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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, 2022
Jun. 30, 2021
Roll Forward In Liability For Unpaid Claims And Claims Adjustment Expense [Abstract]    
Policy claims and other benefits payable, beginning of period $ 585,382 $ 519,711
Reinsured policy claims and other benefits payable, beginning of period 638,007 545,857
Net balance, beginning of period (52,625) (26,146)
Incurred related to current year 127,911 137,285
Incurred related to prior years [1] (2,522) (813)
Total incurred 125,389 136,472
Claims paid related to current year, net of reinsured policy claims received (170,149) (213,880)
Reinsured policy claims received related to prior years, net of claims paid 65,135 32,882
Total paid (105,014) (180,998)
Foreign currency translation (150) 210
Net balance, end of period (32,400) (70,462)
Reinsured policy claims and other benefits payable, end of period 513,629 541,752
Policy claims and other benefits payable, end of period $ 481,229 $ 471,290
[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.