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Basis of Presentation - Reporting and Accounting Policies - Allowance for Credit Loss (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Allowance for Credit Loss [Abstract]        
Premium Receivable, Allowance for Credit Loss, Beginning Balance $ 265.3 $ 344.7 $ 356.2 $ 283.2
Allowance acquired during period 3.5 0.0 3.5 0.0
Increase in allowance 87.4 196.2 148.3 366.5
Write-offs (111.0) (103.0) (262.8) (211.8)
Allowance for credit loss, end of period $ 245.2 $ 437.9 $ 245.2 $ 437.9