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Revenue (Tables)
 9 Months Ended
Sep. 30, 2022
Revenue from Contract with Customer [Abstract]  
Schedule of Disaggregation of Revenue by Performance Obligation
The following table disaggregates revenue by our two performance obligations:
Three months ended September 30,Nine months ended September 30,
(in thousands)2022202120222021
Management fee revenue - policy issuance and renewal services$551,666 $504,891 $1,584,213 $1,462,880 
Management fee revenue - administrative services14,657 14,471 43,446 43,985 
Administrative services reimbursement revenue168,653 162,410 492,655 473,133 
Total administrative services revenue$183,310 $176,881 $536,101 $517,118