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Supplemental Financial Statement Information - Schedule of Commissions Receivable (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Change in Contract with Customer Asset [Roll Forward]      
Beginning balance $ 884,304 $ 908,262  
Total revenue 452,871 405,356 $ 538,199
Cash receipts (370,331) (385,004)  
Net change in credit loss allowance 280 (200)  
Ending balance 918,177 884,304 908,262
Medicare Segment      
Change in Contract with Customer Asset [Roll Forward]      
Beginning balance 817,043 837,474  
Cash receipts (329,600) (340,426)  
Net change in credit loss allowance 258 (185)  
Ending balance 847,332 817,043 837,474
E&I Segment      
Change in Contract with Customer Asset [Roll Forward]      
Beginning balance 67,261 70,788  
Cash receipts (40,731) (44,578)  
Net change in credit loss allowance 22 (15)  
Ending balance 70,845 67,261 70,788
Commission revenue from members approved during the period      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 345,876 344,864 462,816
Commission revenue from members approved during the period | Medicare Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 326,087 322,506 437,738
Commission revenue from members approved during the period | E&I Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 19,789 22,358 25,078
Commission revenue from renewals of small business members during the period      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 9,973 9,981  
Commission revenue from renewals of small business members during the period | Medicare Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 0 0  
Commission revenue from renewals of small business members during the period | E&I Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 9,973 9,981 8,564
Net commission revenue from members approved in prior periods      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 48,075 6,401 21,739
Net commission revenue from members approved in prior periods | Medicare Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue 33,544 (2,326) (8,414)
Net commission revenue from members approved in prior periods | E&I Segment      
Change in Contract with Customer Asset [Roll Forward]      
Total revenue $ 14,531 $ 8,727 $ 30,153