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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, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Allowance for Credit Loss [Abstract]        
Premium Receivable, Allowance for Credit Loss, Beginning Balance $ 276.2 $ 265.3 $ 280.4 $ 356.2
Allowance acquired during period 0.0 3.5 0.0 3.5
Increase in allowance 95.8 87.4 189.7 148.3
Write-offs (106.2) (111.0) (204.3) (262.8)
Allowance for credit losses, end of period $ 265.8 $ 245.2 $ 265.8 $ 245.2