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Policy Liabilities - Schedule of Liability for Future Policy Benefit, Activity (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Net liability for future policy benefits—long duration health $ 18,457,263 $ 19,460,353 $ 18,097,341  
Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 12,342,307 11,748,528 14,082,538  
Beginning balance 11,709,368 11,442,919 10,896,222  
Effect of changes in assumptions on future cash flows   (140,988) 64,032 $ 166,770
Effect of actual variances from expected experience   (598,487) (520,699) (416,472)
Adjusted balance   10,969,893 10,986,252 10,646,520
Issuances 1,434,986 1,468,072 1,561,444  
Interest accrual 591,875 564,929 522,072  
Net premiums collected (1,334,490) (1,314,975) (1,268,915)  
Effect of changes in the foreign exchange rate (23,344) 5,090 (18,202)  
Ending balance 11,638,920 11,709,368 11,442,919  
Effect of change from original to current discount rates 118,397 632,939 305,609  
Ending balance 11,757,317 12,342,307 11,748,528  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 27,723,158 25,749,961 33,664,308  
Beginning balance 24,563,696 23,564,337 22,374,930  
Effect of changes in assumptions on future cash flows   (198,467) 65,568 226,626
Effect of actual variances from expected experience   (658,110) (554,123) (418,233)
Adjusted balance   23,707,119 23,075,782 22,183,323
Issuances 1,430,276 1,468,086 1,561,463  
Interest accrual 1,356,378 1,290,305 1,209,182  
Benefit payments (1,344,045) (1,283,796) (1,345,368)  
Effect of changes in the foreign exchange rate (57,904) 13,319 (44,263)  
Ending balance 25,091,824 24,563,696 23,564,337  
Effect of changes in discount rate assumptions 1,242,460 3,159,462 2,185,624  
Ending balance 26,334,284 27,723,158 25,749,961  
Net liability for future policy benefits at original discount rates 13,452,904 12,854,328 12,121,418  
Effect of changes in discount rate assumptions 1,124,063 2,526,523 1,880,015  
Other Adjustments 173 9,438 12,714  
Net liability for future policy benefits—long duration health 14,577,140 15,390,289 14,014,147  
Reinsurance recoverable (43,488) (45,708) (42,430)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 14,533,652 15,344,581 13,971,717  
Policyholder benefits net of remeasurement gain (losses) 106,971 29,391 (47,426)  
Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 50,125 31,404 (272)  
Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 56,846 (2,013) (47,154)  
Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 6,089,728 5,207,422 6,418,018  
Beginning balance 6,069,295 5,366,305 5,328,427  
Effect of changes in assumptions on future cash flows   14,968 390,156 (223,591)
Effect of actual variances from expected experience   (149,243) (147,908) (138,275)
Adjusted balance   5,935,020 5,608,553 4,966,561
Issuances 874,615 757,532 701,048  
Interest accrual 281,648 238,966 213,461  
Net premiums collected (577,088) (536,179) (513,278)  
Effect of changes in the foreign exchange rate (2,132) 423 (1,487)  
Ending balance 6,512,063 6,069,295 5,366,305  
Effect of change from original to current discount rates (197,915) 20,433 (158,883)  
Ending balance 6,314,148 6,089,728 5,207,422  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 8,441,002 7,394,349 9,353,001  
Beginning balance 8,484,970 7,710,767 7,587,083  
Effect of changes in assumptions on future cash flows   30,877 381,310 (233,911)
Effect of actual variances from expected experience   (150,406) (154,411) (143,822)
Adjusted balance   8,365,441 7,937,666 7,209,350
Issuances 873,150 756,377 701,159  
Interest accrual 393,073 346,489 316,620  
Benefit payments (620,806) (556,440) (513,229)  
Effect of changes in the foreign exchange rate (4,128) 878 (3,133)  
Ending balance 9,006,730 8,484,970 7,710,767  
Effect of changes in discount rate assumptions (420,477) (43,968) (316,418)  
Ending balance 8,586,253 8,441,002 7,394,349  
Net liability for future policy benefits at original discount rates 2,494,667 2,415,675 2,344,462  
Effect of changes in discount rate assumptions (222,562) (64,401) (157,535)  
Other Adjustments 40,931 28,141 16,862  
Net liability for future policy benefits—long duration health 2,313,036 2,379,415 2,203,789  
Reinsurance recoverable (3,754) (15,322) (14,345)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,309,282 2,364,093 2,189,444  
Policyholder benefits net of remeasurement gain (losses) (3,231) 11,849 15,561  
Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 7,270 6,616 4,906  
Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) (10,501) 5,233 10,655  
American Income | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 4,681,888 4,273,156 4,925,192  
Beginning balance 4,523,329 4,246,723 3,906,098  
Effect of changes in assumptions on future cash flows   (82,348) 14,265 34,266
Effect of actual variances from expected experience   (229,772) (155,293) (121,230)
Adjusted balance   4,211,209 4,105,695 3,819,134
Issuances 798,952 733,702 760,857  
Interest accrual 220,959 200,363 176,102  
Net premiums collected (551,066) (521,521) (491,168)  
Effect of changes in the foreign exchange rate (23,344) 5,090 (18,202)  
Ending balance 4,656,710 4,523,329 4,246,723  
Effect of change from original to current discount rates (10,793) 158,559 26,433  
Ending balance 4,645,917 4,681,888 4,273,156  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 10,163,627 9,119,104 11,773,519  
Beginning balance 9,061,833 8,409,761 7,744,201  
Effect of changes in assumptions on future cash flows   (104,498) 13,344 48,534
Effect of actual variances from expected experience   (251,310) (164,900) (127,626)
Adjusted balance   8,706,025 8,258,205 7,665,109
Issuances 794,225 733,700 760,856  
Interest accrual 492,966 452,640 410,201  
Benefit payments (426,723) (396,031) (382,142)  
Effect of changes in the foreign exchange rate (57,904) 13,319 (44,263)  
Ending balance 9,508,589 9,061,833 8,409,761  
Effect of changes in discount rate assumptions 362,103 1,101,794 709,343  
Ending balance 9,870,692 10,163,627 9,119,104  
Net liability for future policy benefits at original discount rates 4,851,879 4,538,504 4,163,038  
Effect of changes in discount rate assumptions 372,896 943,235 682,910  
Other Adjustments 122 297 115  
Net liability for future policy benefits—long duration health 5,224,897 5,482,036 4,846,063  
Reinsurance recoverable (167) (141) (123)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 5,224,730 5,481,895 4,845,940  
American Income | Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 19,606 9,430 1,965  
American Income | Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 21,974 308 (8,707)  
American Income | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 206,381 190,296 222,553  
Beginning balance 201,869 192,631 178,801  
Effect of changes in assumptions on future cash flows   12,207 (6,061) (17,911)
Effect of actual variances from expected experience   (16,088) (11,152) 7,911
Adjusted balance   197,988 175,418 168,801
Issuances 44,350 39,825 39,003  
Interest accrual 9,787 8,528 7,399  
Net premiums collected (24,852) (22,325) (21,085)  
Effect of changes in the foreign exchange rate (2,132) 423 (1,487)  
Ending balance 225,141 201,869 192,631  
Effect of change from original to current discount rates (1,894) 4,512 (2,335)  
Ending balance 223,247 206,381 190,296  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 335,504 312,750 380,915  
Beginning balance 315,431 303,713 285,604  
Effect of changes in assumptions on future cash flows   20,293 (6,407) (21,559)
Effect of actual variances from expected experience   (18,601) (12,661) 10,402
Adjusted balance   317,123 284,645 274,447
Issuances 44,353 39,825 39,006  
Interest accrual 16,577 15,070 13,806  
Benefit payments (25,214) (24,987) (20,413)  
Effect of changes in the foreign exchange rate (4,128) 878 (3,133)  
Ending balance 348,711 315,431 303,713  
Effect of changes in discount rate assumptions 6,592 20,073 9,037  
Ending balance 355,303 335,504 312,750  
Net liability for future policy benefits at original discount rates 123,570 113,562 111,082  
Effect of changes in discount rate assumptions 8,486 15,561 11,372  
Other Adjustments 814 857 48  
Net liability for future policy benefits—long duration health 132,870 129,980 122,502  
Reinsurance recoverable 0 0 0  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 132,870 129,980 122,502  
American Income | Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 2,742 1,461 (2,545)  
American Income | Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) (8,036) 119 3,615  
Direct to Consumer | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 6,052,651 5,910,224 7,264,905  
Beginning balance 5,664,259 5,680,864 5,533,741  
Effect of changes in assumptions on future cash flows   (28,366) 36,170 79,571
Effect of actual variances from expected experience   (311,659) (306,004) (264,286)
Adjusted balance   5,324,234 5,411,030 5,349,026
Issuances 491,440 579,363 663,790  
Interest accrual 292,843 287,615 273,494  
Net premiums collected (603,605) (613,749) (605,446)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 5,504,912 5,664,259 5,680,864  
Effect of change from original to current discount rates 117,994 388,392 229,360  
Ending balance 5,622,906 6,052,651 5,910,224  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 9,714,516 9,225,451 11,859,408  
Beginning balance 8,656,752 8,477,892 8,157,259  
Effect of changes in assumptions on future cash flows   (50,106) 34,407 104,910
Effect of actual variances from expected experience   (335,087) (318,687) (259,285)
Adjusted balance   8,271,559 8,193,612 8,002,884
Issuances 491,437 579,365 663,786  
Interest accrual 474,451 458,587 433,611  
Benefit payments (576,499) (574,812) (622,389)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 8,660,948 8,656,752 8,477,892  
Effect of changes in discount rate assumptions 464,164 1,057,764 747,559  
Ending balance 9,125,112 9,714,516 9,225,451  
Net liability for future policy benefits at original discount rates 3,156,036 2,992,493 2,797,028  
Effect of changes in discount rate assumptions 346,170 669,372 518,199  
Other Adjustments 18 3,315 4,913  
Net liability for future policy benefits—long duration health 3,502,224 3,665,180 3,320,140  
Reinsurance recoverable 0 0 0  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,502,224 3,665,180 3,320,140  
Direct to Consumer | Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 21,681 12,201 (2,243)  
Direct to Consumer | Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 21,744 1,763 (25,334)  
Direct to Consumer | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 115,363 90,143 121,724  
Beginning balance 109,880 87,751 96,776  
Effect of changes in assumptions on future cash flows   4,449 16,553 (9,035)
Effect of actual variances from expected experience   (2,937) (2,850) (2,301)
Adjusted balance   111,392 101,454 85,440
Issuances 26,149 14,467 8,224  
Interest accrual 5,838 4,616 4,554  
Net premiums collected (11,460) (10,657) (10,467)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 131,919 109,880 87,751  
Effect of change from original to current discount rates 1,458 5,483 2,392  
Ending balance 133,377 115,363 90,143  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 109,482 87,532 119,888  
Beginning balance 104,501 85,212 95,628  
Effect of changes in assumptions on future cash flows   7,733 15,930 (8,270)
Effect of actual variances from expected experience   (2,420) (3,325) (2,621)
Adjusted balance   109,814 97,817 84,737
Issuances 26,116 14,446 8,202  
Interest accrual 5,837 4,616 4,553  
Benefit payments (13,792) (12,378) (12,280)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 127,975 104,501 85,212  
Effect of changes in discount rate assumptions 1,302 4,981 2,320  
Ending balance 129,277 109,482 87,532  
Net liability for future policy benefits at original discount rates (3,944) (5,379) (2,539)  
Effect of changes in discount rate assumptions (156) (502) (72)  
Other Adjustments 4,865 6,653 3,634  
Net liability for future policy benefits—long duration health 765 772 1,023  
Reinsurance recoverable 0 0 0  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 765 772 1,023  
Direct to Consumer | Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 22 23 148  
Direct to Consumer | Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) (373) 8 (80)  
Liberty National | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 1,129,716 1,094,407 1,332,469  
Beginning balance 1,077,831 1,066,123 1,040,242  
Effect of changes in assumptions on future cash flows   (29,292) 5,178 17,719
Effect of actual variances from expected experience   (42,620) (40,961) (20,027)
Adjusted balance   1,005,919 1,030,340 1,037,934
Issuances 120,683 127,048 104,982  
Interest accrual 55,198 54,147 51,326  
Net premiums collected (134,778) (133,704) (128,119)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 1,047,022 1,077,831 1,066,123  
Effect of change from original to current discount rates 1,425 51,885 28,284  
Ending balance 1,048,447 1,129,716 1,094,407  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,605,392 3,429,256 4,542,697  
Beginning balance 3,338,252 3,272,980 3,206,164  
Effect of changes in assumptions on future cash flows   (41,836) 6,156 33,457
Effect of actual variances from expected experience   (50,759) (46,341) (18,535)
Adjusted balance   3,245,657 3,232,795 3,221,086
Issuances 120,702 127,062 105,006  
Interest accrual 178,617 174,995 169,578  
Benefit payments (204,757) (196,600) (222,690)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 3,340,219 3,338,252 3,272,980  
Effect of changes in discount rate assumptions 37,298 267,140 156,276  
Ending balance 3,377,517 3,605,392 3,429,256  
Net liability for future policy benefits at original discount rates 2,293,197 2,260,421 2,206,857  
Effect of changes in discount rate assumptions 35,873 215,255 127,992  
Other Adjustments 0 5,764 7,638  
Net liability for future policy benefits—long duration health 2,329,070 2,481,440 2,342,487  
Reinsurance recoverable (7,953) (7,719) (7,477)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,321,117 2,473,721 2,335,010  
Liberty National | Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 3,966 5,013 (1,348)  
Liberty National | Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 12,224 (1,248) (7,872)  
Liberty National | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 358,472 423,490 517,368  
Beginning balance 348,570 415,442 414,409  
Effect of changes in assumptions on future cash flows   (3,463) (56,964) 19,846
Effect of actual variances from expected experience   (29,652) (36,850) (39,029)
Adjusted balance   315,455 321,628 395,226
Issuances 58,538 59,768 51,827  
Interest accrual 16,566 18,255 19,141  
Net premiums collected (52,284) (51,081) (50,752)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 338,275 348,570 415,442  
Effect of change from original to current discount rates (1,156) 9,902 8,048  
Ending balance 337,119 358,472 423,490  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 865,808 941,574 1,201,317  
Beginning balance 816,819 904,865 921,608  
Effect of changes in assumptions on future cash flows   (2,775) (60,437) 18,065
Effect of actual variances from expected experience   (30,258) (36,910) (40,597)
Adjusted balance   783,786 807,518 899,076
Issuances 57,862 59,158 52,257  
Interest accrual 42,809 45,614 47,719  
Benefit payments (93,317) (95,471) (94,187)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 791,140 816,819 904,865  
Effect of changes in discount rate assumptions 13,555 48,989 36,709  
Ending balance 804,695 865,808 941,574  
Net liability for future policy benefits at original discount rates 452,865 468,249 489,423  
Effect of changes in discount rate assumptions 14,711 39,087 28,661  
Other Adjustments 10,310 9,567 5,953  
Net liability for future policy benefits—long duration health 477,886 516,903 524,037  
Reinsurance recoverable (986) (1,317) (1,498)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 476,900 515,586 522,539  
Liberty National | Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 2,640 628 1,406  
Liberty National | Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) (234) 2,171 1,463  
Other premium | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 478,052 470,741 559,972  
Beginning balance 443,949 449,209 416,141  
Effect of changes in assumptions on future cash flows   (982) 8,419 35,214
Effect of actual variances from expected experience   (14,436) (18,441) (10,929)
Adjusted balance   428,531 439,187 440,426
Issuances 23,911 27,959 31,815  
Interest accrual 22,875 22,804 21,150  
Net premiums collected (45,041) (46,001) (44,182)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 430,276 443,949 449,209  
Effect of change from original to current discount rates 9,771 34,103 21,532  
Ending balance 440,047 478,052 470,741  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 4,239,623 3,976,150 5,488,684  
Beginning balance 3,506,859 3,403,704 3,267,306  
Effect of changes in assumptions on future cash flows   (2,027) 11,661 39,725
Effect of actual variances from expected experience   (20,954) (24,195) (12,787)
Adjusted balance   3,483,878 3,391,170 3,294,244
Issuances 23,912 27,959 31,815  
Interest accrual 210,344 204,083 195,792  
Benefit payments (136,066) (116,353) (118,147)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 3,582,068 3,506,859 3,403,704  
Effect of changes in discount rate assumptions 378,895 732,764 572,446  
Ending balance 3,960,963 4,239,623 3,976,150  
Net liability for future policy benefits at original discount rates 3,151,792 3,062,910 2,954,495  
Effect of changes in discount rate assumptions 369,124 698,661 550,914  
Other Adjustments 33 62 48  
Net liability for future policy benefits—long duration health 3,520,949 3,761,633 3,505,457  
Reinsurance recoverable (35,368) (37,848) (34,830)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,485,581 3,723,785 3,470,627  
Other premium | Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 4,872 4,760 1,354  
Other premium | Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 904 (2,836) (5,241)  
United American | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 3,697,771 2,908,501 3,611,659  
Beginning balance 3,625,803 2,941,262 2,949,851  
Effect of changes in assumptions on future cash flows   9,892 466,883 (195,560)
Effect of actual variances from expected experience   (43,846) (27,178) (37,437)
Adjusted balance   3,591,849 3,380,967 2,716,854
Issuances 480,412 377,097 360,942  
Interest accrual 174,269 139,824 122,064  
Net premiums collected (297,675) (272,085) (258,598)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 3,948,855 3,625,803 2,941,262  
Effect of change from original to current discount rates (63,325) 71,968 (32,761)  
Ending balance 3,885,530 3,697,771 2,908,501  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,814,328 3,046,829 3,810,559  
Beginning balance 3,741,530 3,080,633 3,090,901  
Effect of changes in assumptions on future cash flows   10,680 464,652 (194,936)
Effect of actual variances from expected experience   (35,532) (26,718) (40,316)
Adjusted balance   3,716,678 3,518,567 2,855,649
Issuances 479,653 376,573 360,642  
Interest accrual 180,235 147,082 129,842  
Benefit payments (349,706) (300,692) (265,500)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 4,026,860 3,741,530 3,080,633  
Effect of changes in discount rate assumptions (66,428) 72,798 (33,804)  
Ending balance 3,960,432 3,814,328 3,046,829  
Net liability for future policy benefits at original discount rates 78,005 115,727 139,371  
Effect of changes in discount rate assumptions (3,103) 830 (1,043)  
Other Adjustments 24,920 10,980 4,055  
Net liability for future policy benefits—long duration health 99,822 127,537 142,383  
Reinsurance recoverable (2,768) (3,287) (3,820)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 97,054 124,250 138,563  
United American | Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) (4,890) (134) 3,502  
United American | Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 1,205 762 (626)  
Family Heritage | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 1,711,741 1,594,992 1,944,714  
Beginning balance 1,783,173 1,729,219 1,688,590  
Effect of changes in assumptions on future cash flows   (8,117) (30,255) (20,931)
Effect of actual variances from expected experience   (56,720) (69,878) (67,419)
Adjusted balance   1,718,336 1,629,086 1,600,240
Issuances 265,166 266,375 241,052  
Interest accrual 75,188 67,743 60,303  
Net premiums collected (190,817) (180,031) (172,376)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 1,867,873 1,783,173 1,729,219  
Effect of change from original to current discount rates (132,998) (71,432) (134,227)  
Ending balance 1,734,875 1,711,741 1,594,992  
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,315,880 3,005,664 3,840,322  
Beginning balance 3,506,689 3,336,344 3,193,342  
Effect of changes in assumptions on future cash flows   (5,054) (32,428) (27,211)
Effect of actual variances from expected experience   (63,595) (74,797) (70,690)
Adjusted balance   3,438,040 3,229,119 $ 3,095,441
Issuances 265,166 266,375 241,052  
Interest accrual 147,615 134,107 120,700  
Benefit payments (138,777) (122,912) (120,849)  
Effect of changes in the foreign exchange rate 0 0 0  
Ending balance 3,712,044 3,506,689 3,336,344  
Effect of changes in discount rate assumptions (375,498) (190,809) (330,680)  
Ending balance 3,336,546 3,315,880 3,005,664  
Net liability for future policy benefits at original discount rates 1,844,171 1,723,516 1,607,125  
Effect of changes in discount rate assumptions (242,500) (119,377) (196,453)  
Other Adjustments 22 84 3,172  
Net liability for future policy benefits—long duration health 1,601,693 1,604,223 1,413,844  
Reinsurance recoverable 0 (10,718) (9,027)  
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 1,601,693 1,593,505 1,404,817  
Family Heritage | Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 6,756 4,638 2,395  
Family Heritage | Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) $ (3,063) $ 2,173 $ 6,283