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Policy Liabilities - Schedule of Liability for Future Policy Benefit, Activity (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Dec. 31, 2024
Dec. 31, 2023
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Net liability for future policy benefits—long duration health $ 18,756,844 $ 18,882,023 $ 18,457,263  
Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 11,757,317 12,342,307    
Beginning balance 11,638,918 11,709,368    
Effect of changes in assumptions on future cash flows     0 $ 0
Effect of actual variances from expected experience     (102,139) (96,776)
Adjusted balance     11,536,779 11,612,592
Issuances 348,404 393,173    
Interest accrual 147,819 146,846    
Net premiums collected (331,524) (333,619)    
Effect of changes in the foreign exchange rate 2,105 (8,927)    
Ending balance 11,703,583 11,810,065    
Effect of change from original to current discount rates 238,542 354,243    
Ending balance 11,942,125 12,164,308    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 26,334,284 27,723,158    
Beginning balance 25,091,823 24,563,696    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (111,920) (101,981)
Adjusted balance     24,979,903 24,461,715
Issuances 348,403 393,173    
Interest accrual 344,775 334,816    
Benefit payments (348,655) (356,105)    
Effect of changes in the foreign exchange rate 4,347 (20,637)    
Ending balance 25,328,773 24,812,962    
Effect of changes in discount rate assumptions 1,463,699 2,248,980    
Ending balance 26,792,472 27,061,942    
Net liability for future policy benefits at original discount rates 13,625,190 13,002,897    
Effect of changes in discount rate assumptions 1,225,157 1,894,737    
Other Adjustments 507 9,339    
Net liability for future policy benefits—long duration health 14,850,854 14,906,973    
Reinsurance recoverable (8,122) (44,521)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 14,842,732 14,862,452    
Policyholder benefits net of remeasurement gain (losses) 8,525 4,856    
Life | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 8,525 4,856    
Life | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 0 0    
Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 6,314,148 6,089,728    
Beginning balance 6,512,064 6,069,295    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (59,132) (74,899)
Adjusted balance     6,452,932 5,994,396
Issuances 212,145 196,727    
Interest accrual 74,924 67,803    
Net premiums collected (152,203) (137,946)    
Effect of changes in the foreign exchange rate 222 (862)    
Ending balance 6,588,020 6,120,118    
Effect of change from original to current discount rates (118,389) (109,582)    
Ending balance 6,469,631 6,010,536    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 8,586,253 8,441,002    
Beginning balance 9,006,731 8,484,970    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (59,201) (78,518)
Adjusted balance     8,947,530 8,406,452
Issuances 211,709 196,335    
Interest accrual 103,346 95,245    
Benefit payments (172,883) (148,484)    
Effect of changes in the foreign exchange rate 352 (1,548)    
Ending balance 9,090,054 8,548,000    
Effect of changes in discount rate assumptions (312,587) (249,298)    
Ending balance 8,777,467 8,298,702    
Net liability for future policy benefits at original discount rates 2,502,034 2,427,882    
Effect of changes in discount rate assumptions (194,198) (139,716)    
Other Adjustments 53,522 33,734    
Net liability for future policy benefits—long duration health 2,361,358 2,321,900    
Reinsurance recoverable (3,499) (14,897)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,357,859 2,307,003    
Policyholder benefits net of remeasurement gain (losses) 444 3,208    
Health | Gain Loss From Expereince        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 444 3,208    
Health | Gain (Loss) From Unlocking Assumptions        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Policyholder benefits net of remeasurement gain (losses) 0 0    
American Income | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 4,645,917 4,681,888    
Beginning balance 4,656,710 4,523,329    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (51,617) (48,248)
Adjusted balance     4,605,093 4,475,081
Issuances 195,634 211,847    
Interest accrual 56,466 53,823    
Net premiums collected (139,565) (135,686)    
Effect of changes in the foreign exchange rate 2,105 (8,927)    
Ending balance 4,719,733 4,596,138    
Effect of change from original to current discount rates 37,311 56,533    
Ending balance 4,757,044 4,652,671    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 9,870,692 10,163,627    
Beginning balance 9,508,588 9,061,833    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (55,814) (52,221)
Adjusted balance     9,452,774 9,009,612
Issuances 195,633 211,847    
Interest accrual 127,459 120,201    
Benefit payments (109,126) (104,758)    
Effect of changes in the foreign exchange rate 4,347 (20,637)    
Ending balance 9,671,087 9,216,265    
Effect of changes in discount rate assumptions 441,809 741,828    
Ending balance 10,112,896 9,958,093    
Net liability for future policy benefits at original discount rates 4,951,354 4,620,127    
Effect of changes in discount rate assumptions 404,498 685,295    
Other Adjustments 224 287    
Net liability for future policy benefits—long duration health 5,356,076 5,305,709    
Reinsurance recoverable (186) (170)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 5,355,890 5,305,539    
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) 4,179 3,972    
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) 0 0    
American Income | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 223,247 206,381    
Beginning balance 225,141 201,869    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (4,881) (3,550)
Adjusted balance     220,260 198,319
Issuances 10,441 9,949    
Interest accrual 2,643 2,283    
Net premiums collected (6,714) (5,839)    
Effect of changes in the foreign exchange rate 222 (862)    
Ending balance 226,852 203,850    
Effect of change from original to current discount rates 421 (55)    
Ending balance 227,273 203,795    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 355,303 335,504    
Beginning balance 348,711 315,431    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (6,195) (4,002)
Adjusted balance     342,516 311,429
Issuances 10,441 9,949    
Interest accrual 4,456 3,937    
Benefit payments (5,320) (6,402)    
Effect of changes in the foreign exchange rate 352 (1,548)    
Ending balance 352,445 317,365    
Effect of changes in discount rate assumptions 10,095 11,418    
Ending balance 362,540 328,783    
Net liability for future policy benefits at original discount rates 125,593 113,515    
Effect of changes in discount rate assumptions 9,674 11,473    
Other Adjustments 699 749    
Net liability for future policy benefits—long duration health 135,966 125,737    
Reinsurance recoverable 0 0    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 135,966 125,737    
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) 1,249 430    
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) 0 0    
Direct to Consumer | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 5,622,906 6,052,651    
Beginning balance 5,504,912 5,664,259    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (38,917) (36,229)
Adjusted balance     5,465,995 5,628,030
Issuances 121,780 149,231    
Interest accrual 72,207 73,420    
Net premiums collected (147,711) (152,631)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 5,512,271 5,698,050    
Effect of change from original to current discount rates 173,844 247,209    
Ending balance 5,686,115 5,945,259    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 9,125,112 9,714,516    
Beginning balance 8,660,948 8,656,752    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (41,948) (36,444)
Adjusted balance     8,619,000 8,620,308
Issuances 121,779 149,231    
Interest accrual 119,194 117,925    
Benefit payments (150,039) (159,061)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 8,709,934 8,728,403    
Effect of changes in discount rate assumptions 543,806 771,812    
Ending balance 9,253,740 9,500,215    
Net liability for future policy benefits at original discount rates 3,197,663 3,030,353    
Effect of changes in discount rate assumptions 369,962 524,603    
Other Adjustments 208 3,549    
Net liability for future policy benefits—long duration health 3,567,833 3,558,505    
Reinsurance recoverable 0 0    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,567,833 3,558,505    
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) 2,980 166    
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) 0 0    
Direct to Consumer | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 133,377 115,363    
Beginning balance 131,919 109,880    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (1,415) (2,316)
Adjusted balance     130,504 107,564
Issuances 6,662 4,609    
Interest accrual 1,681 1,368    
Net premiums collected (3,435) (2,678)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 135,412 110,863    
Effect of change from original to current discount rates 2,971 3,016    
Ending balance 138,383 113,879    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 129,277 109,482    
Beginning balance 127,975 104,501    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (1,191) (2,321)
Adjusted balance     126,784 102,180
Issuances 6,630 4,598    
Interest accrual 1,681 1,368    
Benefit payments (4,273) (3,096)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 130,822 105,050    
Effect of changes in discount rate assumptions 2,741 2,725    
Ending balance 133,563 107,775    
Net liability for future policy benefits at original discount rates (4,590) (5,813)    
Effect of changes in discount rate assumptions (230) (291)    
Other Adjustments 5,575 6,838    
Net liability for future policy benefits—long duration health 755 734    
Reinsurance recoverable 0 0    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 755 734    
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) (4) 20    
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) 0 0    
Liberty National | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 1,048,447 1,129,716    
Beginning balance 1,047,020 1,077,831    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (7,916) (10,448)
Adjusted balance     1,039,104 1,067,383
Issuances 25,780 26,164    
Interest accrual 13,521 13,839    
Net premiums collected (33,262) (33,901)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 1,045,143 1,073,485    
Effect of change from original to current discount rates 13,553 28,724    
Ending balance 1,058,696 1,102,209    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,377,517 3,605,392    
Beginning balance 3,340,219 3,338,252    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (8,711) (10,449)
Adjusted balance     3,331,508 3,327,803
Issuances 25,780 26,164    
Interest accrual 44,736 44,554    
Benefit payments (54,594) (58,109)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 3,347,430 3,340,412    
Effect of changes in discount rate assumptions 68,427 159,330    
Ending balance 3,415,857 3,499,742    
Net liability for future policy benefits at original discount rates 2,302,287 2,266,927    
Effect of changes in discount rate assumptions 54,874 130,606    
Other Adjustments 0 5,418    
Net liability for future policy benefits—long duration health 2,357,161 2,402,951    
Reinsurance recoverable (7,922) (7,787)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,349,239 2,395,164    
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) 182 112    
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) 0 0    
Liberty National | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 337,119 358,472    
Beginning balance 338,275 348,570    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (10,720) (11,410)
Adjusted balance     327,555 337,160
Issuances 12,657 13,558    
Interest accrual 4,090 4,227    
Net premiums collected (13,120) (12,780)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 331,182 342,165    
Effect of change from original to current discount rates 1,749 3,276    
Ending balance 332,931 345,441    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 804,695 865,808    
Beginning balance 791,141 816,819    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (11,005) (12,821)
Adjusted balance     780,136 803,998
Issuances 12,478 13,349    
Interest accrual 10,470 10,833    
Benefit payments (24,422) (23,864)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 778,662 804,316    
Effect of changes in discount rate assumptions 20,778 29,690    
Ending balance 799,440 834,006    
Net liability for future policy benefits at original discount rates 447,480 462,151    
Effect of changes in discount rate assumptions 19,029 26,414    
Other Adjustments 11,363 11,254    
Net liability for future policy benefits—long duration health 477,872 499,819    
Reinsurance recoverable (988) (1,224)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 476,884 498,595    
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) 1,183 1,211    
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) 0 0    
Other premium | Life        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 440,047 478,052    
Beginning balance 430,276 443,949    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (3,689) (1,851)
Adjusted balance     426,587 442,098
Issuances 5,210 5,931    
Interest accrual 5,625 5,764    
Net premiums collected (10,986) (11,401)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 426,436 442,392    
Effect of change from original to current discount rates 13,834 21,777    
Ending balance 440,270 464,169    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,960,963 4,239,623    
Beginning balance 3,582,068 3,506,859    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (5,447) (2,867)
Adjusted balance     3,576,621 3,503,992
Issuances 5,211 5,931    
Interest accrual 53,386 52,136    
Benefit payments (34,896) (34,177)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 3,600,322 3,527,882    
Effect of changes in discount rate assumptions 409,657 576,010    
Ending balance 4,009,979 4,103,892    
Net liability for future policy benefits at original discount rates 3,173,886 3,085,490    
Effect of changes in discount rate assumptions 395,823 554,233    
Other Adjustments 75 85    
Net liability for future policy benefits—long duration health 3,569,784 3,639,808    
Reinsurance recoverable (14) (36,564)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,569,770 3,603,244    
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) 1,184 606    
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) 0 0    
United American | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 3,885,530 3,697,771    
Beginning balance 3,948,856 3,625,803    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (28,215) (40,531)
Adjusted balance     3,920,641 3,585,272
Issuances 117,625 104,603    
Interest accrual 46,870 41,822    
Net premiums collected (79,516) (70,249)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 4,005,620 3,661,448    
Effect of change from original to current discount rates (11,927) (8,053)    
Ending balance 3,993,693 3,653,395    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,960,432 3,814,328    
Beginning balance 4,026,860 3,741,530    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (25,054) (40,325)
Adjusted balance     4,001,806 3,701,205
Issuances 117,400 104,431    
Interest accrual 47,983 43,444    
Benefit payments (100,534) (82,085)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 4,066,655 3,766,995    
Effect of changes in discount rate assumptions (15,333) (10,461)    
Ending balance 4,051,322 3,756,534    
Net liability for future policy benefits at original discount rates 61,035 105,547    
Effect of changes in discount rate assumptions (3,406) (2,408)    
Other Adjustments 34,570 14,449    
Net liability for future policy benefits—long duration health 92,199 117,588    
Reinsurance recoverable (2,511) (3,096)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 89,688 114,492    
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) (3,820) (336)    
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) 0 0    
Family Heritage | Health        
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]        
Beginning balance 1,734,875 1,711,741    
Beginning balance 1,867,873 1,783,173    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (13,901) (17,092)
Adjusted balance     1,853,972 1,766,081
Issuances 64,760 64,008    
Interest accrual 19,640 18,103    
Net premiums collected (49,418) (46,400)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 1,888,954 1,801,792    
Effect of change from original to current discount rates (111,603) (107,766)    
Ending balance 1,777,351 1,694,026    
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]        
Beginning balance 3,336,546 3,315,880    
Beginning balance 3,712,044 3,506,689    
Effect of changes in assumptions on future cash flows     0 0
Effect of actual variances from expected experience     (15,756) (19,049)
Adjusted balance     $ 3,696,288 $ 3,487,640
Issuances 64,760 64,008    
Interest accrual 38,756 35,663    
Benefit payments (38,334) (33,037)    
Effect of changes in the foreign exchange rate 0 0    
Ending balance 3,761,470 3,554,274    
Effect of changes in discount rate assumptions (330,868) (282,670)    
Ending balance 3,430,602 3,271,604    
Net liability for future policy benefits at original discount rates 1,872,516 1,752,482    
Effect of changes in discount rate assumptions (219,265) (174,904)    
Other Adjustments 1,315 444    
Net liability for future policy benefits—long duration health 1,654,566 1,578,022    
Reinsurance recoverable 0 (10,577)    
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 1,654,566 1,567,445    
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) 1,836 1,883    
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) $ 0 $ 0