v3.26.1
Liability for Unpaid Claims - Schedule of Liability for Unpaid Health Claims (Details) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
Jun. 30, 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 544,548 $ 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 499,329 851,946
Prior years (1,382) (1,831)
Total incurred 497,947 850,115
Paid related to:    
Current year 319,278 659,556
Prior years 158,382 176,028
Total paid 477,660 835,584
Ending balance 244,291 224,004
Plus reinsurance recoverables 999 1,233
Beginning balance plus reinsurance recoverable $ 245,290 $ 225,237