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Revenue - Commission Revenue by Segment (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Disaggregation of Revenue [Line Items]        
Total revenue $ 63,914 $ 94,284 $ 294,685 $ 289,458
Basic (in dollars per share) $ (2.24) $ (0.55) $ (3.13) $ (0.56)
Diluted (in dollars per share) $ (2.24) $ (0.55) $ (3.13) $ (0.56)
Commission        
Disaggregation of Revenue [Line Items]        
Total revenue $ 59,191 $ 73,544 $ 276,066 $ 253,986
Commission Revenue from Members Approved During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue 47,590 56,052 252,469 219,500
Commission Revenue from Renewals of Small Business Members During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue 1,744 1,122 6,154 5,005
Net Commission Revenue from Members Approved in Prior Periods        
Disaggregation of Revenue [Line Items]        
Total revenue $ 9,857 $ 16,370 $ 17,443 $ 29,481
Basic (in dollars per share) $ 0.37 $ 0.62 $ 0.65 $ 1.14
Diluted (in dollars per share) $ 0.37 $ 0.62 $ 0.65 $ 1.14
Change in revenue $ (3,200) $ (3,700) $ (22,600) $ (5,300)
Medicare | Commission        
Disaggregation of Revenue [Line Items]        
Total revenue 42,527 51,342 224,274 214,296
Medicare | Commission Revenue from Members Approved During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue 42,698 52,040 235,974 205,330
Medicare | Commission Revenue from Renewals of Small Business Members During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue     0 0
Medicare | Net Commission Revenue from Members Approved in Prior Periods        
Disaggregation of Revenue [Line Items]        
Total revenue (171) (698) (11,700) 8,966
Individual, Family and Small Business | Commission        
Disaggregation of Revenue [Line Items]        
Total revenue 16,664 22,202 51,792 39,690
Individual, Family and Small Business | Commission Revenue from Members Approved During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue 4,892 4,012 16,495 14,170
Individual, Family and Small Business | Commission Revenue from Renewals of Small Business Members During the Period        
Disaggregation of Revenue [Line Items]        
Total revenue 1,744 1,122 6,154 5,005
Individual, Family and Small Business | Net Commission Revenue from Members Approved in Prior Periods        
Disaggregation of Revenue [Line Items]        
Total revenue $ 10,028 $ 17,068 $ 29,143 $ 20,515