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Revenue - Commission Revenue by Segment (Details) - USD ($)
$ / shares in Units, $ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Disaggregation of Revenue [Line Items]      
Total revenue $ 452,871 $ 405,356 $ 538,199
Basic (in dollars per share) $ (2.37) $ (4.36) $ (4.59)
Diluted (in dollars per share) $ (2.37) $ (4.36) $ (4.59)
Commission      
Disaggregation of Revenue [Line Items]      
Total revenue $ 403,924 $ 361,246 $ 493,119
Commission revenue from members approved during the period      
Disaggregation of Revenue [Line Items]      
Total revenue 345,876 344,864 462,816
Net commission revenue from members approved in prior periods      
Disaggregation of Revenue [Line Items]      
Total revenue $ 48,075 $ 6,401 $ 21,739
Basic (in dollars per share) $ 1.72 $ 0.23 $ 0.81
Diluted (in dollars per share) $ 1.72 $ 0.23 $ 0.81
Commission revenue from renewals of small business members during the period      
Disaggregation of Revenue [Line Items]      
Total revenue $ 9,973 $ 9,981  
Medicare Segment | Commission      
Disaggregation of Revenue [Line Items]      
Total revenue 359,631 320,180 $ 429,324
Medicare Segment | Commission revenue from members approved during the period      
Disaggregation of Revenue [Line Items]      
Total revenue 326,087 322,506 437,738
Medicare Segment | Net commission revenue from members approved in prior periods      
Disaggregation of Revenue [Line Items]      
Total revenue 33,544 (2,326) (8,414)
Decrease in revenue 4,300 16,500 28,800
Medicare Segment | Commission revenue from renewals of small business members during the period      
Disaggregation of Revenue [Line Items]      
Total revenue 0 0  
Employer and Individual | Commission      
Disaggregation of Revenue [Line Items]      
Total revenue 44,293 41,066 63,795
Employer and Individual | Commission revenue from members approved during the period      
Disaggregation of Revenue [Line Items]      
Total revenue 19,789 22,358 25,078
Employer and Individual | Net commission revenue from members approved in prior periods      
Disaggregation of Revenue [Line Items]      
Total revenue 14,531 8,727 30,153
Employer and Individual | Commission revenue from renewals of small business members during the period      
Disaggregation of Revenue [Line Items]      
Total revenue $ 9,973 $ 9,981 $ 8,564