Unpaid Claims - Summary of Cumulative Net Paid Claims (Details) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cumulative Payment Year One [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Liability For Unpaid Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims     $ 511,459
Cumulative Payment Year One [Member] | 2018 and prior [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid     $ 511,459
Cumulative Payment Year Two [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Liability For Unpaid Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims   $ 894,877  
Cumulative Payment Year Two [Member] | 2018 and prior [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid   550,974  
Cumulative Payment Year Two [Member] | 2019 [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid   $ 343,903  
Cumulative Payment Year Three [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Liability For Unpaid Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims $ 1,448,865    
Cumulative Payment Year Three [Member] | 2018 and prior [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid 549,647    
Cumulative Payment Year Three [Member] | 2019 [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid 397,879    
Cumulative Payment Year Three [Member] | 2020 [Member]      
Disclosure Of Claims Incurred And Reported And Not Reported Cumulative Net Paid Claims [Line Items]      
Cumulative Claims Paid $ 501,339