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Commitments and Contingencies - Reinsurance Agreements (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Commitments and Contingencies Disclosure [Abstract]    
Reinsurance premiums assumed $ (2) $ 17,576
Claims assumed 149 16,863
Claims-related administrative expenses 0 545
Increase (decrease) in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement (151) 168
Assumed Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
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) (328) 7,506
Payable (receivable) for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period $ 267 $ (3,336)