Quarterly report [Sections 13 or 15(d)]

Claims Payable (Details)

v3.26.3
Claims Payable (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Unpaid Claims    
Claims unpaid, beginning of period $ 287,790 $ 255,089
Incurred, related to:    
Current period 913,605 936,850
Prior period(s) (78,103) 12,214
Total incurred 835,502 949,064
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]    
Current period 765,177 716,131
Prior period(s) 136,714 234,358
Total paid 901,891 950,489
Claims unpaid, end of period $ 221,401 $ 253,664