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Premiums Receivable - Summary of Activity in Allowance for Doubtful Accounts (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Premiums Receivable, Allowance for Doubtful Accounts [Roll Forward]    
Balance, beginning of year $ 5,390 $ 5,226
Provision for bad debts 723 883
Write-offs (1,001) (719)
Balance, end of year $ 5,112 $ 5,390