	3,267,306	3,151,846
Effect of changes in assumptions on future cash flows		11,661	39,725		2,850
Effect of actual variances from expected experience		(24,195)	(12,787)		(3,040)
Adjusted balance		3,391,170	3,294,244		3,151,656
Issuances	27,959	31,815	43,978
Interest accrual	204,083	195,792	189,778
Benefit payments	(116,353)	(118,147)	(118,106)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	3,506,859	3,403,704	3,267,306
Effect of changes in discount rate assumptions	732,764	572,446	2,221,378
Ending balance	4,239,623	3,976,150	5,488,684
Net liability for future policy benefits at original discount rates	3,062,910	2,954,495	2,851,165
Effect of changes in discount rate assumptions	698,661	550,914	2,077,547
Other Adjustments	62	48	72
Net liability for future policy benefits—long duration health	3,761,633	3,505,457	4,928,784
Reinsurance recoverable	(37,848)	(34,830)	(49,899)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	3,723,785	3,470,627	4,878,885
Other premium | Life | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	4,760	1,354	664
Other premium | Life | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	(2,836)	(5,241)	(350)
United American | Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	2,908,501	3,611,659	3,432,493
Beginning balance	2,941,262	2,949,851	2,573,470
Effect of changes in assumptions on future cash flows		466,883	(195,560)		0
Effect of actual variances from expected experience		(27,178)	(37,437)		86,186
Adjusted balance		3,380,967	2,716,854		2,659,656
Issuances	377,097	360,942	413,289
Interest accrual	139,824	122,064	117,151
Net premiums collected	(272,085)	(258,598)	(240,245)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	3,625,803	2,941,262	2,949,851
Effect of change from original to current discount rates	71,968	(32,761)	661,808
Ending balance	3,697,771	2,908,501	3,611,659
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	3,046,829	3,810,559	3,651,359
Beginning balance	3,080,633	3,090,901	2,715,869
Effect of changes in assumptions on future cash flows		464,652	(194,936)		0
Effect of actual variances from expected experience		(26,718)	(40,316)		88,696
Adjusted balance		3,518,567	2,855,649		2,804,565
Issuances	376,573	360,642	413,289
Interest accrual	147,082	129,842	125,346
Benefit payments	(300,692)	(265,500)	(252,299)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	3,741,530	3,080,633	3,090,901
Effect of changes in discount rate assumptions	72,798	(33,804)	719,658		123,906
Ending balance	3,814,328	3,046,829	3,810,559
Net liability for future policy benefits at original discount rates	115,727	139,371	141,050
Effect of changes in discount rate assumptions	830	(1,043)	57,850
Other Adjustments	10,980	4,055	1,683
Net liability for future policy benefits—long duration health	127,537	142,383	200,583	218,917
Reinsurance recoverable	(3,287)	(3,820)	(4,173)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	124,250	138,563	196,410
United American | Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	(134)	3,502	(2,343)
United American | Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	762	(626)	0
Family Heritage | Health
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]
Beginning balance	1,594,992	1,944,714	1,889,970
Beginning balance	1,729,219	1,688,590	1,537,512
Effect of changes in assumptions on future cash flows		(30,255)	(20,931)		0
Effect of actual variances from expected experience		(69,878)	(67,419)		(26,975)
Adjusted balance		1,629,086	1,600,240		1,510,537
Issuances	266,375	241,052	282,898
Interest accrual	67,743	60,303	59,554
Net premiums collected	(180,031)	(172,376)	(164,399)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	1,783,173	1,729,219	1,688,590
Effect of change from original to current discount rates	(71,432)	(134,227)	256,124
Ending balance	1,711,741	1,594,992	1,944,714
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]
Beginning balance	3,005,664	3,840,322	3,782,662
Beginning balance	3,336,344	3,193,342	2,928,457
Effect of changes in assumptions on future cash flows		(32,428)	(27,211)		0
Effect of actual variances from expected experience		(74,797)	(70,690)		(27,704)
Adjusted balance		3,229,119	3,095,441		2,900,753
Issuances	266,375	241,052	282,898
Interest accrual	134,107	120,700	114,543
Benefit payments	(122,912)	(120,849)	(104,852)
Effect of changes in the foreign exchange rate	0	0	0
Ending balance	3,506,689	3,336,344	3,193,342
Effect of changes in discount rate assumptions	(190,809)	(330,680)	646,980		$ 501,748
Ending balance	3,315,880	3,005,664	3,840,322
Net liability for future policy benefits at original discount rates	1,723,516	1,607,125	1,504,752
Effect of changes in discount rate assumptions	(119,377)	(196,453)	390,856
Other Adjustments	84	3,172	43
Net liability for future policy benefits—long duration health	1,604,223	1,413,844	1,895,651	$ 1,892,692
Reinsurance recoverable	(10,718)	(9,027)	(12,442)
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates	1,593,505	1,404,817	1,883,209
Family Heritage | Health | Gain Loss From Expereince
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	4,638	2,395	594
Family Heritage | Health | Gain *Loss) From Unlocking Assumptions
Liability for Future Policy Benefit, Remeasurement Gain (Loss) [Abstract]
Policyholder benefits net of remeasurement gain (losses)	$ 2,173	$ 6,283	$ 0