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Business Segments - Schedule of Liabilities by Segment (Details) - USD ($)
$ in Thousands
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health $ 19,169,687 $ 18,457,263 $ 19,460,353
Unearned and advance premium 270,663 257,631  
Policy claims and other benefits payable 540,832 532,832  
Debt 2,625,449 2,739,652  
Total liabilities 24,839,113 23,770,661  
Operating Segments      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 18,589,018 17,800,690  
Unearned and advance premium 270,663 257,631  
Policy claims and other benefits payable 540,832 532,832  
Debt 2,625,449 2,739,652  
Other 532,047 468,604  
Total segment liabilities 22,558,009 21,799,409  
Corporate & Other      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Annuity and other corporate 2,281,104 1,971,252  
Life      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 15,220,386 14,577,140 15,390,289
Life | Operating Segments      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 16,123,927 15,484,596  
Unearned and advance premium 199,011 198,127  
Policy claims and other benefits payable 315,595 321,838  
Debt 0 0  
Other 95,047 96,604  
Total segment liabilities 16,733,580 16,101,165  
Health      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 2,462,072 2,313,036 $ 2,379,415
Health | Operating Segments      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 2,465,091 2,316,094  
Unearned and advance premium 71,652 59,504  
Policy claims and other benefits payable 225,237 210,994  
Debt 0 0  
Other 0 0  
Total segment liabilities 2,761,980 2,586,592  
Investment | Operating Segments      
Segment Reporting, Other Significant Reconciling Item [Line Items]      
Net liability for future policy benefits—long duration health 0 0  
Unearned and advance premium 0 0  
Policy claims and other benefits payable 0 0  
Debt 2,625,449 2,739,652  
Other 437,000 372,000  
Total segment liabilities $ 3,062,449 $ 3,111,652