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Liability for Unpaid Claims - Schedule of Liability for Unpaid Health Claims (Details) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
Jun. 30, 2024
Dec. 31, 2023
Activity in the Liability for Unpaid Health Claims    
Beginning balance less reinsurance recoverable $ 514,875  
Paid related to:    
Beginning balance plus reinsurance recoverable 526,126 $ 514,875
Health claims    
Activity in the Liability for Unpaid Health Claims    
Beginning balance 192,652 182,202
Less reinsurance recoverables, beginning balance 2,157 2,084
Beginning balance less reinsurance recoverable 194,809 184,286
Incurred related to:    
Current year 368,295 697,521
Prior years (3,930) (4,853)
Total incurred 364,365 692,668
Paid related to:    
Current year 225,585 535,971
Prior years 128,535 146,247
Total paid 354,120 682,218
Ending balance 202,897 192,652
Plus reinsurance recoverables, ending balance 1,668 2,157
Beginning balance plus reinsurance recoverable $ 204,565 $ 194,809