v3.26.1
Liability for Unpaid Claims - Schedule of Liability for Unpaid Health Claims (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Activity in the Liability for Unpaid Health Claims    
Beginning balance less reinsurance recoverable $ 540,832  
Paid related to:    
Beginning balance plus reinsurance recoverable 548,528 $ 540,832
Health insurance    
Activity in the Liability for Unpaid Health Claims    
Beginning balance less reinsurance recoverable 225,237 210,994
Less reinsurance recoverables (1,233) (1,521)
Beginning balance 224,004 209,473
Incurred related to:    
Current year 247,284 851,946
Prior years (3,365) (1,831)
Total incurred 243,919 850,115
Paid related to:    
Current year 107,594 659,556
Prior years 124,764 176,028
Total paid 232,358 835,584
Ending balance 235,565 224,004
Plus reinsurance recoverables 1,035 1,233
Beginning balance plus reinsurance recoverable $ 236,600 $ 225,237