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Segment and Geographic Information - Segment Operating Results (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2021
USD ($)
Sep. 30, 2020
USD ($)
Sep. 30, 2021
USD ($)
segment
Sep. 30, 2020
USD ($)
Segment Reporting Information [Line Items]        
Number of operating segments | segment     2  
Total revenue $ 63,914 $ 94,284 $ 294,685 $ 289,458
Stock-based compensation expense (5,234) (6,332) (24,881) (21,722)
Depreciation and amortization (4,899) (2,995) (12,840) (7,911)
Amortization of intangible assets (121) (287) (416) (1,207)
Restructuring and reorganization charges (573) 0 (3,004) 0
Other income (expense), net 189 (101) 511 724
Loss before benefit from income taxes (65,848) (20,948) (91,501) (25,346)
Amortization of internally developed software 3,400 2,100 9,140 5,307
Operating Segments        
Segment Reporting Information [Line Items]        
Total revenue 63,914 94,284 294,685 289,458
Segment profit (loss) (40,383) 4,348 (7,665) 48,146
Operating Segments | Medicare        
Segment Reporting Information [Line Items]        
Total revenue 46,381 70,361 240,633 246,891
Segment profit (loss) (52,882) (14,139) (46,141) 23,993
Operating Segments | Individual, Family and Small Business        
Segment Reporting Information [Line Items]        
Total revenue 17,533 23,923 54,052 42,567
Segment profit (loss) 12,499 18,487 38,476 24,153
Corporate        
Segment Reporting Information [Line Items]        
Segment profit (loss) $ (14,827) $ (15,581) $ (43,206) $ (43,376)