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Business Segments - Reconciliation of Segment Operating Information to Consolidated Statement of Operations (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Revenue:                      
Premium $ 968,551 $ 961,817 $ 953,702 $ 929,835 $ 906,684 $ 899,993 $ 897,484 $ 890,973 $ 3,813,905 $ 3,595,134 $ 3,421,906
Net investment income 235,071 231,432 231,568 228,991 227,456 228,905 227,425 226,673 927,062 910,459 882,512
Other income                 1,325 1,318 1,137
Total revenue                 4,742,292 4,506,911 4,305,555
Expenses:                      
Policy benefits 663,123 650,976 650,816 607,969 594,538 585,692 589,362 587,757 2,572,884 2,357,349 2,275,242
Required interest on reserves                 0 0 0
Required interest on DAC                 0 0 0
Amortization of acquisition costs 144,930 140,843 146,160 143,837 139,290 138,449 138,165 135,822 575,770 551,726 516,690
Commissions, premium taxes, and non-deferred acquisition costs                 304,841 298,047 278,487
Insurance administrative expense                 254,932 249,079 227,531
Parent expense                 10,214 10,903 12,262
Stock-based compensation expense                 35,892 44,843 39,792
Interest expense                 86,704 84,306 90,076
Total benefits and expenses                 3,841,237 3,596,253 3,440,080
Subtotal                 901,055 910,658 865,475
Non-operating items                 4,308 9,401 5,168
Measure of segment profitability (pretax)                 905,363 920,059 870,643
Realized gain (loss)—investments                 (3,737) 20,621 9,274
Realized loss on redemption of debt                 (634) 0 (11,078)
Administrative settlements                   (400) (3,590)
Legal proceedings                 (3,275) (8,358)  
Non-operating expenses                 (1,033) (643) (1,578)
Income before income taxes $ 249,984 $ 231,538 $ 212,241 $ 202,921 $ 227,088 $ 247,330 $ 228,760 $ 228,101 896,684 931,279 863,671
American Income                      
Revenue:                      
Premium                 1,363,460 1,259,942 1,174,646
Direct to Consumer                      
Revenue:                      
Premium                 983,486 933,100 905,232
Liberty National                      
Revenue:                      
Premium                 482,732 475,129 470,256
United American                      
Revenue:                      
Premium                 462,672 427,157 392,539
Other                      
Revenue:                      
Premium                 200,281 201,794 202,457
Family Heritage                      
Revenue:                      
Premium                 321,274 298,012 276,776
Life                      
Revenue:                      
Premium                 2,672,804 2,517,784 2,406,555
Life | American Income                      
Revenue:                      
Premium                 1,257,726 1,160,495 1,081,333
Life | Direct to Consumer                      
Revenue:                      
Premium                 906,959 855,543 828,935
Life | Liberty National                      
Revenue:                      
Premium                 293,897 285,551 278,878
Life | United American                      
Revenue:                      
Premium                 9,688 10,571 11,451
Life | Other                      
Revenue:                      
Premium                 200,281 201,794 202,457
Life | Family Heritage                      
Revenue:                      
Premium                 4,253 3,830 3,501
Health                      
Revenue:                      
Premium                 1,141,097 1,077,346 1,015,339
Health | American Income                      
Revenue:                      
Premium                 105,734 99,447 93,313
Health | Direct to Consumer                      
Revenue:                      
Premium                 76,527 77,557 76,297
Health | Liberty National                      
Revenue:                      
Premium                 188,835 189,578 191,378
Health | United American                      
Revenue:                      
Premium                 452,980 416,582 381,076
Health | Other                      
Revenue:                      
Premium                 0 0 0
Health | Family Heritage                      
Revenue:                      
Premium                 317,021 294,182 273,275
Annuity                      
Revenue:                      
Premium                 4 4 12
Annuity | American Income                      
Revenue:                      
Premium                 0 0 0
Annuity | Direct to Consumer                      
Revenue:                      
Premium                 0 0 0
Annuity | Liberty National                      
Revenue:                      
Premium                 0 0 0
Annuity | United American                      
Revenue:                      
Premium                 4 4 12
Annuity | Other                      
Revenue:                      
Premium                 0 0 0
Annuity | Family Heritage                      
Revenue:                      
Premium                 0 0 0
Operating Segments | Life                      
Revenue:                      
Premium                 2,672,804 2,517,784 2,406,555
Net investment income                 0 0 0
Other income                 0 0 0
Total revenue                 2,672,804 2,517,784 2,406,555
Expenses:                      
Policy benefits                 1,809,373 1,638,053 1,591,790
Required interest on reserves                 (698,112) (666,168) (636,040)
Required interest on DAC                 210,152 202,502 194,297
Amortization of acquisition costs                 463,586 436,881 414,200
Commissions, premium taxes, and non-deferred acquisition costs                 212,859 203,052 190,007
Insurance administrative expense                 0 0 0
Parent expense                 0 0 0
Stock-based compensation expense                 0 0 0
Interest expense                 0 0 0
Total benefits and expenses                 1,997,858 1,814,320 1,754,254
Subtotal                 674,946 703,464 652,301
Measure of segment profitability (pretax)                 674,946 703,464 652,301
Operating Segments | Health                      
Revenue:                      
Premium                 1,141,097 1,077,346 1,015,339
Net investment income                 0 0 0
Other income                 0 0 0
Total revenue                 1,141,097 1,077,346 1,015,339
Expenses:                      
Policy benefits                 733,481 687,764 649,188
Required interest on reserves                 (93,475) (87,289) (83,243)
Required interest on DAC                 26,586 25,435 24,412
Amortization of acquisition costs                 110,177 112,825 100,376
Commissions, premium taxes, and non-deferred acquisition costs                 91,959 94,973 88,553
Insurance administrative expense                 0 0 0
Parent expense                 0 0 0
Stock-based compensation expense                 0 0 0
Interest expense                 0 0 0
Total benefits and expenses                 868,728 833,708 779,286
Subtotal                 272,369 243,638 236,053
Measure of segment profitability (pretax)                 272,369 243,638 236,053
Operating Segments | Annuity                      
Revenue:                      
Premium                 4 4 12
Net investment income                 0 0 0
Other income                 0 0 0
Total revenue                 4 4 12
Expenses:                      
Policy benefits                 30,030 31,532 34,264
Required interest on reserves                 (41,413) (43,522) (47,357)
Required interest on DAC                 328 494 589
Amortization of acquisition costs                 2,007 2,020 2,114
Commissions, premium taxes, and non-deferred acquisition costs                 23 22 26
Insurance administrative expense                 0 0 0
Parent expense                 0 0 0
Stock-based compensation expense                 0 0 0
Interest expense                 0 0 0
Total benefits and expenses                 (9,025) (9,454) (10,364)
Subtotal                 9,029 9,458 10,376
Measure of segment profitability (pretax)                 9,029 9,458 10,376
Operating Segments | Investment                      
Revenue:                      
Premium                 0 0 0
Net investment income                 927,062 910,459 882,512
Other income                 0 0 0
Total revenue                 927,062 910,459 882,512
Expenses:                      
Policy benefits                 0 0 0
Required interest on reserves                 833,000 796,979 766,640
Required interest on DAC                 (237,066) (228,431) (219,298)
Amortization of acquisition costs                 0 0 0
Commissions, premium taxes, and non-deferred acquisition costs                 0 0 0
Insurance administrative expense                 0 0 0
Parent expense                 0 0 0
Stock-based compensation expense                 0 0 0
Interest expense                 86,704 84,306 90,076
Total benefits and expenses                 682,638 652,854 637,418
Subtotal                 244,424 257,605 245,094
Measure of segment profitability (pretax)                 244,424 257,605 245,094
Corporate & Other                      
Revenue:                      
Premium                 0 0 0
Net investment income                 0 0 0
Other income                 1,325 1,318 1,236
Total revenue                 1,325 1,318 1,236
Expenses:                      
Policy benefits                 0 0 0
Required interest on reserves                 0 0 0
Required interest on DAC                 0 0 0
Amortization of acquisition costs                 0 0 0
Commissions, premium taxes, and non-deferred acquisition costs                 0 0 0
Insurance administrative expense                 250,947 240,321 223,941
Parent expense                 9,891 10,260 10,684
Stock-based compensation expense                 35,892 44,843 39,792
Interest expense                 0 0 0
Total benefits and expenses                 296,730 295,424 274,417
Subtotal                 (295,405) (294,106) (273,181)
Measure of segment profitability (pretax)                 (295,405) (294,106) (273,181)
Adjustments                      
Revenue:                      
Premium                 0 0 0
Net investment income                 0 0 0
Other income                 0 0 (99)
Total revenue                 0 0 (99)
Expenses:                      
Policy benefits                 0 0 0
Required interest on reserves                 0 0 0
Required interest on DAC                 0 0 0
Amortization of acquisition costs                 0 0 0
Commissions, premium taxes, and non-deferred acquisition costs                 0 0 (99)
Insurance administrative expense                 3,985 8,758 3,590
Parent expense                 323 643 1,578
Stock-based compensation expense                 0 0 0
Interest expense                 0 0 0
Total benefits and expenses                 4,308 9,401 5,069
Subtotal                 (4,308) (9,401) (5,168)
Non-operating items                 4,308 9,401 5,168
Measure of segment profitability (pretax)                 $ 0 $ 0 $ 0