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BENEFITS PAYABLE
 9 Months Ended
Sep. 30, 2024
Insurance [Abstract]  
BENEFITS PAYABLE BENEFITS PAYABLE
Reserves for medical claims expenses are estimated using actuarial assumptions and recorded as Benefits payable liabilities on the Condensed Consolidated Balance Sheets. The assumptions for the estimates and for establishing the resulting liability are reviewed and any adjustments to reserves are reflected in the Condensed Consolidated Statements of Operations in the period in which the estimates are updated.

The following table provides a rollforward of the Company’s beginning and ending benefits payable and claims adjustment expenses ("CAE") payable balances for the nine months ended September 30, 2024 and 2023:

As of September 30, 2024
As of September 30, 2023
(in thousands)Benefits PayableUnallocated Claims
Adjustment Expense		TotalBenefits PayableUnallocated Claims
Adjustment Expense		Total
Benefits payable, beginning of the period$965,986 $13,192 $979,178 $937,727 $12,712 $950,439 
Less: Reinsurance recoverable57,111 — 57,111 277,944 — 277,944 
Benefits payable, beginning of the period, net$908,875 $13,192 $922,067 $659,783 $12,712 $672,495 
Claims incurred and CAE
Current year$5,388,787 $82,642 $5,471,429 $3,418,106 $68,814 $3,486,920 
Prior years(121,312)— (121,312)18,679 — 18,679 
Total claims incurred and CAE, net$5,267,475 $82,642 $5,350,117 $3,436,785 $68,814 $3,505,599 
Claims paid and CAE
Current year$4,345,363 $68,013 $4,413,376 $2,737,037 $59,454 $2,796,491 
Prior years533,393 9,061 542,454 522,678 9,664 532,342 
Total claims and CAE paid, net$4,878,756 $77,074 $4,955,830 $3,259,715 $69,118 $3,328,833 
Benefits and CAE payable, end of period, net$1,297,594 $18,760 $1,316,354 $836,853 $12,408 $849,261 
Add: Reinsurance recoverable59,132 — 59,132 73,596 — 73,596 
Benefits and CAE payable, end of period$1,356,726 $18,760 $1,375,486 $910,449 $12,408 $922,857 

Amounts incurred related to prior periods vary from previously estimated liabilities as more claim information becomes available and claims are ultimately settled. The favorable development recognized in the nine months ended September 30, 2024 resulted primarily from lower than expected paid claims.