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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 412,940 $ 399,507
Life insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable 245,108 237,246
Health insurance    
Policy claims and other benefits payable:    
Policy claims and other benefits payable $ 167,832 $ 162,261