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Reinsurance - Summary of Premiums Earned and Losses Incurred (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Premiums earned: |  |  |  |
Direct | $ 294,909 | $ 275,044 | $ 861,705 | $ 808,531
Assumed | 1,388 | 709 | 3,275 | 936
Ceded | (28,440) | (25,327) | (100,260) | (79,970)
Net premiums earned | 267,857 | 250,426 | 764,720 | 729,497
Losses incurred: |  |  |  |
Direct | 36,755 | (2,081) | 102,835 | 12,642
Assumed | (34) | 55 | (110) | 45
Ceded | (2,736) | 508 | (7,841) | (3,810)
Losses incurred, net | $ 33,985 | $ (1,518) | $ 94,884 | $ 8,877

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