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Policy Liabilities - Schedule of Liability for Future Policy Benefit, Activity (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Jun. 30, 2025
Dec. 31, 2024
Jun. 30, 2024
Dec. 31, 2023
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Net liability for future policy benefits—long duration health $ 19,301,965 $ 19,814,913 $ 19,301,965 $ 19,814,913   $ 18,457,263    
Life                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 12,000,397 11,981,537 11,757,317 12,342,307        
Beginning balance 11,740,869 11,836,592 11,638,918 11,709,368        
Effect of changes in assumptions on future cash flows         $ (283,548) (283,548) $ (140,988) $ (140,988)
Effect of actual variances from expected experience         (159,952) (407,992) (176,655) (437,915)
Adjusted balance         11,297,369 10,947,378 11,518,949 11,130,465
Issuances 335,543 351,088 1,039,359 1,123,204        
Interest accrual 145,488 148,429 441,929 444,225        
Net premiums collected (329,734) (333,783) (994,630) (1,003,989)        
Effect of changes in the foreign exchange rate (4,281) 5,121 10,349 (4,101)        
Ending balance 11,444,385 11,689,804 11,444,385 11,689,804        
Effect of change from original to current discount rates 411,739 716,466 411,739 716,466        
Ending balance 11,856,124 12,406,270 11,856,124 12,406,270        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 26,942,502 26,507,907 26,334,284 27,723,158        
Beginning balance 25,548,394 25,004,280 25,091,823 24,563,696        
Effect of changes in assumptions on future cash flows         (416,596) (416,596) (198,467) (198,467)
Effect of actual variances from expected experience         (184,296) (461,359) (195,035) (476,505)
Adjusted balance         24,947,502 24,213,868 24,610,778 23,888,724
Issuances 335,539 346,356 1,039,356 1,118,479        
Interest accrual 345,860 340,671 1,038,300 1,014,591        
Benefit payments (331,916) (327,139) (1,029,272) (1,029,527)        
Effect of changes in the foreign exchange rate (10,333) 12,833 24,400 (8,768)        
Ending balance 25,286,652 24,983,499 25,286,652 24,983,499        
Effect of change from original to current discount rates 1,904,283 3,166,868 1,904,283 3,166,868        
Ending balance 27,190,935 28,150,367 27,190,935 28,150,367        
Net liability for future policy benefits at original discount rates 13,842,267 13,293,695 13,842,267 13,293,695        
Effect of changes in discount rate assumptions 1,492,544 2,450,402 1,492,544 2,450,402        
Other Adjustments 176 187 176 187        
Net liability for future policy benefits—long duration health 15,334,987 15,744,284 15,334,987 15,744,284        
Reinsurance recoverable (8,239) (46,561) (8,239) (46,561)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 15,326,748 15,697,723 15,326,748 15,697,723        
Policyholder benefits net of remeasurement gains (losses) 149,475 70,575 174,745 87,825        
Life | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 18,549 13,729 43,819 30,979        
Life | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 130,926 56,846 130,926 56,846        
Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 6,627,718 6,007,794 6,314,148 6,089,728        
Beginning balance 6,719,593 6,204,884 6,512,064 6,069,295        
Effect of changes in assumptions on future cash flows         591,932 591,932 14,968 14,968
Effect of actual variances from expected experience         6,084 (51,576) (2,314) (101,362)
Adjusted balance         7,317,609 7,052,420 6,217,538 5,982,901
Issuances 256,708 196,796 680,054 577,105        
Interest accrual 81,753 70,976 233,287 208,072        
Net premiums collected (161,081) (145,918) (472,046) (427,847)        
Effect of changes in the foreign exchange rate (283) 462 991 (377)        
Ending balance 7,494,706 6,339,854 7,494,706 6,339,854        
Effect of change from original to current discount rates 23,640 112,701 23,640 112,701        
Ending balance 7,518,346 6,452,555 7,518,346 6,452,555        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 8,945,489 8,260,784 8,586,253 8,441,002        
Beginning balance 9,232,867 8,657,990 9,006,731 8,484,970        
Effect of changes in assumptions on future cash flows         582,283 582,283 30,877 30,877
Effect of actual variances from expected experience         (350) (65,433) (498) (104,110)
Adjusted balance         9,814,800 9,523,581 8,688,369 8,411,737
Issuances 256,309 196,456 678,469 575,776        
Interest accrual 110,437 98,966 318,926 291,189        
Benefit payments (168,105) (157,362) (509,966) (450,717)        
Effect of changes in the foreign exchange rate (609) 910 1,822 (646)        
Ending balance 10,012,832 8,827,339 10,012,832 8,827,339        
Effect of change from original to current discount rates (108,418) 70,783 (108,418) 70,783        
Ending balance 9,904,414 8,898,122 9,904,414 8,898,122        
Net liability for future policy benefits at original discount rates 2,518,126 2,487,485 2,518,126 2,487,485        
Effect of changes in discount rate assumptions (132,058) (41,918) (132,058) (41,918)        
Other Adjustments 77,961 32,268 77,961 32,268        
Net liability for future policy benefits—long duration health 2,464,029 2,477,835 2,464,029 2,477,835        
Reinsurance recoverable (2,999) (15,577) (2,999) (15,577)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,461,030 2,462,258 2,461,030 2,462,258        
Policyholder benefits net of remeasurement gains (losses) 8,840 (9,550) 13,162 (3,094)        
Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 5,483 951 9,805 7,407        
Health | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 3,357 (10,501) 3,357 (10,501)        
American Income | Life                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 4,818,081 4,635,903 4,645,917 4,681,888        
Beginning balance 4,771,460 4,648,111 4,656,710 4,523,329        
Effect of changes in assumptions on future cash flows         (136,473) (136,473) (82,348) (82,348)
Effect of actual variances from expected experience         (53,404) (166,114) (59,483) (173,180)
Adjusted balance         4,581,583 4,354,123 4,506,280 4,267,801
Issuances 174,415 203,828 554,627 616,527        
Interest accrual 55,825 55,750 169,466 164,917        
Net premiums collected (140,680) (138,552) (421,703) (412,717)        
Effect of changes in the foreign exchange rate (4,281) 5,121 10,349 (4,101)        
Ending balance 4,666,862 4,632,427 4,666,862 4,632,427        
Effect of change from original to current discount rates 106,621 204,567 106,621 204,567        
Ending balance 4,773,483 4,836,994 4,773,483 4,836,994        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 10,234,154 9,811,407 9,870,692 10,163,627        
Beginning balance 9,829,535 9,353,526 9,508,588 9,061,833        
Effect of changes in assumptions on future cash flows         (189,172) (189,172) (104,498) (104,498)
Effect of actual variances from expected experience         (60,805) (184,713) (65,766) (187,711)
Adjusted balance         9,579,558 9,134,703 9,183,262 8,769,624
Issuances 174,414 199,097 554,627 611,802        
Interest accrual 128,559 124,308 385,316 367,403        
Benefit payments (113,819) (105,757) (340,667) (326,318)        
Effect of changes in the foreign exchange rate (10,333) 12,833 24,400 (8,768)        
Ending balance 9,758,379 9,413,743 9,758,379 9,413,743        
Effect of change from original to current discount rates 607,423 1,091,042 607,423 1,091,042        
Ending balance 10,365,802 10,504,785 10,365,802 10,504,785        
Net liability for future policy benefits at original discount rates 5,091,517 4,781,316 5,091,517 4,781,316        
Effect of changes in discount rate assumptions 500,802 886,475 500,802 886,475        
Other Adjustments 146 150 146 150        
Net liability for future policy benefits—long duration health 5,592,465 5,667,941 5,592,465 5,667,941        
Reinsurance recoverable (176) (170) (176) (170)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 5,592,289 5,667,771 5,592,289 5,667,771        
American Income | Life | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 6,322 4,771 17,173 12,619        
American Income | Life | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 52,731 21,974 52,731 21,974        
American Income | Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 229,830 205,889 223,247 206,381        
Beginning balance 229,169 208,867 225,141 201,869        
Effect of changes in assumptions on future cash flows         12,588 12,588 12,207 12,207
Effect of actual variances from expected experience         (3,613) (13,357) (4,110) (11,168)
Adjusted balance         238,144 224,372 216,964 202,908
Issuances 9,774 11,997 30,425 34,121        
Interest accrual 2,766 2,493 8,071 7,135        
Net premiums collected (6,904) (6,300) (20,362) (18,171)        
Effect of changes in the foreign exchange rate (283) 462 991 (377)        
Ending balance 243,497 225,616 243,497 225,616        
Effect of change from original to current discount rates 4,731 8,173 4,731 8,173        
Ending balance 248,228 233,789 248,228 233,789        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 367,366 328,436 355,303 335,504        
Beginning balance 357,412 322,706 348,711 315,431        
Effect of changes in assumptions on future cash flows         16,611 16,611 20,293 20,293
Effect of actual variances from expected experience         (4,492) (16,697) (4,432) (12,611)
Adjusted balance         369,531 348,625 338,567 323,113
Issuances 9,773 11,997 30,423 34,123        
Interest accrual 4,656 4,189 13,607 12,145        
Benefit payments (6,584) (6,502) (17,710) (19,574)        
Effect of changes in the foreign exchange rate (609) 910 1,822 (646)        
Ending balance 376,767 349,161 376,767 349,161        
Effect of change from original to current discount rates 16,990 24,383 16,990 24,383        
Ending balance 393,757 373,544 393,757 373,544        
Net liability for future policy benefits at original discount rates 133,270 123,545 133,270 123,545        
Effect of changes in discount rate assumptions 12,259 16,210 12,259 16,210        
Other Adjustments 848 926 848 926        
Net liability for future policy benefits—long duration health 146,377 140,681 146,377 140,681        
Reinsurance recoverable 0 0 0 0        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 146,377 140,681 146,377 140,681        
American Income | Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 962 729 3,300 1,769        
American Income | Health | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) (4,094) (8,036) (4,094) (8,036)        
Direct to Consumer | Life                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 5,682,370 5,810,518 5,622,906 6,052,651        
Beginning balance 5,498,605 5,670,288 5,504,912 5,664,259        
Effect of changes in assumptions on future cash flows         (89,711) (89,711) (28,366) (28,366)
Effect of actual variances from expected experience         (90,898) (203,565) (103,089) (226,062)
Adjusted balance         5,317,996 5,211,636 5,538,833 5,409,831
Issuances 127,328 110,993 384,426 398,034        
Interest accrual 71,053 73,134 215,586 220,485        
Net premiums collected (145,437) (150,235) (440,708) (455,625)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 5,370,940 5,572,725 5,370,940 5,572,725        
Effect of change from original to current discount rates 259,166 421,888 259,166 421,888        
Ending balance 5,630,106 5,994,613 5,630,106 5,994,613        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 9,278,145 9,289,834 9,125,112 9,714,516        
Beginning balance 8,742,750 8,748,900 8,660,948 8,656,752        
Effect of changes in assumptions on future cash flows         (129,189) (129,189) (50,106) (50,106)
Effect of actual variances from expected experience         (100,922) (223,416) (111,255) (241,231)
Adjusted balance         8,512,639 8,308,343 8,587,539 8,365,415
Issuances 127,326 110,991 384,425 398,032        
Interest accrual 119,076 118,873 358,173 355,850        
Benefit payments (136,949) (138,098) (428,849) (439,992)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 8,622,092 8,679,305 8,622,092 8,679,305        
Effect of change from original to current discount rates 695,305 1,082,717 695,305 1,082,717        
Ending balance 9,317,397 9,762,022 9,317,397 9,762,022        
Net liability for future policy benefits at original discount rates 3,251,152 3,106,580 3,251,152 3,106,580        
Effect of changes in discount rate assumptions 436,139 660,829 436,139 660,829        
Other Adjustments 0 0 0 0        
Net liability for future policy benefits—long duration health 3,687,291 3,767,409 3,687,291 3,767,409        
Reinsurance recoverable 0 0 0 0        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,687,291 3,767,409 3,687,291 3,767,409        
Direct to Consumer | Life | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 8,200 6,913 17,789 13,640        
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 gains (losses) 39,480 21,744 39,480 21,744        
Direct to Consumer | Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 143,068 114,876 133,377 115,363        
Beginning balance 139,486 113,247 131,919 109,880        
Effect of changes in assumptions on future cash flows         25,985 25,985 4,449 4,449
Effect of actual variances from expected experience         917 618 644 (1,818)
Adjusted balance         166,388 158,522 118,340 112,511
Issuances 7,549 3,823 18,983 12,325        
Interest accrual 1,904 1,460 5,307 4,221        
Net premiums collected (3,471) (2,904) (10,442) (8,338)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 172,370 120,719 172,370 120,719        
Effect of change from original to current discount rates 6,388 7,153 6,388 7,153        
Ending balance 178,758 127,872 178,758 127,872        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 137,532 108,617 129,277 109,482        
Beginning balance 134,276 107,143 127,975 104,501        
Effect of changes in assumptions on future cash flows         22,160 22,160 7,733 7,733
Effect of actual variances from expected experience         796 672 817 (1,509)
Adjusted balance         157,232 150,807 115,693 110,725
Issuances 7,540 3,811 18,932 12,296        
Interest accrual 1,904 1,460 5,307 4,220        
Benefit payments (3,846) (3,378) (12,216) (9,655)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 162,830 117,586 162,830 117,586        
Effect of change from original to current discount rates 5,871 6,871 5,871 6,871        
Ending balance 168,701 124,457 168,701 124,457        
Net liability for future policy benefits at original discount rates (9,540) (3,133) (9,540) (3,133)        
Effect of changes in discount rate assumptions (517) (282) (517) (282)        
Other Adjustments 10,753 4,326 10,753 4,326        
Net liability for future policy benefits—long duration health 696 911 696 911        
Reinsurance recoverable 0 0 0 0        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 696 911 696 911        
Direct to Consumer | Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 25 28 53 74        
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 gains (losses) 19 (373) 19 (373)        
Liberty National | Life                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 1,063,162 1,085,233 1,048,447 1,129,716        
Beginning balance 1,047,994 1,080,642 1,047,020 1,077,831        
Effect of changes in assumptions on future cash flows         (52,204) (52,204) (29,292) (29,292)
Effect of actual variances from expected experience         (10,330) (24,106) (12,113) (29,381)
Adjusted balance         985,460 970,710 1,039,237 1,019,158
Issuances 27,325 30,298 81,718 90,517        
Interest accrual 13,138 13,836 40,194 41,610        
Net premiums collected (32,866) (33,773) (99,565) (101,687)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 993,057 1,049,598 993,057 1,049,598        
Effect of change from original to current discount rates 26,011 54,498 26,011 54,498        
Ending balance 1,019,068 1,104,096 1,019,068 1,104,096        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 3,421,818 3,424,768 3,377,517 3,605,392        
Beginning balance 3,358,803 3,356,531 3,340,219 3,338,252        
Effect of changes in assumptions on future cash flows         (89,154) (89,154) (41,836) (41,836)
Effect of actual variances from expected experience         (14,354) (32,071) (15,385) (34,722)
Adjusted balance         3,255,295 3,218,994 3,299,310 3,261,694
Issuances 27,324 30,298 81,716 90,518        
Interest accrual 44,398 44,743 133,963 134,020        
Benefit payments (46,184) (47,338) (153,840) (159,219)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 3,280,833 3,327,013 3,280,833 3,327,013        
Effect of change from original to current discount rates 121,891 275,358 121,891 275,358        
Ending balance 3,402,724 3,602,371 3,402,724 3,602,371        
Net liability for future policy benefits at original discount rates 2,287,776 2,277,415 2,287,776 2,277,415        
Effect of changes in discount rate assumptions 95,880 220,860 95,880 220,860        
Other Adjustments 0 0 0 0        
Net liability for future policy benefits—long duration health 2,383,656 2,498,275 2,383,656 2,498,275        
Reinsurance recoverable (8,049) (7,885) (8,049) (7,885)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 2,375,607 2,490,390 2,375,607 2,490,390        
Liberty National | Life | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 1,854 1,537 3,468 2,187        
Liberty National | Life | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 35,068 12,224 35,068 12,224        
Liberty National | Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 331,851 337,741 337,119 358,472        
Beginning balance 329,179 338,934 338,275 348,570        
Effect of changes in assumptions on future cash flows         29 29 (3,463) (3,463)
Effect of actual variances from expected experience         (2,893) (20,200) (4,959) (26,123)
Adjusted balance         326,315 318,104 330,512 318,984
Issuances 14,888 14,352 41,777 43,367        
Interest accrual 3,907 4,104 11,959 12,450        
Net premiums collected (13,545) (13,390) (40,275) (39,223)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 331,565 335,578 331,565 335,578        
Effect of change from original to current discount rates 6,332 11,529 6,332 11,529        
Ending balance 337,897 347,107 337,897 347,107        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 795,244 815,778 804,695 865,808        
Beginning balance 772,935 799,316 791,141 816,819        
Effect of changes in assumptions on future cash flows         210 210 (2,775) (2,775)
Effect of actual variances from expected experience         (3,885) (19,140) (4,998) (26,421)
Adjusted balance         769,260 772,211 791,543 787,623
Issuances 14,728 14,177 41,259 42,780        
Interest accrual 10,197 10,653 30,993 32,202        
Benefit payments (23,641) (23,417) (73,919) (69,649)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 770,544 792,956 770,544 792,956        
Effect of change from original to current discount rates 32,570 52,819 32,570 52,819        
Ending balance 803,114 845,775 803,114 845,775        
Net liability for future policy benefits at original discount rates 438,979 457,378 438,979 457,378        
Effect of changes in discount rate assumptions 26,238 41,290 26,238 41,290        
Other Adjustments 12,362 9,964 12,362 9,964        
Net liability for future policy benefits—long duration health 477,579 508,632 477,579 508,632        
Reinsurance recoverable (711) (1,096) (711) (1,096)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 476,868 507,536 476,868 507,536        
Liberty National | Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 1,171 874 1,533 2,015        
Liberty National | Health | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) (339) (234) (339) (234)        
Other premium | Life                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 436,784 449,883 440,047 478,052        
Beginning balance 422,810 437,551 430,276 443,949        
Effect of changes in assumptions on future cash flows         (5,160) (5,160) (982) (982)
Effect of actual variances from expected experience         (5,320) (14,207) (1,970) (9,292)
Adjusted balance         412,330 410,909 434,599 433,675
Issuances 6,475 5,969 18,588 18,126        
Interest accrual 5,472 5,709 16,683 17,213        
Net premiums collected (10,751) (11,223) (32,654) (33,960)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 413,526 435,054 413,526 435,054        
Effect of change from original to current discount rates 19,941 35,513 19,941 35,513        
Ending balance 433,467 470,567 433,467 470,567        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 4,008,385 3,981,898 3,960,963 4,239,623        
Beginning balance 3,617,306 3,545,323 3,582,068 3,506,859        
Effect of changes in assumptions on future cash flows         (9,081) (9,081) (2,027) (2,027)
Effect of actual variances from expected experience         (8,215) (21,159) (2,629) (12,841)
Adjusted balance         3,600,010 3,551,828 3,540,667 3,491,991
Issuances 6,475 5,970 18,588 18,127        
Interest accrual 53,827 52,747 160,848 157,318        
Benefit payments (34,964) (35,946) (105,916) (103,998)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 3,625,348 3,563,438 3,625,348 3,563,438        
Effect of change from original to current discount rates 479,664 717,751 479,664 717,751        
Ending balance 4,105,012 4,281,189 4,105,012 4,281,189        
Net liability for future policy benefits at original discount rates 3,211,822 3,128,384 3,211,822 3,128,384        
Effect of changes in discount rate assumptions 459,723 682,238 459,723 682,238        
Other Adjustments 30 37 30 37        
Net liability for future policy benefits—long duration health 3,671,575 3,810,659 3,671,575 3,810,659        
Reinsurance recoverable (14) (38,506) (14) (38,506)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 3,671,561 3,772,153 3,671,561 3,772,153        
Other premium | Life | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 2,173 508 5,389 2,533        
Other premium | Life | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 3,647 904 3,647 904        
United American | Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 4,112,123 3,658,491 3,885,530 3,697,771        
Beginning balance 4,106,142 3,720,108 3,948,856 3,625,803        
Effect of changes in assumptions on future cash flows         625,460 625,460 9,892 9,892
Effect of actual variances from expected experience         25,322 22,236 18,179 (18,894)
Adjusted balance         4,756,924 4,596,552 3,748,179 3,616,801
Issuances 149,755 95,279 378,649 287,072        
Interest accrual 53,507 43,903 148,586 128,533        
Net premiums collected (85,781) (75,335) (249,382) (220,380)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 4,874,405 3,812,026 4,874,405 3,812,026        
Effect of change from original to current discount rates 72,577 130,218 72,577 130,218        
Ending balance 4,946,982 3,942,244 4,946,982 3,942,244        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 4,154,306 3,758,487 3,960,432 3,814,328        
Beginning balance 4,153,056 3,823,510 4,026,860 3,741,530        
Effect of changes in assumptions on future cash flows         622,917 622,917 10,680 10,680
Effect of actual variances from expected experience         23,354 16,726 21,522 (15,162)
Adjusted balance         4,799,327 4,666,503 3,855,712 3,737,048
Issuances 149,526 95,126 377,636 286,358        
Interest accrual 54,254 45,365 151,323 133,143        
Benefit payments (92,095) (88,423) (284,450) (248,769)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 4,911,012 3,907,780 4,911,012 3,907,780        
Effect of change from original to current discount rates 66,338 131,531 66,338 131,531        
Ending balance 4,977,350 4,039,311 4,977,350 4,039,311        
Net liability for future policy benefits at original discount rates 36,607 95,754 36,607 95,754        
Effect of changes in discount rate assumptions (6,239) 1,313 (6,239) 1,313        
Other Adjustments 53,954 17,014 53,954 17,014        
Net liability for future policy benefits—long duration health 84,322 114,081 84,322 114,081        
Reinsurance recoverable (2,288) (2,868) (2,288) (2,868)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 82,034 111,213 82,034 111,213        
United American | Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 1,073 (2,100) (809) (1,423)        
United American | Health | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 279 1,205 279 1,205        
Family Heritage | Health                
Liability for Future Policy Benefit, Expected Net Premium [Roll Forward]                
Beginning balance 1,810,846 1,690,797 1,734,875 1,711,741        
Beginning balance 1,915,617 1,823,728 1,867,873 1,783,173        
Effect of changes in assumptions on future cash flows         (72,130) (72,130) (8,117) (8,117)
Effect of actual variances from expected experience         (13,649) (40,873) (12,068) (43,359)
Adjusted balance         1,829,838 1,754,870 1,803,543 1,731,697
Issuances 74,742 71,345 210,220 200,220        
Interest accrual 19,669 19,016 59,364 55,733        
Net premiums collected (51,380) (47,989) (151,585) (141,735)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 1,872,869 1,845,915 1,872,869 1,845,915        
Effect of change from original to current discount rates (66,388) (44,372) (66,388) (44,372)        
Ending balance 1,806,481 1,801,543 1,806,481 1,801,543        
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Beginning balance 3,491,041 3,249,466 3,336,546 3,315,880        
Beginning balance 3,815,188 3,605,315 3,712,044 3,506,689        
Effect of changes in assumptions on future cash flows         (79,615) (79,615) (5,054) (5,054)
Effect of actual variances from expected experience         (16,123) (46,994) (13,407) (48,407)
Adjusted balance         $ 3,719,450 $ 3,585,435 $ 3,586,854 $ 3,453,228
Issuances 74,742 71,345 210,219 200,219        
Interest accrual 39,426 37,299 117,696 109,479        
Benefit payments (41,939) (35,642) (121,671) (103,070)        
Effect of changes in the foreign exchange rate 0 0 0 0        
Ending balance 3,791,679 3,659,856 3,791,679 3,659,856        
Effect of change from original to current discount rates (230,187) (144,821) (230,187) (144,821)        
Ending balance 3,561,492 3,515,035 3,561,492 3,515,035        
Net liability for future policy benefits at original discount rates 1,918,810 1,813,941 1,918,810 1,813,941        
Effect of changes in discount rate assumptions (163,799) (100,449) (163,799) (100,449)        
Other Adjustments 44 38 44 38        
Net liability for future policy benefits—long duration health 1,755,055 1,713,530 1,755,055 1,713,530        
Reinsurance recoverable 0 (11,613) 0 (11,613)        
Net liability for future policy benefits, after reinsurance recoverable, at current discount rates 1,755,055 1,701,917 1,755,055 1,701,917        
Family Heritage | Health | Gain Loss From Expereince                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) 2,252 1,420 5,728 4,972        
Family Heritage | Health | Gain (Loss) From Unlocking Assumptions                
Liability for Future Policy Benefit, Expected Future Policy Benefit [Roll Forward]                
Policyholder benefits net of remeasurement gains (losses) $ 7,492 $ (3,063) $ 7,492 $ (3,063)