Adjustments to reconcile net loss to net cash used in operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Financial asset or liabilities transfer in and out
Financial Assets Or Liabilities Transferred, Level 3
Financial asset or liabilities transfer in and out.
Statistical Measurement
Statistical Measurement [Domain]
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Accumulated unrealized losses
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Loss, before Tax
Prepaid expenses
Increase (Decrease) in Prepaid Expense
Net realized gains on investment securities
Realized Investment (Losses) Gains
Realized Investment (Losses) Gains
Surety bond and deposits
Disposal Group, Including Discontinued Operation, Surety Bond and Deposits
Disposal Group, Including Discontinued Operation, Surety Bond and Deposits
Issuance of common stock, net of early exercise liability
Proceeds From Issuance Of Common Stock, Net Of Early Exercise Liability
Proceeds From Issuance Of Common Stock, Net Of Early Exercise Liability
Cover [Abstract]
Cover [Abstract]
Medical Records Exchange, LLC
Medical Records Exchange, LLC [Member]
Medical Records Exchange, LLC
Net increase in cash, cash equivalents, and restricted cash for discontinued and continuing operations
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Due to related parties, net
Other liabilities, current
Other Liabilities, Current
Operating Expenses:
Disposal Group, Including Discontinued Operation, Income Statement Operating Expenses [Abstract]
Disposal Group, Including Discontinued Operation, Income Statement Operating Expenses
Trading Symbol
Trading Symbol
Ownership percentage
Equity Method Investment, Ownership Percentage
All Trading Arrangements
All Trading Arrangements [Member]
Compensation Actually Paid vs. Net Income
Compensation Actually Paid vs. Net Income [Text Block]
Non-NEOs
Non-NEOs [Member]
Schedule of Basic and Diluted Net Income (Loss) per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Vesting period (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Rule 10b5-1 Arrangement Adopted
Rule 10b5-1 Arrangement Adopted [Flag]
Awards Close in Time to MNPI Disclosures
Awards Close in Time to MNPI Disclosures [Table]
Assets
Disposal Group, Including Discontinued Operation, Assets, Current [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
(Recoveries) charges
Restructuring Charges, Excluding Exit Project
Restructuring Charges, Excluding Exit Project
Schedule of Stock-Based Compensation Cost
Share-Based Payment Arrangement, Cost by Plan [Table Text Block]
Class A Common Stock
Common Class A
Common Class A [Member]
Conversion from Class B Common Stock to Class A Common Stock (in shares)
Stock Issued During Period, Shares, Conversion of Convertible Securities
Charter Bioscience Inc.
Character Biosciences Inc [Member]
Character Biosciences Inc
Pay vs Performance Disclosure [Line Items]
Peer Group Total Shareholder Return Amount
Peer Group Total Shareholder Return Amount
Short-term investments
Short-Term Investments [Member]
Healthcare receivables
Increase (Decrease) in Accounts Receivable
Debt Securities, Held-to-maturity, Maturity, Fair Value [Abstract]
Debt Securities, Held-to-Maturity, Fair Value, Maturity [Abstract]
Organization and Operations
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Operating lease liabilities
Increase (Decrease) in Operating Lease Liability
Other intangible assets
Intangible Assets, Net (Including Goodwill)
Non-Rule 10b5-1 Arrangement Adopted
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Net loss from continuing operations
Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest
Proceeds from maturities of short-term investments, available-for-sale, and held-to-maturity securities
Proceeds from maturities of investment securities
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-sale and Held-to-Maturity
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-Sale and Held-to-Maturity
Proceeds from stock options exercised
Proceeds from Stock Options Exercised
Fair Value Measurements
Fair Value Disclosures [Text Block]
Restructuring and Related Activities [Abstract]
Award Timing Disclosures [Line Items]
Exercise price, percentage of fair value of common stock
Share-based Compensation Arrangement by Share-based Payment Award, Exercise Price Cap, Percentage Of Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Exercise Price Cap, Percentage Of Fair Value
Investment, Name [Domain]
Investment, Name [Domain]
Insurance Operations
Insurance Operations [Member]
Insurance Operations
Greater than 12 months, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer, Fair Value
Other Performance Measure, Amount
Other Performance Measure, Amount
Common stock, shares, outstanding (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Outstanding
Non-Insurance receivable
Disposal Group, Including Discontinued Operation, Non-Insurance Receivable
Disposal Group, Including Discontinued Operation, Non-Insurance Receivable
Class of Warrant or Right [Axis]
Class of Warrant or Right [Axis]
Number of shares available for issuance (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Segment information
Segment Reporting, Policy [Policy Text Block]
Restructuring Activities
Restructuring Activities [Policy Text Block]
Restructuring Activities
Deferred revenue
Contract with Customer, Liability, Current
Plan Name
Plan Name [Domain]
Capitalized software development costs - cloud computing arrangements
Research, Development, and Computer Software, Policy [Policy Text Block]
Cash and cash equivalents
Disposal Group, Including Discontinued Operation, Cash and Cash Equivalents
Other assets, non-current
Other Assets, Noncurrent
Entity Tax Identification Number
Entity Tax Identification Number
Treasury stock acquired (in shares)
Treasury Stock, Shares, Acquired
Payments for legal settlements
Payments for Legal Settlements
Short-duration Insurance Contracts, Discounted Liabilities [Table]
Short-Duration Insurance Contracts, Discounted Liabilities [Table]
CarePoint Health Contract
Care Point Health Contract [Member]
CarePoint Health Contract
Operating Segments
Operating Segments [Member]
Insurance proceeds
Litigation Settlement, Insurance Proceeds
Litigation Settlement, Insurance Proceeds
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
2014 Plan
Two Thousand Fourteen Equity Incentive Plan [Member]
2014 Equity Incentive Plan member.
Net proceeds from sale of stock
Sale of Stock, Consideration Received on Transaction
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Treasury Stock
Treasury Stock, Common [Member]
Insurance
Insurance [Member]
Insurance
Schedule of Weighted Average Grant Date Fair Value of Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Outstanding Activity [Table Text Block]
Continuing operations:
Earnings Per Share Reconciliation [Abstract]
Intersegment revenues
Intersegment Eliminations [Member]
Plan Name
Plan Name [Axis]
Prepaid expenses
Prepaid Expense, Current
Equity Components
Equity Components [Axis]
Other assets, current
Other Assets, Current
Award Timing Method
Award Timing Method [Text Block]
Greater than 12 months, Unrealized loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer Accumulated Loss
Debt securities available for sale and held to maturity continuous unrealized loss position 12 months or longer accumulated loss.
Total
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Amortized Cost
Trading Arrangements, by Individual
Trading Arrangements, by Individual [Table]
Restructuring Type [Axis]
Restructuring Type [Axis]
Fair value
Debt securities
Debt Securities, Available-for-Sale
Amortized cost
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss
Number of derivative actions
Number Of Derivative Actions
Number Of Derivative Actions
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Insider Trading Policies and Procedures [Line Items]
Use of estimates
Use of Estimates, Policy [Policy Text Block]
Numerator:
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent [Abstract]
Adjustment to Compensation, Amount
Adjustment to Compensation Amount
Stock options, outstanding, intrinsic value (less than)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Investments
Investments [Domain]
Compensation Amount
Outstanding Recovery Compensation Amount
Discontinued operations:
Earnings Per Share, Diluted [Abstract]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table
Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table [Member]
Entity Small Business
Entity Small Business
Company Selected Measure Amount
Company Selected Measure Amount
Schedule of Restructuring Charges
Restructuring and Related Costs [Table Text Block]
Tabular List, Table
Tabular List [Table Text Block]
Deferred tax assets, net
Deferred Tax Assets, Net
Level 3
Fair Value, Inputs, Level 3 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Summary of Stock Option Activity
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Debt Securities, Available-for-sale, Amortized Cost [Abstract]
Debt Securities, Available-for-Sale, Amortized Cost [Abstract]
Weighted Average
Weighted Average [Member]
Repurchases of Common Stock
Stock repurchased during period
Stock Repurchased During Period, Value
Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table
Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table [Member]
Debt Securities, Available-for-Sale [Line Items]
Debt Securities, Available-for-Sale [Line Items]
Total shares excluded from computation of net income (loss) per share (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Employee Benefit Plans
Compensation and Employee Benefit Plans [Text Block]
Prior years
Incurred claims paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years
Liabilities
Disposal Group, Including Discontinued Operation, Liabilities, Current [Abstract]
Tranche one
Share-Based Payment Arrangement, Tranche One [Member]
Cash payments
Payments for Restructuring
Performance year receivable
Performance Year Receivable
Performance Year Receivable
PRSUs
Performance Restricted Stock Units [Member]
Performance restricted stock units.
Cash, cash equivalents, and restricted cash, beginning of period for discontinued and continuing operations
Cash, cash equivalents, and restricted cash, end of period for discontinued and continuing operations
Total cash, cash equivalents, and restricted cash for discontinued and continuing operations
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents
Unpaid claims
Assumed Liability for Unpaid Claims and Claims Adjustment Expense
2020 Employee Stock Purchase Plan
2020 Employee Stock Purchase Plan [Member]
2020 Employee Stock Purchase Plan
Current assets
Assets, Current [Abstract]
Consolidation Items [Axis]
Consolidation Items [Axis]
Amount of stock repurchase plan authorized
Share Repurchase Program, Authorized, Amount
Healthcare receivables
Receivable from Customer in Brokerage
Treasury stock, shares held (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Treasury Stock, Common, Shares
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Product and Service [Domain]
Product and Service [Domain]
Stock options
Share-Based Payment Arrangement, Option [Member]
Debt Securities, Available-for-Sale [Table]
Debt Securities, Available-for-Sale [Table]
Vested (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Prior years
Unfavorable (favorable) development
Prior Year Claims and Claims Adjustment Expense
Outstanding stock, percentage
Share-Based Compensation Arrangement by Share-Based Payment Award, Percentage of Outstanding Stock
Share-Based Compensation Arrangement by Share-Based Payment Award, Percentage of Outstanding Stock
Amortization of the Non-Insurance performance year receivable
Non-Insurance, Performance Year Receivable, Amortization
Non-Insurance, Performance Year Receivable, Amortization
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Antidilutive Security, Excluded EPS Calculation [Table]
Due after five years through ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Total unrealized losses
Unrealized gain (loss)
Fair Value, Asset, Recurring Basis, Still Held, Unrealized Gain (Loss)
Second Private Capital Transaction
Second Private Capital Transaction [Member]
Second Private Capital Transaction
Preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Change in accounting policy
Revision of Prior Period, Accounting Standards Update, Adjustment [Member]
Other receivables
Increase (Decrease) in Other Receivables
Security Exchange Name
Security Exchange Name
Schedule of Amortized Cost and Fair Value of Debt Securities
Investments Classified by Contractual Maturity Date [Table Text Block]
Award Type
Award Type [Axis]
Corporate debt securities
Corporate Debt Securities [Member]
Exercised (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Accrued interest earned
Increase (Decrease) in Accrued Interest Receivable, Net
Number of shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Property and equipment, net
Property, Plant and Equipment, Net
Total liabilities
Liabilities
Dividend Restrictions
Restrictions on Dividends, Loans and Advances [Text Block]
Salaries and benefits
Salaries and benefits
Labor and Related Expense
Stock options, exercisable, weighted average exercise price (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Common stock, par value, (in dollars per share)
Common Stock, Par or Stated Value Per Share
Forgone Recovery, Explanation of Impracticability
Forgone Recovery, Explanation of Impracticability [Text Block]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Net realized gains
Realized Investment Gains (Losses)
Expiration Date
Trading Arrangement Expiration Date
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Net cash provided by operating activities from continuing operations
Net Cash Provided by (Used in) Operating Activities, Continuing Operations
Equity method investment
Equity Method Investments, Fair Value Disclosure
Operating lease liabilities
Operating Lease, Liability, Current
Total Shareholder Return Amount
Total Shareholder Return Amount
Common stock, shares, issued (in shares)
Common Stock, Shares, Issued
Due after ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Entity [Domain]
Entity [Domain]
Short-term investments
Other Short-Term Investments
Equity Awards Adjustments, Footnote
Equity Awards Adjustments, Footnote [Text Block]
Shares Remaining Under Plans (in shares)
Common Stock, Capital Shares Reserved for Future Issuance, Maximum Payouts
Common Stock, Capital Shares Reserved for Future Issuance, Maximum Payouts
Total assets
Disposal Group, Including Discontinued Operation, Assets
Other income
Revenue Not from Contract with Customer, Other
Due after one year through five years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Other assets, fair value
Other Assets, Fair Value Disclosure
Non-Insurance, performance year obligation
Non-Insurance, Performance Year Obligation, Current
Non-Insurance, Performance Year Obligation, Current
Insider Trading Policies and Procedures Adopted
Insider Trading Policies and Procedures Adopted [Flag]
Issuance of common stock under Employee Stock Purchase Plan (in shares)
Stock Issued During Period, Shares, Employee Stock Ownership Plan
Stock issuance for exercise of stock options, net of early exercise liability (in shares)
Exercised (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Named Executive Officers, Footnote
Named Executive Officers, Footnote [Text Block]
Weighted-average exercise price
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Common stock, number of voting rights per share (in votes)
Common Stock, Number Of Voting Rights
Common Stock, Number Of Voting Rights
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Eliminations
Consolidation, Eliminations [Member]
Basis of presentation
Basis of Accounting, Policy [Policy Text Block]
Thyme Care, Inc.
Thyme Care, Inc. [Member]
Thyme Care, Inc.
Net unrealized gain on available-for-sale investments
Unrealized holdings gain on investment securities, available for sale
OCI, Debt Securities, Available-for-Sale, Gain (Loss), after Adjustment and Tax
Diluted weighted average number of Class A and Class B common shares and common share equivalents outstanding (in shares)
Weighted average shares used in computing net income per share of common stock, diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Private warrants
Private Warrants [Member]
Private Warrants
Restructuring (recoveries) costs
Restructuring (recoveries) costs
Restructuring Costs
MNPI Disclosure Timed for Compensation Value
MNPI Disclosure Timed for Compensation Value [Flag]
Released (in shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Table]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Table]
Fair Value, Separate Account Investment [Table]
Fair Value, Separate Account Investment [Table]
Non-Insurance payable
Disposal Group, Including Discontinued Operation, Non-Insurance Payable
Disposal Group, Including Discontinued Operation, Non-Insurance Payable
Related party
Related Party [Member]
Due within one year
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Interest expense
Interest Expense, Nonoperating
Discontinued Operations
Discontinued Operations, Policy [Policy Text Block]
Maximum number of shares that may be purchased by any one participant (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Maximum Number of Shares Per Employee
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Proceeds from sales of short-term investments and available-for-sale securities
Proceeds from sales of investment securities
Proceeds From Sale Of Short-Term Investments And Available-For-Sale Securities
Proceeds From Sale Of Short-Term Investments And Available-For-Sale Securities
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares Authorized Under Plans (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized
Sale of Stock
Sale of Stock [Domain]
Pension Adjustments Prior Service Cost
Pension Adjustments Prior Service Cost [Member]
Document Fiscal Period Focus
Document Fiscal Period Focus
Penalties accrued
Income Tax Examination, Penalties Accrued
All Executive Categories
All Executive Categories [Member]
Liabilities related to discontinued operations (Note 17)
Disposal Group, Including Discontinued Operation, Liabilities, Current
Employer matching contribution, percent of match
Defined Contribution Plan, Employer Matching Contribution, Percent of Match
Changed Peer Group, Footnote
Changed Peer Group, Footnote [Text Block]
Stock options, outstanding, weighted average remaining contractual term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Assets
Assets [Abstract]
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Dividend yield
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Investment securities, held-to-maturity
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss [Abstract]
Restricted cash
Restricted Cash, Current
Document Type
Document Type
Employer maximum annual contributions per employee, percent
Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent
Vested restricted stock units
Stock Issued During Period, Value, Restricted Stock Award, Gross
Pension Benefits Adjustments, Footnote
Pension Benefits Adjustments, Footnote [Text Block]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Total Shareholder Return Vs Peer Group
Total Shareholder Return Vs Peer Group [Text Block]
Vested restricted stock units (in shares)
Stock Issued During Period, Shares, Restricted Stock Award, Gross
Nonrelated party
Nonrelated Party [Member]
Less than 12 months, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions Year One
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions Year One
Inducement Plan
Inducement Plan [Member]
Inducement Plan
Debt Securities, Held-to-maturity, Maturity, Amortized Cost, Net [Abstract]
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity [Abstract]
Stock options, exercisable, weighted average remaining contractual term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Total, Fair value
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position, Fair Value
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position, Fair Value
Gross and net balance, beginning of period
Gross and net balance, end of period
Unpaid claims
Liability for Unpaid Claims and Claims Adjustment Expense, Net
Vested (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Amortized cost
Debt Securities, Available-for-Sale, Amortized Cost
Accretion, net of amortization
Depreciation, Amortization and Accretion, Net
Risk-free interest rate
Weighted-average risk-free interest rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Maximum
Maximum [Member]
Investment securities, available-for-sale
Debt Securities, Available-for-Sale [Abstract]
Equity Valuation Assumption Difference, Footnote
Equity Valuation Assumption Difference, Footnote [Text Block]
Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]
Investment Type
Investment Type [Axis]
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Revenues:
Revenues [Abstract]
Current Fiscal Year End Date
Current Fiscal Year End Date
Statistical Measurement
Statistical Measurement [Axis]
PEO Name
PEO Name
Non-Rule 10b5-1 Arrangement Terminated
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Reconciliation of cash and cash equivalents and restricted cash for discontinued and continuing operations
Reconciliation to condensed consolidated balance sheets [Abstract]
Reconciliation to condensed consolidated balance sheets
Non-PEO NEO Average Total Compensation Amount
Non-PEO NEO Average Total Compensation Amount
Vesting [Axis]
Vesting [Axis]
Deferred acquisition costs
Deferred Policy Acquisition Costs, Policy [Policy Text Block]
Award Type
Award Type [Domain]
Name
Outstanding Recovery, Individual Name
Investment securities, held-to-maturity (Fair value: 2024: $15; 2023: $6,778)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Current
Schedule of Discontinued Operations
Disposal Groups, Including Discontinued Operations [Table Text Block]
Schedule of Antidilutive Securities Excluded from Diluted Net Loss Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
Compensation Actually Paid vs. Company Selected Measure
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Revenues:
Disposal Group, Including Discontinued Operation, Income Statement Disclosures [Abstract]
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Non-PEO NEO
Non-PEO NEO [Member]
Paid related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]
Fair value
Investments, Fair Value Disclosure
Additional paid-in capital
Additional Paid-in Capital [Member]
Award Timing Predetermined
Award Timing Predetermined [Flag]
Investment securities, held-to-maturity (Fair value: 2024: $14,178; 2023: $692)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Noncurrent
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
2020 Plan
2020 Equity Incentive Plan [Member]
2020 Equity Incentive Plan [Member]
Class of Stock [Line Items]
Class of Stock [Line Items]
Investment, Name [Axis]
Investment, Name [Axis]
Investment securities, available-for sale, amortized cost current
Debt Securities, Available-for-Sale, Amortized Cost, Current
Private Capital Transaction
Private Capital Transaction [Member]
Private Capital Transaction
Recent accounting pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Forecast
Forecast [Member]
Class of Stock
Class of Stock [Axis]
Counterparty Name [Domain]
Counterparty Name [Domain]
Name
Measure Name
Entity Interactive Data Current
Entity Interactive Data Current
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Unpaid Claims
Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
Deferred revenue
Increase (Decrease) in Contract with Customer, Liability
Restatement does not require Recovery
Restatement Does Not Require Recovery [Text Block]
Number of operating segments (in segments)
Number of Operating Segments
Number of positions eliminated as a percent
Restructuring and Related Cost, Number of Positions Eliminated, Period Percent
Released (in dollars per share)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period, Weighted Average Grant Date Fair Value
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period, Weighted Average Grant Date Fair Value
Net medical claims incurred
Policyholder Benefits and Claims Incurred, Net
Employer matching contribution, percent of employees' gross pay
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay
Change in fair value of warrants
Change in fair value of warrants
Fair Value Adjustment of Warrants
Preferred stock, shares issued (in shares)
Preferred Stock, Shares Issued
Schedule of Fair Value Measurements for Items
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Employee termination (recoveries) benefits
Employee Termination Benefits
Employee Severance [Member]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Fair Value, Asset, Recurring Basis, Still Held, Unrealized Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Fair Value, Asset, Recurring Basis, Still Held, Unrealized Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Restructuring Costs
Restructuring and Related Activities Disclosure [Text Block]
Fair Value, Separate Account Investment [Line Items]
Fair Value, Separate Account Investment [Line Items]
Stock-based compensation
Share-Based Payment Arrangement, Noncash Expense
Schedule of Share-Based Payment Arrangement Activity
Share-Based Payment Arrangement, Activity [Table Text Block]
Adjustment for performance condition achieved (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options,
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Adjustment For Performance Condition Achieved
Net loss
Net loss
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Tranche two
Share-Based Payment Arrangement, Tranche Two [Member]
Schedule of Other Restructuring and Related Costs
Other Restructuring And Related Costs [Table Text Block]
Other Restructuring And Related Costs
Non-Insurance performance year obligation, current
Disposal Group, Including Discontinued Operation, Non-Insurance Performance Year Obligation, Current
Disposal Group, Including Discontinued Operation, Non-Insurance Performance Year Obligation, Current
Surety bonds and deposits
Deposits Assets, Current
Investment securities, available-for-sale (Amortized cost: 2024: $43,695; 2023: $101,412)
Debt Securities, Available-for-Sale, Current
Corporate/Other
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member]
Cost not yet recognized, period for recognition (in years)
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Other liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Vendor related costs
Vendor related costs
Vendor Related Costs [Member]
Vendor Related Costs
Effective tax rate (as percent)
Effective Income Tax Rate Reconciliation, Percent
Net cash provided by investing activities
Net Cash Provided by (Used in) Investing Activities
Change in fair value of warrants and amortization of warrants
Increase Decrease In Fair Value Adjustment Of Warrants
Increase decrease in fair value adjustment of warrants.
Loss from continuing operations
Operating Income (Loss)
Deposits with various states and regulatory bodies
Deposits
Total cumulative costs incurred as of September 30, 2024
Restructuring and Related Cost, Cost Incurred to Date
Equity method of accounting and variable interest entities
Equity Method Investments [Policy Text Block]
Gross realized gains
Short-Term Investments And Available-for-sale Securities, Gross Realized Gains
Short-Term Investments And Available-for-sale Securities, Gross Realized Gains
Number of reporting segments (in segments)
Number of Reportable Segments
Total liabilities and stockholders' equity
Liabilities and Equity
Subsequent Events
Subsequent Events [Text Block]
Rule 10b5-1 Arrangement Terminated
Rule 10b5-1 Arrangement Terminated [Flag]
All Adjustments to Compensation
All Adjustments to Compensation [Member]
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Axis]
Ceded premiums
Ceded Premiums Earned
Due after one year through five years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year One through Five
Additional paid-in capital
Additional Paid in Capital
Unpaid claims
Increase (Decrease) In Unpaid Claims
Increase decrease in unpaid claims.
Total restructuring (recoveries) costs
Restructuring Charges
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Net (loss) income from discontinued operations (Note 17)
Net (loss) income
Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest
Legal Entity [Axis]
Legal Entity [Axis]
Due within one year
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, Year One
Investment securities
Securities Investment [Member]
Accrued retrospective premiums
Increase (Decrease) in Unearned Premiums
Underlying Security Market Price Change
Underlying Security Market Price Change, Percent
Scenario [Domain]
Scenario [Domain]
Individual:
Individual [Axis]
2020 MIP
2020 Management Incentive Plan [Member]
2020 management incentive plan member
Accumulated
other
comprehensive income
(loss)
AOCI Attributable to Parent [Member]
Forfeited (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Volume-weighted average stock closing price (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Volume-weighted Average Stock Closing price
Share-based Compensation Arrangement by Share-based Payment Award, Volume-weighted Average Stock Closing price
Expected term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Total liabilities
Disposal Group, Including Discontinued Operation, Liabilities
U.S. government and government agencies and authorities
US Government Agencies Debt Securities [Member]
Basic earnings (loss) per share (in dollars per share)
Basic earnings (loss) per share from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Basic Share
Product and Service [Axis]
Product and Service [Axis]
Entity Address, State or Province
Entity Address, State or Province
Statement [Line Items]
Statement [Line Items]
Surety bonds and deposits
Increase (Decrease) in Deposit Assets
Erroneous Compensation Analysis
Erroneous Compensation Analysis [Text Block]
Assets related to discontinued operations (Note 17)
Disposal Group, Including Discontinued Operation, Assets, Current
Operating expenses:
Operating Expenses [Abstract]
Compensation Actually Paid vs. Total Shareholder Return
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
Financial Instruments
Financial Instruments [Domain]
Vesting [Domain]
Vesting [Domain]
Outstanding at beginning of period (in dollars per share)
Outstanding at end of period (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Minimum
Minimum [Member]
Investment securities, held-to-maturity, fair value current
Debt Securities, Held-to-Maturity, Fair Value, Current
Restatement Determination Date
Restatement Determination Date
Investment income, net
Net Investment Income
Investment securities, available-for-sale (Amortized cost: 2024: $182,840; 2023: $121,868)
Debt Securities, Available-for-Sale, Noncurrent
Adoption Date
Trading Arrangement Adoption Date
Pay vs Performance Disclosure
Pay vs Performance Disclosure [Table]
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
Other receivables
Other Receivables
Denominator:
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent [Abstract]
Amortization expense of deferred acquisition costs
Deferred Policy Acquisition Costs, Amortization Expense
Outstanding at beginning of period (in dollars per share)
Outstanding at end of period (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Due after five years through ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Erroneously Awarded Compensation Recovery
Erroneously Awarded Compensation Recovery [Table]
Outstanding at beginning of period (in shares)
Outstanding at end of period (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Segments [Axis]
Segments [Axis]
Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year
Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year [Member]
Exercise Price
Award Exercise Price
General and administrative expenses
Disposal Group, Including Discontinued Operation, General and Administrative Expense
Beginning balance
Ending balance
Financial Liabilities Fair Value Disclosure
Net Income (Loss) per Share
Earnings Per Share [Text Block]
Arrangement Duration
Trading Arrangement Duration
Discontinued operations
Discontinued Operations [Member]
Subsequent event
Subsequent Event [Member]
Schedule of Assumptions Used in ESPP Fair Value Determination
Schedule of Share-Based Payment Award, Employee Stock Purchase Plan, Valuation Assumptions [Table Text Block]
Stock issuance for exercise of stock options, net of early exercise liability
Stock Issued During Period, Value, Stock Options Exercised
Basic loss per share (in dollars per share)
Basic loss per share from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Basic Share
Granted (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Loss on investment
Loss on investment
Gain (loss) on investments
Gain (Loss) on Investments
Current year
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year
Amortized cost
Investments
Peer Group Issuers, Footnote
Peer Group Issuers, Footnote [Text Block]
Segments [Domain]
Segments [Domain]
Other
Other Debt Obligations [Member]
(Loss) gain from operations
Discontinued Operation, Tax Effect of Gain (Loss) from Disposal of Discontinued Operation
Unpaid claims
Disposal Group, Including Discontinued Operation, Unpaid Claims
Disposal Group, Including Discontinued Operation, Unpaid Claims
Material Terms of Trading Arrangement
Material Terms of Trading Arrangement [Text Block]
Total revenues
Non-Insurance revenue
Disposal Group, Including Discontinued Operation, Total Revenues
Disposal Group, Including Discontinued Operation, Total Revenues
All Individuals
All Individuals [Member]
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Short-Duration Insurance Contracts, Discounted Liabilities [Line Items]
Total, Unrealized Loss
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Accumulated Loss
Debt securities available for sale and held to maturity unrealized loss position accumulated loss.
Performance year obligation
Performance Year Obligation, Non-Cash Activities
Performance Year Obligation, Non-Cash Activities
PEO
PEO [Member]
Warrants receivable
Warrants Receivable [Member]
Warrants Receivable
Accumulated unrealized losses
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Loss
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Name
Trading Arrangement, Individual Name
Award fees and expenses
Derivative Instruments , Award Fees and Expenses
Derivative Instruments , Award Fees and Expenses
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Receivables [Abstract]
Receivables [Abstract]
Accumulated unrealized gains
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Gain, before Tax
Accrued salaries and benefits
Increase (Decrease) in Accrued Salaries
Shares Outstanding Under Plans (in shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Shares Outstanding
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Shares Outstanding
Investment securities, held-to-maturity, fair value noncurrent
Debt Securities, Held-to-Maturity, Fair Value, Noncurrent
Net loss from continuing operations attributable to Common Stockholders
Net Income (Loss) from Continuing Operations Available to Common Shareholders, Basic
Less: Treasury stock, at cost; 16,817,010 and 7,912,750 shares held at September 30, 2024 and December 31, 2023, respectively
Treasury Stock, Common, Value
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Awards Close in Time to MNPI Disclosures, Table
Awards Close in Time to MNPI Disclosures [Table Text Block]
Incurred related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims [Abstract]
Other
Other Level One Debt Securities [Member]
Other Level One Debt Securities
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Maximum number of shares that may be purchased (in shares)
Shares Remaining Under Plans (in shares)
Common Stock, Capital Shares Reserved for Future Issuance
Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year
Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year [Member]
Equity And Temporary Equity [Abstract]
Equity And Temporary Equity
Related Party
Related and Nonrelated Parties [Domain]
Due after five years through ten years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year 5 through 10
Accounts payable and accrued expenses
Accounts Payable and Accrued Liabilities, Current
Aggregate Erroneous Compensation Amount
Aggregate Erroneous Compensation Amount
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Diluted earnings (loss) per share (in dollars per share)
Diluted earnings (loss) per share from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Diluted Share
Local Phone Number
Local Phone Number
Liability Class
Liability Class [Axis]
Aggregate Erroneous Compensation Not Yet Determined
Aggregate Erroneous Compensation Not Yet Determined [Text Block]
Held-to-maturity debt securities, allowance for credit loss
Debt Securities, Held-to-Maturity, Allowance for Credit Loss
Total operating expenses
Operating Expenses
Schedule of Reconciliation of Revenue from Segments to Consolidated
Reconciliation of Revenue from Segments to Consolidated [Table Text Block]
Other
Other
Other Restructuring [Member]
Expected volatility
Expected volatility
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Schedule of Total RSU Activity
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Repurchases of Common Stock (in shares)
Stock repurchased during period (in shares)
Stock Repurchased During Period, Shares
Other assets
Increase (Decrease) in Other Operating Assets
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Available-for-sale debt securities, allowance for credit loss
Debt Securities, Available-for-Sale, Allowance for Credit Loss
Percentage of current year medical claims paid as a percent of current year net medical claims
Ratio Of Current Year Medical Claims Paid As A Percent Of Current Year Net Medical Claims
Ratio of current year medical claims paid as a percent of current year net medical claims.
PEO Total Compensation Amount
PEO Total Compensation Amount
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Total, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions
Debt securities available for sale and held to maturity unrealized loss position number of positions.
Income Statement Location [Axis]
Statement of Income Location, Balance [Axis]
Schedule of Investment Securities Reconciliation
Schedule Of Investment Securities Reconciliation [Table Text Block]
Schedule Of Investment Securities Reconciliation
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Common stock
Common Stock [Member]
Measure:
Measure [Axis]
Operating lease right-of-use assets
Increase (Decrease) In Operating Lease Right Of Use Assets
Increase decrease in operating lease right of use assets.
Total held-to-maturity and available-for-sale investment securities
Investments [Abstract]
Preferred stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Forgone Recovery due to Expense of Enforcement, Amount
Forgone Recovery due to Expense of Enforcement, Amount
Schedule of Changes in Balances of Level 3 Financial Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Revenue, Major Customer [Line Items]
Revenue, Major Customer [Line Items]
Entity Emerging Growth Company
Entity Emerging Growth Company
Segment Reporting [Abstract]
Entity Central Index Key
Entity Central Index Key
Scenario [Axis]
Scenario [Axis]
General and Administrative Expense
General and Administrative Expense [Member]
Due within one year
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Equity Method Investments and Joint Ventures [Abstract]
Non-GAAP Measure Description
Non-GAAP Measure Description [Text Block]
Gross realized losses
Short-Term Investments And Available-for-sale Securities, Gross Realized Losses
Short-Term Investments And Available-for-sale Securities, Gross Realized Losses
Non-Insurance revenue
Disposal Group, Including Discontinued Operation, Non-Insurance Revenue
Disposal Group, Including Discontinued Operation, Non-Insurance Revenue
Total incurred
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims
Discontinued Operations and Disposal Groups [Abstract]
Non-PEO NEO Average Compensation Actually Paid Amount
Non-PEO NEO Average Compensation Actually Paid Amount
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Award Timing, How MNPI Considered
Award Timing, How MNPI Considered [Text Block]
Preferred stock par value, (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Equity Component
Equity Component [Domain]
Financial Instrument
Financial Instrument [Axis]
Operating Segments
Segment Reporting Disclosure [Text Block]
Accounting Policies [Table]
Accounting Policies [Table]
Accounting Policies [Table]
Treasury stock acquired
Payments for Repurchase of Other Equity
Less than 12 months, Unrealized loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One Accumulated Loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One Accumulated Loss
Net cash (used in) provided by operating activities from discontinued operations (Note 17)
Net cash (used in) provided by operating activities
Cash Provided by (Used in) Operating Activities, Discontinued Operations
Additional 402(v) Disclosure
Additional 402(v) Disclosure [Text Block]
Stock-based compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Entity Shell Company
Entity Shell Company
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Contingent liabilities
Loss Contingency, Loss in Period
Class B Common Stock
Common Class B
Common Class B [Member]
Title
Trading Arrangement, Individual Title
Statement [Table]
Statement [Table]
Counterparty Name [Axis]
Counterparty Name [Axis]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Total operating expenses
Disposal Group, Including Discontinued Operation, Total Operating Expenses
Disposal Group, Including Discontinued Operation, Total Operating Expenses
Unrecognized tax position
Unrecognized Tax Benefits
Consolidation Items [Domain]
Consolidation Items [Domain]
City Area Code
City Area Code
Conversion from Class B Common Stock to Class A Common Stock (in shares)
Conversion From Class B To Class A Common Stock, Shares
Conversion From Class B To Class A Common Stock, Shares
Current liabilities
Liabilities, Current [Abstract]
Depreciation and amortization
Depreciation and Amortization [Member]
Depreciation and Amortization
Stock repurchase period
Share Repurchase Program, Period in Force
Restructuring costs
Disposal Group, Including Discontinued Operation, Restructuring Costs
Disposal Group, Including Discontinued Operation, Restructuring Costs
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Insider Trading Policies and Procedures Not Adopted
Insider Trading Policies and Procedures Not Adopted [Text Block]
Level 1
Fair Value, Inputs, Level 1 [Member]
Total current assets
Assets, Current
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Supplemental disclosure of non-cash activities
Noncash Investing and Financing Items [Abstract]
Preferred stock
Preferred Stock [Member]
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
Repurchases of common stock
Payments for Repurchase of Common Stock
Stock options, exercisable, number (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Schedule of Net Investment Income
Investment Income [Table Text Block]
Document Information [Line Items]
Document Information [Line Items]
Weighted-average grant date fair value per share
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Due after five years through ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Total paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid
Income Taxes
Income Tax Disclosure [Text Block]
Per share data:
Earnings Per Share [Abstract]
Stockholders' equity
Equity [Abstract]
Debt Securities, Available-for-sale, Fair Value, Fiscal Year Maturity [Abstract]
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Due after ten years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year 10
Class of Stock
Class of Stock [Domain]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Accumulated unrealized gains
Available for Sale Securities and Held to Maturity Securities Accumulated Gross Unrealized Gain Before Tax
Available for sale securities and held to maturity securities accumulated gross unrealized gain before tax.
General and administrative expenses
General and administrative expenses
General and Administrative Expense
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Aggregate Available
Trading Arrangement, Securities Aggregate Available Amount
Equity Awards Adjustments
Equity Awards Adjustments [Member]
Net cash used in financing activities
Net Cash Provided by (Used in) Financing Activities
Underlying Securities
Award Underlying Securities Amount
Investment Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
Amendment Flag
Amendment Flag
Accrued retrospective premiums
Accrued Retrospective Premiums Current
Accrued retrospective premiums.
Entity Registrant Name
Entity Registrant Name
Adjustment to Non-PEO NEO Compensation Footnote
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Stock Appreciation Rights (SARs)
Stock Appreciation Rights (SARs) [Member]
Gross profit
Gross Profit
Fair Value as of Grant Date
Award Grant Date Fair Value
Subsequent Events [Abstract]
Number of shares purchased (in shares)
Sale of stock, number of shares issued in transaction (in shares)
Sale of Stock, Number of Shares Issued in Transaction
Level 2
Fair Value, Inputs, Level 2 [Member]
Due within one year
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, Year One
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Domain]
Recovery of Erroneously Awarded Compensation Disclosure [Line Items]
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Schedule of Restructuring and Related Costs [Table]
Restructuring Cost [Table]
Restatement Determination Date:
Restatement Determination Date [Axis]
Common stock, value
Common Stock, Value, Issued
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Cash and cash equivalents
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Investment securities, available-for sale, amortized cost noncurrent
Debt Securities, Available-for-Sale, Amortized Cost, Noncurrent
Due after ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested
Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested [Member]
Employers matching contribution, vesting percentage
Defined Contribution Plan, Employers Matching Contribution, Annual Vesting Percentage
Forfeited (in dollars per share)
Forfeited (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Eligibility for vesting period (in days)
Share-based Compensation Arrangement by Share-based Payment Award, Eligibility For Vesting Period
Share-based Compensation Arrangement by Share-based Payment Award, Eligibility For Vesting Period
Fair Value by Liability Class
Fair Value by Liability Class [Domain]
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested
Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested [Member]
Accrued salaries and benefits
Disposal Group Including Discontinued Operation, Accrued Salaries and Benefits
Disposal Group Including Discontinued Operation, Accrued Salaries and Benefits
Adjustment for performance condition achieved (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Adjustment For Performance Condition Achieved, Weighted Average Grant Date Fair Value
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Adjustment For Performance Condition Achieved, Weighted Average Grant Date Fair Value
Premium deficiency reserve expense (benefit)
Premium deficiency reserve
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Number of stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward]
ESPP
Employee Stock [Member]
Depreciation and amortization
Depreciation and amortization expense
Depreciation, Depletion and Amortization, Nonproduction
Cash and cash equivalents
Cash and Cash Equivalents [Member]
Amortization of the Non-Insurance performance year obligation
Non-Insurance, Performance Year Obligation, Amortization
Non-Insurance, Performance Year Obligation, Amortization
Adjustment To PEO Compensation, Footnote
Adjustment To PEO Compensation, Footnote [Text Block]
Award Timing MNPI Disclosure
Award Timing MNPI Disclosure [Text Block]
Expiration period (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
2020 Equity and Management Incentive Plan
Two Thousand Twenty Equity And Management Incentive Plan [Member]
Two thousand twenty equity and management incentive plan.
Equity interest percentage (less than)
Equity Ownership Interest, Percentage
Equity Ownership Interest, Percentage
Aggregate Pension Adjustments Service Cost
Aggregate Pension Adjustments Service Cost [Member]
Compensation Actually Paid vs. Other Measure
Compensation Actually Paid vs. Other Measure [Text Block]
Maximum common stock reserved, threshold percentage
Common Stock, Capital Shares Reserved For Future Issuance, Threshold Percentage
Common Stock, Capital Shares Reserved For Future Issuance, Threshold Percentage
Schedule of Gross Unrealized Losses and Fair Value for Fixed Maturities in a Continuous Unrealized Loss Position
Debt Securities, Available-for-Sale, Unrealized Loss Position, Fair Value [Table Text Block]
Schedule of Stock by Class [Table]
Stock, Class of Stock [Table]
Total current liabilities
Liabilities, Current
Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year
Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year [Member]
Unvested stock options, unrecognized stock-based compensation
Share-Based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount
Previously Reported
Previously Reported [Member]
Total assets
Total assets
Assets
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
U.S. government and government agencies and authorities
U.S. government and government agencies
US Treasury and Government [Member]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Other liabilities, non-current
Other Liabilities, Noncurrent
Forgone Recovery due to Violation of Home Country Law, Amount
Forgone Recovery due to Violation of Home Country Law, Amount
Fair value
Total
Debt Securities, Held-to-Maturity, Fair Value
Commitments and contingencies (Note 13)
Commitments and Contingencies
Net medical claims incurred
Disposal Group, Including Discontinued Operation, Net Medical Claims Incurred
Disposal Group, Including Discontinued Operation, Net Medical Claims Incurred
Variable Interest Entity and Equity Method of Accounting
Equity Method Investments and Joint Ventures Disclosure [Text Block]
Termination Date
Trading Arrangement Termination Date
Title of 12(g) Security
Title of 12(g) Security
Class of Warrant or Right [Domain]
Class of Warrant or Right [Domain]
Schedule of Related Party Transactions, by Related Party [Table]
Related Party Transaction [Table]
Total revenues
Intersegment revenues
Revenues
Stockholders' Equity and Convertible Preferred Stock
Stockholders' Equity And Temporary Equity [Text Block]
Stockholders' Equity And Temporary Equity
Other liabilities
Other Liabilities
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Line Items]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Entity Address, City or Town
Entity Address, City or Town
Due after one year through five years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Schedule of Stock Option Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Options to purchase common stock
Options To Purchase Common Stock [Member]
Options To Purchase Common Stock.
Employee discount percentage
Defined Contribution Plan, Employee Discount, Percent
Defined Contribution Plan, Employee Discount, Percent
Stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value
Total compensation cost recognized for stock-based compensation plans
Share-Based Payment Arrangement, Expense
Discontinued Operations
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Net loss
Net Income (Loss)
Net Income (Loss) Attributable to Parent
Trading Arrangement:
Trading Arrangement [Axis]
Investments, Debt and Equity Securities [Abstract]
Investments, Debt and Equity Securities [Abstract]
Granted (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Pay vs Performance Disclosure, Table
Pay vs Performance [Table Text Block]
Employer discretionary contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Loss Contingencies [Table]
Loss Contingencies [Table]
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Accumulated unrealized gains
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Gain
Equity Awards Adjustments, Excluding Value Reported in Compensation Table
Equity Awards Adjustments, Excluding Value Reported in the Compensation Table [Member]
Due after ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 10
Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year
Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year [Member]
Entity File Number
Entity File Number
Schedule of Realized Gain (Loss) on Investment Securities
Realized Gain (Loss) on Investments [Table Text Block]
Document Fiscal Year Focus
Document Fiscal Year Focus
Total
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Fair Value
Income Statement [Abstract]
Income Statement [Abstract]
Entity Address, Address Line One
Entity Address, Address Line One
Treasury stock acquired
Treasury Stock, Value, Acquired, Cost Method
Entity Address, Address Line Two
Entity Address, Address Line Two
Total assets at fair value
Assets, Fair Value Disclosure
Name
Forgone Recovery, Individual Name
Stock options, exercisable, intrinsic value (less than)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value
Document Period End Date
Document Period End Date
Sale of Stock
Sale of Stock [Axis]
Award Timing MNPI Considered
Award Timing MNPI Considered [Flag]
Healthcare Receivables
Account Receivables [Text Block]
Account Receivables
Beginning balance (in shares)
Ending balance (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Insider Trading Arrangements [Line Items]
Net (loss) income from discontinued operations attributable to Common Stockholders
Net Income (Loss) from Discontinued Operations Available to Common Shareholders, Basic
Schedule of Total Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Activity [Table Text Block]
Outstanding Aggregate Erroneous Compensation Amount
Outstanding Aggregate Erroneous Compensation Amount
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
PEO Actually Paid Compensation Amount
PEO Actually Paid Compensation Amount
Greater than 12 months, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions 12 Months Or Longer
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions 12 Months Or Longer
Diluted loss per share (in dollars per share)
Diluted loss per share from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Diluted Share
Less than 12 months, Fair value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One, Fair Value
Warrants receivable
Warrants and Rights Outstanding
Adjustment to Compensation:
Adjustment to Compensation [Axis]
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Document Transition Report
Document Transition Report
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Document Quarterly Report
Document Quarterly Report
Current year
Current Year Claims and Claims Adjustment Expense
Accumulated unrealized losses
Available for sale Securities and Held to Maturity Securities Accumulated Gross Unrealized Loss before Tax
Available for sale securities and held to maturity securities accumulated gross unrealized loss before tax.
Due after one year through five years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Schedule of Performance Guarantees
Schedule of Guarantor Obligations [Table Text Block]
Accumulated other comprehensive income (loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax
Entity Current Reporting Status
Entity Current Reporting Status
Accumulated
deficit
Retained Earnings [Member]
Pension Adjustments Service Cost
Pension Adjustments Service Cost [Member]
Basic weighted average number of Class A and Class B common shares and common share equivalents outstanding (in shares)
Basic weighted average number of common shares and common share equivalents outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
Related Party
Related and Nonrelated Parties [Axis]
Stock Price or TSR Estimation Method
Stock Price or TSR Estimation Method [Text Block]
Premiums earned, net (Net of ceded premiums of $97 and $106 for the three months ended September 30, 2024 and 2023, respectively; net of ceded premiums of $301 and $341 for the nine months ended September 30, 2024 and 2023, respectively)
Premiums earned, net (Net of ceded premiums)
Premiums Earned, Net
Document Information [Table]
Document Information [Table]
Total stockholders' equity
Beginning balance
Ending balance
Equity, Including Portion Attributable to Noncontrolling Interest
RSUs
Restricted Stock Units (RSUs) [Member]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Executive Category:
Executive Category [Axis]
Purchases of short-term investments, available-for-sale, and held-to-maturity securities
Payments to Acquire Investments
Name
Awards Close in Time to MNPI Disclosures, Individual Name
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Litigation settlement, amount awarded from other party
Litigation Settlement, Amount Awarded from Other Party
Entity Filer Category
Entity Filer Category
Liability as of December 31, 2023
Liability as of September 30, 2024
Restructuring Reserve
Income Statement Location [Domain]
Statement of Income Location, Balance [Domain]
Accrued salaries and benefits
Accrued Salaries
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Company Selected Measure Name
Company Selected Measure Name