v3.26.1
Claims Payable (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Unpaid Claims    
Claims unpaid, beginning of period $ 287,790 $ 255,089
Incurred, related to:    
Current period 597,896 621,058
Prior period(s) (65,538) 15,031
Total incurred 532,358 636,089
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]    
Current period 456,317 411,860
Prior period(s) 134,851 223,281
Total paid 591,168 635,141
Claims unpaid, end of period $ 228,980 $ 256,037