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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) |  |  |  |

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