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Supplemental Financial Statement Information - Schedule of Commissions Receivable (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Change in Contract with Customer, Asset [Roll Forward]          
Beginning balance     $ 589,222 $ 345,858  
Total revenue $ 88,766 $ 65,767 195,174 134,540  
Cash receipts     (185,284) (129,276)  
Change in credit loss allowance     (1,594) 0  
Ending balance 582,786 341,415 582,786 341,415  
Credit loss expense     100    
Medicare          
Change in Contract with Customer, Asset [Roll Forward]          
Beginning balance     550,922 311,977  
Cash receipts     (161,113) (102,495)  
Change in credit loss allowance     (1,508) 0  
Ending balance 551,255 308,905 551,255 308,905  
Individual, Family and Small Business          
Change in Contract with Customer, Asset [Roll Forward]          
Beginning balance     38,300 33,881  
Cash receipts     (24,171) (26,781)  
Change in credit loss allowance     (86) 0  
Ending balance 31,531 32,510 31,531 32,510  
Transition Adjustments | ASC 842          
Change in Contract with Customer, Asset [Roll Forward]          
Allowance for credit loss         $ (1,500)
Commission revenue from members approved during the period          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue     163,448 108,020  
Commission revenue from members approved during the period | Medicare          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue 72,165 47,428 153,290 98,010  
Commission revenue from members approved during the period | Individual, Family and Small Business          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue 4,362 3,785 10,158 10,010  
Net commission revenue adjustments from members approved in prior period          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue 4,200 9,400 16,994 16,813  
Net commission revenue adjustments from members approved in prior period | Medicare          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue 685 346 9,664 1,413  
Net commission revenue adjustments from members approved in prior period | Individual, Family and Small Business          
Change in Contract with Customer, Asset [Roll Forward]          
Total revenue $ 3,561 $ 9,047 $ 7,330 $ 15,400