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Policy Claims and Other Benefits Payable - Schedule of Liability For Policy Claims and Other Benefits Payable (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]    
Policy claims and other benefits payable, beginning of period $ 307,401 $ 268,136
Reinsured policy claims and other benefits payable, beginning of period 322,137 323,195
Net balance, beginning of period (14,736) (55,059)
Incurred related to current year 90,659 82,358
Incurred related to prior years [1] (2,233) 2,033
Total incurred 88,426 84,391
Claims paid related to current year, net of reinsured policy claims received (152,561) (122,097)
Reinsured policy claims received related to prior years, net of claims paid 24,575 57,146
Total paid (127,986) (64,951)
Foreign currency translation (267) 154
Net balance, end of period (54,563) (35,465)
Reinsured policy claims and other benefits payable, end of period 341,453 303,095
Policy claims and other benefits payable, end of period $ 286,890 $ 267,630
[1] Includes the difference between our estimate of claims incurred but not yet reported as of period end and the actual incurred claims reported after period end.