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Commitments and Contingencies - Reinsurance Agreements (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Commitments and Contingencies Disclosure [Abstract]    
Reinsurance premiums assumed $ (2) $ 8,845
Claims assumed (37) 10,494
Claims-related administrative expenses 0 545
Increase (decrease) in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement 35 (2,194)
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period 90 4,002
Impact of consolidation on payable for claims and performance-based arrangements attributable to the Reinsurance Agreement 0 0
Reinsurance payments paid (received) (330) 0
Payable for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period $ 455 $ 1,808