Short-term investments
Other Short-Term Investments
Stock Appreciation Rights (SARs)
Stock Appreciation Rights (SARs) [Member]
Aggregate amount
Line of Credit Facility, Maximum Borrowing Capacity
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Expiration period (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
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
Medical Records Exchange, LLC
Medical Records Exchange, LLC [Member]
Medical Records Exchange, LLC
Award Type
Award Type [Domain]
Fair Value as of Grant Date
Award Grant Date Fair Value
Investment, Name [Domain]
Investment, Name [Domain]
Allowance for expected credit losses
Receivables, Trade and Other Accounts Receivable, Allowance for Doubtful Accounts, Policy [Policy Text Block]
Due within one year
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, Year One
Non-Insurance
Non-Insurance [Member]
Non-Insurance
Purchases of short-term investments, available-for-sale, and held-to-maturity securities
Payments to Acquire Investments
Charter Bioscience Inc.
Character Biosciences Inc [Member]
Character Biosciences Inc
Warrant redemption
Warrants And Rights, Redemptions
Warrants And Rights, Redemptions
Insider Trading Policies and Procedures [Line Items]
Stock options, exercisable, number (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Rule 10b5-1 Arrangement Terminated
Rule 10b5-1 Arrangement Terminated [Flag]
2028
Lessee, Operating Lease, Liability, to be Paid, Year Five
Restatement does not require Recovery
Restatement Does Not Require Recovery [Text Block]
Payment for the redemptions of public warrants
Payment for the redemptions of public warrants
Payments for Repurchase of Warrants
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Dividend yield
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
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
Prior year true-up
Effective Income Tax Rate Reconciliation, Prior Year Income Taxes, Amount
Acquisition of public and private warrants
Acquisition of Public and Private Warrants
Acquisition of Public and Private Warrants
Beginning balance
Ending balance
Financial Liabilities Fair Value Disclosure
Current liabilities
Liabilities, Current [Abstract]
Intersegment revenues
Intersegment Eliminations [Member]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Net loss per share attributable to Class A and Class B common stockholders - diluted (in dollars per share)
Net loss per share attributable to Common Stockholders—diluted (in dollars per share)
Earnings Per Share, Diluted
Allowances for uncollectible reinsurance recoverable
Reinsurance Recoverable, Allowance for Credit Loss
Capital contribution for extinguishment of debt
Extinguishment of Debt, Amount
Insurance proceeds
Litigation Settlement, Insurance Proceeds
Litigation Settlement, Insurance Proceeds
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
Trading Symbol
Trading Symbol
Restructuring Plan [Domain]
Restructuring Plan [Domain]
U.S. government and government agencies and authorities
US Government Agencies Debt Securities [Member]
Insurance
Insurance [Member]
Insurance
Granted (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Accounting Policies [Table]
Accounting Standards Update and Change in Accounting Principle [Table]
Number of derivative actions
Number Of Derivative Actions
Number Of Derivative Actions
ESPP
Employee Stock [Member]
Investment securities, available-for sale, amortized cost current
Debt Securities, Available-for-Sale, Amortized Cost, Current
Investment Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
Schedule of Basic and Diluted Net Loss Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Total IBNR
Short-Duration Insurance Contracts, Incurred but Not Reported (IBNR) Claims Liability, Net
Executive Category:
Executive Category [Axis]
Number of shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Exercised (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Level 1
Fair Value, Inputs, Level 1 [Member]
Total deferred income tax assets, net of valuation allowance
Deferred Tax Assets, Net of Valuation Allowance
Schedule of Property and Equipment, Net
Property, Plant and Equipment [Table Text Block]
Equity Components
Equity Components [Axis]
Exercise price of warrants (in dollars per share)
Class of Warrant or Right, Exercise Price of Warrants or Rights
Financial Instruments
Financial Instruments [Domain]
Additional 402(v) Disclosure
Additional 402(v) Disclosure [Text Block]
Condensed Balance Sheet Statements, Captions [Line Items]
Condensed Balance Sheet Statements, Captions [Line Items]
Fair Value, Separate Account Investment [Line Items]
Fair Value, Separate Account Investment [Line Items]
Number of shares available for issuance (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Investment Type
Investment Type [Axis]
Current year
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year
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
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Schedule of Reconciliation of Revenue from Segments to Consolidated
Reconciliation of Revenue from Segments to Consolidated [Table Text Block]
Entity Small Business
Entity Small Business
Investments
Investments [Domain]
Local Phone Number
Local Phone Number
Merger Agreement With SCH
Merger Agreement With S C H [Member]
Merger Agreement with SCH
Recovery of Erroneously Awarded Compensation Disclosure [Line Items]
Letter of credit agreement
Letter of Credit [Member]
2020 Employee Stock Purchase Plan
2020 Employee Stock Purchase Plan [Member]
2020 Employee Stock Purchase Plan
Parent Company and Unregulated Subsidiaries
Parent Company And Unregulated Subsidiaries [Member]
Parent Company And Unregulated Subsidiaries
Effects of Reinsurance [Line Items]
Effects of Reinsurance [Line Items]
RSUs
Restricted Stock Units (RSUs) [Member]
Forgone Recovery due to Violation of Home Country Law, Amount
Forgone Recovery due to Violation of Home Country Law, Amount
Depreciation expense
Depreciation
Stock based compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-Based Payment Arrangement, Amount
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Preferred stock conversion
Stock Issued During Period, Value, Conversion of Units
ACO REACH
ACO REACH [Member]
ACO REACH
Life insurance reserves assumption, interest rate (as percent)
Life Insurance Reserves Assumption, Interest Rate
Life Insurance Reserves Assumption, Interest Rate
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
Second Private Capital Transaction
Second Private Capital Transaction [Member]
Second Private Capital Transaction
Goodwill and other intangible assets
Intangible Assets, Net (Including Goodwill)
162(m) Limitation
Effective Income Tax Rate Reconciliation, 162(m) Limitation, Amount
Effective Income Tax Rate Reconciliation, 162(m) Limitation, Amount
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
Due after ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 10
Total revenues
Intersegment revenues
Revenues
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Fair Value by Liability Class
Fair Value by Liability Class [Domain]
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]
Aggregate Available
Trading Arrangement, Securities Aggregate Available Amount
Insider Trading Policies and Procedures Not Adopted
Insider Trading Policies and Procedures Not Adopted [Text Block]
Liability as of December 31, 2022
Liability as of December 31, 2023
Restructuring Reserve
Total anti-dilutive shares excluded from computation of net loss per share (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Award Type
Award Type [Axis]
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Acquisition of Public and Private Placement Warrants
Acquisition of Public and Private Placement Warrants
Acquisition of public and private placement warrants.
Preferred stock conversion (in shares)
Temporary Equity, Shares, Conversion Of Convertible Securities
Temporary Equity, Shares, Conversion Of Convertible Securities
Supplemental disclosure of non-cash activities
Noncash Investing and Financing Items [Abstract]
Condensed Financial Statements, Captions [Line Items]
Condensed Financial Statements, Captions [Line Items]
Total paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Domain]
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
General and administrative expense
General and Administrative Expense [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Property and equipment, gross
Property, Plant and Equipment, Gross
Premiums Earned, Net [Abstract]
Premiums Earned, Net [Abstract]
Change in restricted cash related to surety bonds, deposits, and escrow accounts
Payments (Proceeds) of Restricted Cash Related to Bonds, Deposits and Escrow Accounts
Payments (Proceeds) of Restricted Cash Related to Bonds, Deposits and Escrow Accounts
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Less: imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
PEO Actually Paid Compensation Amount
PEO Actually Paid Compensation Amount
Schedule of Components of Income Tax
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Contingent liabilities
Loss Contingency, Loss in Period
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Operating lease liabilities
Operating Lease, Liability, Current
Prepaid expenses
Prepaid Expense, Current
Receipts
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Receipts
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Receipts
Common stock, number of voting rights per share (in votes)
Common Stock, Number Of Voting Rights
Common Stock, Number Of Voting Rights
2026
Lessee, Operating Lease, Liability, to be Paid, Year Three
Finite-lived, net
Finite-Lived Intangible Assets, Net
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Recent accounting pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Valuation allowance for deferred tax assets
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member]
Counterparty Name [Domain]
Counterparty Name [Domain]
Finite-lived, accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
2025
Lessee, Operating Lease, Liability, to be Paid, Year Two
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
Insurance [Abstract]
Amortization expense due to recognition of premium deficiency reserve
Deferred Policy Acquisition Costs, Amortization Expense, Premium Deficiency Reserve
Deferred Policy Acquisition Costs, Amortization Expense, Premium Deficiency Reserve
Stock Price or TSR Estimation Method
Stock Price or TSR Estimation Method [Text Block]
Gross profit (loss)
Gross profit
Gross Profit
Amortized cost
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Amortized Cost
Deferred revenue
Contract with Customer, Liability, Current
Schedule of Assumptions to Estimate Fair Value of Stock Options on Weighted Average Basis
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Security Exchange Name
Security Exchange Name
Stock-based compensation
Share-Based Payment Arrangement [Policy Text Block]
Accumulated other comprehensive loss
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Stock options
Employee Stock Option [Member]
Derivative Liabilities
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Investment securities
Investment, Policy [Policy Text Block]
Total cumulative costs incurred as of December 31, 2023
Restructuring and Related Cost, Cost Incurred to Date
Maximum
Maximum [Member]
Schedule of Restructuring Charges
Restructuring and Related Costs [Table Text Block]
Accretion, net of amortization
Depreciation, Amortization and Accretion, Net
Document Type
Document Type
Acquisitions
Goodwill, Acquired During Period
Interest rate (as percent)
Line of Credit Facility, Interest Rate During Period
Tabular List, Table
Tabular List [Table Text Block]
Healthcare receivables
Receivables from Customers
Operating loss carryforwards, subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration
Treasury stock acquired
Treasury Stock, Value, Acquired, Cost Method
Accumulated unrealized gains
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Gain
Inducement Plan
Inducement Plan [Member]
Inducement Plan
Schedule of Realized Gain (Loss) on Investment Securities
Realized Gain (Loss) on Investments [Table Text Block]
Basis of presentation
Basis of Accounting, Policy [Policy Text Block]
Business Acquisition
Business Acquisition [Axis]
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Surety bonds and deposits
Deposits Assets, Current
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Investment income, net
Net Investment Income
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Litigation settlement, amount awarded from other party
Litigation Settlement, Amount Awarded from Other Party
Sublease income
Sublease Income
Related Party
Related Party, Type [Domain]
Class of warrant or right, number of securities called by each warrant or right (in shares)
Class of Warrant or Right, Number of Securities Called by Each Warrant or Right
Indefinite-lived intangible assets
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Reconciliation of cash and cash equivalents and restricted cash
Reconciliation to condensed consolidated balance sheets [Abstract]
Reconciliation to condensed consolidated balance sheets
Aggregate Erroneous Compensation Not Yet Determined
Aggregate Erroneous Compensation Not Yet Determined [Text Block]
Derivative Instruments and Hedges, Liabilities [Abstract]
Derivative Instruments and Hedges, Liabilities [Abstract]
Operating Segments
Operating Segments [Member]
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
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Forgone Recovery due to Expense of Enforcement, Amount
Forgone Recovery due to Expense of Enforcement, Amount
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Entity Tax Identification Number
Entity Tax Identification Number
2022
Short-Duration Insurance Contract, Accident Year 2022 [Member]
Derecognition of Non-controlling interest
Derecognition of noncontrolling interest
Noncontrolling Interest, Decrease from Deconsolidation
2020 Plan
2020 Equity Incentive Plan [Member]
2020 Equity Incentive Plan [Member]
Total lease cost
Lease, Cost
Statistical Measurement
Statistical Measurement [Axis]
Private Capital Transaction
Private Capital Transaction [Member]
Private Capital Transaction
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Entity Interactive Data Current
Entity Interactive Data Current
Debt Securities, Available-for-Sale [Table]
Debt Securities, Available-for-Sale [Table]
Goodwill and other intangible assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Other assets
Other Assets [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]
Reinsurance recoverable, gross and net
Reinsurance Recoverables, Gross
Conversion from Class B Common Stock to Class A Common Stock
Conversion From Class B To Class A Common Stock, Amount
Conversion From Class B To Class A Common Stock, Amount
Measure:
Measure [Axis]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Name
Outstanding Recovery, Individual Name
Deferred revenue
Revenue from Contract with Customer [Policy Text Block]
Other
Other Debt Obligations [Member]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Equity interest at fair value
Equity Securities, FV-NI
Life insurance reserves, fully coinsured by third party
Life Insurance Reserves, Fully Coinsured by Third Party
Life Insurance Reserves, Fully Coinsured by Third Party
Schedule of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Counterparty Name [Axis]
Counterparty Name [Axis]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Schedule of Performance Guarantees
Schedule Of Performance Guarantees [Table Text Block]
Schedule Of Performance Guarantees
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Stock-Based Compensation Cost
Share-Based Payment Arrangement, Cost by Plan [Table Text Block]
Net unrealized gain (loss) 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
Common stock, shares, outstanding (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Outstanding
Reinsurance recoverable, net
Reinsurance Recoverables, Including Reinsurance Premium Paid
Warrant expense
Effective Income Tax Rate Reconciliation, Warrant Expense, Amount
Effective Income Tax Rate Reconciliation, Warrant Expense, Amount
PEO
PEO [Member]
Concentrations of credit risk
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Auditor Location
Auditor Location
Non-Insurance payable
Increase (Decrease) In Non-Insurance Payable
Increase (Decrease) In Non-Insurance Payable
Common stock, par value, (in dollars per share)
Common Stock, Par or Stated Value Per Share
Sale of Stock
Sale of Stock [Axis]
Marketing expense
Marketing Expense
Net cash provided by (used in) investing activities
Net Cash Provided by (Used in) Investing Activities
Unpaid claims
Increase (Decrease) In Unpaid Claims
Increase decrease in unpaid claims.
Conversion of Character Biosciences, Inc. convertible note to preferred stock
Conversion of Convertible Note to Preferred Stock
Conversion of Convertible Note to Preferred Stock
Meals and entertainment
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Meals and Entertainment, Amount
Annuity reserves assumption, interest rate (as percent)
Annuity Reserves Assumption, Interest Rate
Annuity Reserves Assumption, Interest Rate
Outstanding Aggregate Erroneous Compensation Amount
Outstanding Aggregate Erroneous Compensation Amount
Deferred income tax liabilities:
Deferred Tax Liabilities, Gross [Abstract]
Total liabilities
Liabilities
Current provision
Current Income Tax Expense (Benefit)
2020 MIP
2020 Management Incentive Plan [Member]
2020 management incentive plan member
Expected volatility
Expected volatility
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate
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
Maximum number of shares that may be purchased (in shares)
Shares Remaining Under Plans (in shares)
Common Stock, Capital Shares Reserved for Future Issuance
Property and Equipment, Net
Property, Plant and Equipment Disclosure [Text Block]
Nontaxable gain on deconsolidation of entity
Deferred Tax Liabilities Nontaxable Gain on Deconsolidation of Entity
Deferred Tax Liabilities Nontaxable Gain on Deconsolidation of Entity
Coinsurance percentage
Coinsurance Percentage
Coinsurance Percentage
Issuance of common stock related to warrants exercised
Issuance Of Common Stock Related To Warrants Exercised
Issuance Of Common Stock Related To Warrants Exercised
Non-Rule 10b5-1 Arrangement Adopted
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Investment securities, available-for sale, amortized cost noncurrent
Debt Securities, Available-for-Sale, Amortized Cost, Noncurrent
Long-Lived Tangible Asset [Domain]
Long-Lived Tangible Asset [Domain]
Proceeds from reverse recapitalization, net of transaction costs
Proceeds From Reverse Capitalization Net of Transaction Costs
Proceeds from reverse capitalization, net of transaction costs.
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Capitalized software development costs - cloud computing arrangements
Research, Development, and Computer Software, Policy [Policy Text Block]
General and administrative expenses
General and administrative expenses
General and Administrative Expense
Short-duration Insurance Contracts, Accident Year [Domain]
Short-Duration Insurance Contracts, Accident Year [Domain]
Awards Close in Time to MNPI Disclosures, Table
Awards Close in Time to MNPI Disclosures [Table Text Block]
Segment information
Segment Reporting, Policy [Policy Text Block]
Total current assets
Assets, Current
Preferred stock
Preferred Stock [Member]
Asset impairment charges
Asset Impairment Charges
Contingent consideration
Business Combination, Contingent Consideration, Liability
Supplemental cash flow disclosures
Supplemental Cash Flow Information [Abstract]
Amortization expense
Amortization
Restructuring Type [Axis]
Restructuring Type [Axis]
Short-term Debt, Type
Short-Term Debt, Type [Domain]
Other liabilities
Other Liabilities
Net loss per share
Earnings Per Share, Policy [Policy Text Block]
Goodwill and Other Intangibles
Goodwill and Intangible Assets Disclosure [Text Block]
Amortized cost
Investments
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
U.S. government and government agencies
US Treasury and Government [Member]
Non-Insurance receivable
Non-Insurance Receivable
Non-Insurance Receivable
Net cash used in operating activities
Net Cash Provided by (Used in) Operating Activities
Stock options, exercisable, intrinsic value (less than)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value
Impairment loss
Financing Receivable, Collectively Evaluated for Impairment
Class of Stock
Class of Stock [Axis]
Variable Interest Entity and Equity Method of Accounting
Equity Method Investments and Joint Ventures Disclosure [Text Block]
Erroneously Awarded Compensation Recovery
Erroneously Awarded Compensation Recovery [Table]
Juxly
Juxly [Member]
Juxly
Audit Information [Abstract]
Audit Information
Reinsurance, excess loss coverage threshold
Reinsurance, Excess Loss Coverage Threshold Per Covered Person
Reinsurance, Excess Loss Coverage Threshold Per Covered Person
Title of 12(g) Security
Title of 12(g) Security
Deferred income tax assets:
Deferred Tax Assets, Gross [Abstract]
Office furniture and fixtures
Furniture and Fixtures [Member]
Issuance of common stock in connection with 2021 Business Combination and PIPE offering
Stock Issued During Period, Value, Business Combination and Offering
Stock issued during period, value, business combination and offering.
Award Timing, How MNPI Considered
Award Timing, How MNPI Considered [Text Block]
Amortized cost
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss
Cash paid for amounts included in the measurement of lease liabilities
Cash Paid For Amounts Included In The Measurement Of Lease Liabilities
Cash Paid For Amounts Included In The Measurement Of Lease Liabilities
Proceeds received for the exercise of public and private warrants
Proceeds from Warrant Exercises
2023
Short-Duration Insurance Contract, Accident Year 2023 [Member]
Aggregate statutory capital and surplus
Statutory Accounting Practices, Statutory Capital and Surplus, Balance
Escrow deposit, remaining amount
Escrow Deposit, Remaining Amount
Escrow Deposit, Remaining Amount
Consolidation Items [Axis]
Consolidation Items [Axis]
Investments in consolidated subsidiaries
Investments In Consolidated Subsidiaries
Investments In Consolidated Subsidiaries
Investments and cash
Investments and Cash
Regulated Subsidiaries
Regulated Subsidiaries [Member]
Regulated Subsidiaries
Impairment
Impairment
Goodwill, Impairment Loss
Less: valuation allowance
Deferred Tax Assets, Valuation Allowance
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Other
Other Level One Debt Securities [Member]
Other Level One Debt Securities
Warrants exercised
Warrants And Rights, Exercises
Warrants And Rights, Exercises
Weighted average number of common shares outstanding
Earnings Per Share Reconciliation [Abstract]
Long-Lived Tangible Asset [Axis]
Long-Lived Tangible Asset [Axis]
Equity And Temporary Equity [Abstract]
Equity And Temporary Equity
Depreciation and amortization
Depreciation and amortization expense
Depreciation, Depletion and Amortization, Nonproduction
Preferred stock, shares issued (in shares)
Preferred Stock, Shares Issued
Mark-to-market adjustment
Liabilities, Fair Value Adjustment
2021 and prior
Short-Duration Insurance Contracts, Accident Year 2020 And Prior [Member]
Short-Duration Insurance Contracts, Accident Year 2020 And Prior
Entity Emerging Growth Company
Entity Emerging Growth Company
Debt Securities, Available-for-sale, Fair Value, Fiscal Year Maturity [Abstract]
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Issuance of common stock in connection with 2021 Business Combination and PIPE offering (in shares)
Stock Issued During Period, Shares, Business Combination and Offering
Stock issued during period shares business combination and offering.
Total deferred income tax assets
Deferred Tax Assets, Gross
Charge to other accounts
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Other Account
Parent Company
Parent Company [Member]
Effects of DCE Reinsurance [Abstract]
Non-Insurance [Abstract]
Non-Insurance [Abstract]
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Line Items]
2024
Lessee, Operating Lease, Liability, to be Paid, Year One
Pay vs Performance Disclosure, Table
Pay vs Performance [Table Text Block]
Title
Trading Arrangement, Individual Title
Common stock
Common Stock [Member]
Investment securities, available-for-sale (Amortized cost: 2023: $121,868; 2022: $142,940)
Investment securities, available-for-sale
Debt Securities, Available-for-Sale, Noncurrent
Individual:
Individual [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
Schedule of Investment Securities Reconciliation
Schedule Of Investment Securities Reconciliation [Table Text Block]
Schedule Of Investment Securities Reconciliation
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Income Statement Location [Domain]
Income Statement Location [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
Unpaid Claims
Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
Operating lease right-of-use assets
Increase (Decrease) In Operating Lease Right Of Use Assets
Increase decrease in operating lease right of use assets.
Schedule of Changes in Balances of Level 3 Financial Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Total stockholders' equity
Beginning balance
Ending balance
Equity, Including Portion Attributable to Noncontrolling Interest
Total held-to-maturity and available-for-sale investment securities
Investments [Abstract]
Non-Insurance receivable
Increase (Decrease) In Non-Insurance Receivable
Increase (Decrease) In Non-Insurance Receivable
Minimum
Minimum [Member]
Property and equipment, net
Property and equipment, net
Property, Plant and Equipment, Net
Condensed Balance Sheet Statement [Table]
Condensed Balance Sheet Statement [Table]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Assets
Assets [Abstract]
Award Timing MNPI Disclosure
Award Timing MNPI Disclosure [Text Block]
Total incurred
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims
Due after ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Operating lease liabilities
Increase (Decrease) in Operating Lease Liability
Schedule II - Valuation and Qualifying Accounts
SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
Liabilities:
Liabilities [Abstract]
Other
Deferred Tax Assets, Other
Accounting Policies [Table]
Accounting Policies [Table]
Accounting Policies [Table]
Net cash (used in) provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Acquisition of Character Biosciences, Inc. Series A preferred shares
Payments to Acquire Interest in Subsidiaries and Affiliates
Accumulated
deficit
Retained Earnings [Member]
Adjustment to Non-PEO NEO Compensation Footnote
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Net loss per share attributable to Class A and Class B common stockholders - basic (in dollars per share)
Net loss per share attributable to Common Stockholders—basic (in dollars per share)
Earnings Per Share, Basic
Unvested stock options, unrecognized stock-based compensation
Share-Based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Sale of Stock
Sale of Stock [Domain]
Change in accounting policy
Revision of Prior Period, Accounting Standards Update, Adjustment [Member]
Restructuring costs
Restructuring costs
Restructuring Costs
Erroneous Compensation Analysis
Erroneous Compensation Analysis [Text Block]
Decrease In accumulated deficit
Decrease In Accumulated Deficit
Decrease In Accumulated Deficit
Net deferred income tax assets
Deferred Tax Assets, Net
Stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value
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
Accrued salaries and benefits
Accrued Salaries
Class of warrant or right, number of securities called by warrants or rights (in shares)
Class of Warrant or Right, Number of Securities Called by Warrants or Rights
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]
Depreciation and Amortization
Depreciation and Amortization [Member]
Depreciation and Amortization
Policyholder Benefits and Claims Incurred, Net [Abstract]
Policyholder Benefits and Claims Incurred, Net [Abstract]
Issuance of common stock related to the exercise of public and private warrants
Stock Issued
Non-Insurance
Non-Insurance Operations [Member]
Non-Insurance Operations
Document Transition Report
Document Transition Report
Award Timing Predetermined
Award Timing Predetermined [Flag]
Paid related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]
Intercompany payable
Intercompany Payable
Intercompany Payable
Entity Public Float
Entity Public Float
Schedule of Net Investment Income
Investment Income [Table Text Block]
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.
Property, Plant and Equipment [Abstract]
Reinsurance recoverable on unpaid claims
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments
Liability Class
Liability Class [Axis]
All Trading Arrangements
All Trading Arrangements [Member]
Due within one year
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, Year One
All Adjustments to Compensation
All Adjustments to Compensation [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Intercompany interest receivable
Intercompany Interest Receivable
Intercompany Interest Receivable
Compensation Amount
Outstanding Recovery Compensation Amount
Number of reported claims
Short-Duration Insurance Contract, Cumulative Number of Reported Claims
Accrued retrospective premiums
Accrued Retrospective Premiums Current
Accrued retrospective premiums.
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]
Letter of Credit
Short-Term Debt [Text Block]
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
Vested restricted stock units
Stock Issued During Period, Value, Restricted Stock Award, Gross
Operating lease right-of-use assets
Deferred Tax Liabilities, Leasing Arrangements
Deferred expense
Deferred Income Tax Expense (Benefit)
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Eliminations
Consolidation, Eliminations [Member]
Proceeds from stock options exercised
Proceeds from Stock Options Exercised
Other receivables
Increase (Decrease) in Other Receivables
Forfeited (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Document Financial Statement Error Correction
Document Financial Statement Error Correction [Flag]
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Equity method of accounting and variable interest entities
Equity Method Investments [Policy Text Block]
Employer matching contribution, percent of employees' gross pay
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay
Fair Value, Separate Account Investment [Table]
Fair Value, Separate Account Investment [Table]
Condensed Cash Flow Statements, Captions [Line Items]
Condensed Cash Flow Statements, Captions [Line Items]
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Cash payments
Payments for Restructuring
Issuance of common stock under Employee Stock Purchase Plan (in shares)
Stock Issued During Period, Shares, Employee Stock Ownership Plan
Document Period End Date
Document Period End Date
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
Adoption Date
Trading Arrangement Adoption Date
Premium deficiency reserve expense (benefit)
Premium deficiency reserve
Premium deficiency reserve expense (benefit)
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Treasury Stock
Treasury Stock, Common [Member]
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
Class of Warrant or Right [Axis]
Class of Warrant or Right [Axis]
Provision for income taxes
Income Tax Expense (Benefit)
Vesting [Axis]
Vesting [Axis]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Preferred stock conversion
Temporary Equity, Value, Conversion Of Convertible Securities
Temporary Equity, Value, Conversion Of Convertible Securities
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
Stockholders' equity
Equity [Abstract]
Debt Securities, Available-for-Sale [Line Items]
Debt Securities, Available-for-Sale [Line Items]
Weighted-average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Compensation Actually Paid vs. Company Selected Measure
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Maximum percentage deviation of Performance Year Benchmark
Direct Contracting, Risk-Mitigation, Maximum Percentage Of Performance Year Benchmark
Direct Contracting, Risk-Mitigation, Maximum Percentage Of Performance Year Benchmark
Schedule of Assumptions Used in ESPP Fair Value Determination
Schedule of Share-Based Payment Award, Employee Stock Purchase Plan, Valuation Assumptions [Table Text Block]
Schedule of Total Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Activity [Table Text Block]
Cash and cash equivalents
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Payment of notes payable principal
Payment of notes payable principal
Repayments of Notes Payable
Acquisition of business, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
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
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Table]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Table]
Treasury stock acquired (in shares)
Treasury Stock, Shares, Acquired
Useful lives of property and equipment, net
Property, Plant and Equipment, Useful Life
Compensation Actually Paid vs. Other Measure
Compensation Actually Paid vs. Other Measure [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
Regulated Operations [Abstract]
Additional paid-in capital
Additional Paid-in Capital [Member]
Document Annual Report
Document Annual Report
Preferred stock conversion (in shares)
Stock Issued During Period, Shares, Conversion of Units
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Due after ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Cover [Abstract]
Cover [Abstract]
Premiums earned, gross
Direct Premiums Earned
Subsequent Events
Subsequent Events [Text Block]
Other liabilities, non-current
Other Liabilities, Noncurrent
Total lease payments
Lessee, Operating Lease, Liability, to be Paid
Healthcare Receivables
Account Receivables [Text Block]
Account Receivables
Employee Benefit Plans
Compensation and Employee Benefit Plans [Text Block]
Total operating expenses
Operating Expenses
Operating Expenses
Operating Segments
Segment Reporting Disclosure [Text Block]
Net (decrease) increase in cash, cash equivalents, and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Capital contribution for extinguishment of debt
Capital Contribution for Extinguishment of Debt
Capital contribution for extinguishment of debt.
Equity Component
Equity Component [Domain]
Non-GAAP Measure Description
Non-GAAP Measure Description [Text Block]
Other
Deferred Tax Liabilities, Other
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.
Entity Current Reporting Status
Entity Current Reporting Status
Income (loss) from operations
Operating Income (Loss)
Operating Income (Loss)
Net realized gains (losses)
Realized Investment Gains (Losses)
Number of reporting units
Number of Reporting Units
Cash and cash equivalents
Cash and Cash Equivalents [Member]
Consolidated Entities [Domain]
Consolidated Entities [Domain]
Total deferred income tax liabilities
Deferred Tax Liabilities, Gross
Short-duration Insurance Contracts, Discounted Liabilities [Table]
Short-Duration Insurance Contracts, Discounted Liabilities [Table]
Segments [Axis]
Segments [Axis]
Property and equipment, net
Property, Plant and Equipment, Policy [Policy Text Block]
Statutory RBC required
Statutory Accounting Practices, Statutory Capital and Surplus Required
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Awards Close in Time to MNPI Disclosures
Awards Close in Time to MNPI Disclosures [Table]
Surety bonds and deposits
Increase (Decrease) in Deposit Assets
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Tranche One
Share-Based Payment Arrangement, Tranche One [Member]
Consolidated Entities [Axis]
Consolidated Entities [Axis]
Pay vs Performance Disclosure [Line Items]
Entity Voluntary Filers
Entity Voluntary Filers
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]
Net realized (gains) losses on investment securities
Realized Investment (Losses) Gains
Realized Investment (Losses) Gains
Underlying Security Market Price Change
Underlying Security Market Price Change, Percent
Beginning balance (in shares)
Ending balance (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Operating leases, remaining term (in months)
Lessee, Operating Lease, Remaining Lease Term
Premium deficiency reserve
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Unearned Premiums Reserve
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Investments, Debt and Equity Securities [Abstract]
Investments, Debt and Equity Securities [Abstract]
Employer discretionary contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Equity Method Investments and Joint Ventures [Abstract]
MNPI Disclosure Timed for Compensation Value
MNPI Disclosure Timed for Compensation Value [Flag]
Segment Reporting [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
Rogue Trading
Rogue Trading [Member]
Rogue Trading
Restatement Determination Date:
Restatement Determination Date [Axis]
Charges
Restructuring Charges, Excluding Exit Project
Restructuring Charges, Excluding Exit Project
Investment, Name [Axis]
Investment, Name [Axis]
Corporate debt securities
Corporate Debt Securities [Member]
Other liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Commitments and Contingencies (Note 19)
Commitments and Contingencies
Previously Reported
Previously reported
Previously Reported [Member]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Issuance of common stock, net of stock issuance costs
Issuance of common stock, net of stock issuance costs
Proceeds from Issuance of Common Stock
Annuity reserve, fully ceded to third party
Annuity Reserve, Fully Coinsured to Third Party
Annuity Reserve, Fully Coinsured to Third Party
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
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
Income Taxes
Income Tax Disclosure [Text Block]
Deferred revenue
Increase (Decrease) in Contract with Customer, Liability
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
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
Leases
Lessee, Leases [Policy Text Block]
Investments in consolidated subsidiaries
Proceeds From (Repayments To) Consolidated Subsidiaries
Proceeds From (Repayments To) Consolidated Subsidiaries
Total unrealized losses (gains)
Fair Value, Asset, Recurring Basis, Still Held, Unrealized Gain (Loss)
Accrued retrospective premiums
Increase (Decrease) in Unearned Premiums
Short-duration Insurance Contracts, Accident Year [Axis]
Short-Duration Insurance Contracts, Accident Year [Axis]
Valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Preferred stock par value, (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Debt Securities, Available-for-sale, Amortized Cost [Abstract]
Debt Securities, Available-for-Sale, Amortized Cost [Abstract]
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]
PEO Total Compensation Amount
PEO Total Compensation Amount
Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Investment securities
Securities Investment [Member]
Unpaid claims
Assumed Liability for Unpaid Claims and Claims Adjustment Expense
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Trading Arrangements, by Individual
Trading Arrangements, by Individual [Table]
CarePoint Health Contract
Care Point Health Contract [Member]
CarePoint Health Contract
Level 3
Fair Value, Inputs, Level 3 [Member]
Treasury stock, shares held (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Treasury Stock, Common, Shares
Condensed Cash Flow Statement [Table]
Condensed Cash Flow Statement [Table]
Claims Development [Line Items]
Claims Development [Line Items]
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
2014 Plan
Two Thousand Fourteen Equity Incentive Plan [Member]
2014 Equity Incentive Plan member.
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
Stock issuance for exercise of stock options, net of early exercise liability
Stock Issued During Period, Value, Stock Options Exercised
Non-PEO NEO Average Compensation Actually Paid Amount
Non-PEO NEO Average Compensation Actually Paid Amount
Fair value
Investments, Fair Value Disclosure
Stock options, grants in period, weighted average grant date fair value (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Net loss
Net loss
Net Income (Loss)
Net Income (Loss)
Total current liabilities
Liabilities, Current
Other expense
Other General Expense
Changed Peer Group, Footnote
Changed Peer Group, Footnote [Text Block]
Company Selected Measure Name
Company Selected Measure Name
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
Leases
Lessee, Operating Leases [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.
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Cumulative net paid claims
Less: cumulative paid claims, net
Short-Duration Insurance Contracts, Cumulative Paid Claims and Allocated Claim Adjustment Expense, Net
Right-of-use assets obtained in exchange for lease liabilities
Lease Obligation Incurred
Schedule I - Condensed Financial Information
Condensed Financial Information of Parent Company Only Disclosure [Text Block]
Accumulated unrealized losses
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Loss, before Tax
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
Vesting period (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Comprehensive income
Comprehensive Income, Policy [Policy Text Block]
Common Class B
Common Class B [Member]
Accounting Policies [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Name
Measure Name
Name
Forgone Recovery, Individual Name
Non-Insurance payable
Non-Insurance Payable, Current
Non-Insurance Payable, Current
Goodwill, beginning balance
Goodwill, ending balance
Goodwill
Intercompany payable
Increase (Decrease) In Intercompany Payable
Increase (Decrease) In Intercompany Payable
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
PRSUs
Performance Restricted Stock Units [Member]
Performance restricted stock units.
Underlying Securities
Award Underlying Securities Amount
Debt Securities, Held-to-maturity, Maturity, Fair Value [Abstract]
Debt Securities, Held-to-Maturity, Fair Value, Maturity [Abstract]
Premium deficiency reserve and Revenue recognition
Insurance Premiums Revenue Recognition, Policy [Policy Text Block]
Prior years
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years
Interest on convertible securities discount
Effective Income Tax Rate Reconciliation, Interest On Convertible Securities Discount, Amount
Effective Income Tax Rate Reconciliation, Interest On Convertible Securities Discount, Amount
Healthcare receivables
Increase (Decrease) in Accounts Receivable
Settlements
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Warrants
Warrant [Member]
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Incurred related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims [Abstract]
Schedule of Amortized Cost and Fair Value of Debt Securities
Investments Classified by Contractual Maturity Date [Table Text Block]
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]
Income Statement Location [Axis]
Income Statement Location [Axis]
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
Contingent liabilities
Commitments and Contingencies, Policy [Policy Text Block]
Dividend Restrictions
Restrictions on Dividends, Loans and Advances [Text Block]
Schedule of Maturities of Operating Lease Liabilities
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
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
Cash and cash equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Product and Service [Domain]
Product and Service [Domain]
Beginning balance
Ending balance
Temporary Equity, Carrying Amount, Attributable to Parent
Other Performance Measure, Amount
Other Performance Measure, Amount
Accruals
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals
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
Schedule of Lease Costs
Lease, Cost [Table Text Block]
Investment securities, held-to-maturity, fair value noncurrent
Debt Securities, Held-to-Maturity, Fair Value, Noncurrent
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Plan Name
Plan Name [Domain]
Interest expense
Interest Expense
Gain on extinguishment of note payable
Gain (Loss) on Extinguishment of Debt
Shares Authorized Under Plans (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized
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
Increase in additional paid in capital
Adjustments to Additional Paid in Capital, Other
Trading Arrangement:
Trading Arrangement [Axis]
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
Schedule of Weighted Average Grant Date Fair Value of Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Outstanding Activity [Table Text Block]
Use of estimates
Use of Estimates, Policy [Policy Text Block]
Investment securities, available-for-sale
Debt Securities, Available-for-Sale [Abstract]
Entity File Number
Entity File Number
Non-Insurance performance year obligation, current
Non-Insurance, performance year obligation
Non-Insurance, Performance Year Obligation, Current
Non-Insurance, Performance Year Obligation, Current
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Schedule of Total RSU Activity
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Available-for-sale debt securities, allowance for credit loss
Debt Securities, Available-for-Sale, Allowance for Credit Loss
Auditor Firm ID
Auditor Firm ID
Entity Shell Company
Entity Shell Company
Business Acquisition, Acquiree
Business Acquisition, Acquiree [Domain]
Restatement Determination Date
Restatement Determination Date
Non-Insurance revenue
Non-Insurance revenue, gross and net
Revenue Not from Contract with Customer
Thyme Care, Inc.
Thyme Care, Inc. [Member]
Thyme Care, Inc.
Private warrants
Private Warrants [Member]
Private Warrants
Prepaid expenses
Increase (Decrease) in Prepaid Expense
Schedule of Reconciliation of Net Incurred and Paid Claims Development
Short-Duration Insurance Contracts, Reconciliation of Claims Development to Liability [Table Text Block]
Rule 10b5-1 Arrangement Adopted
Rule 10b5-1 Arrangement Adopted [Flag]
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
Cash, cash equivalents, and restricted cash, beginning of period
Cash, cash equivalents, and restricted cash, end of period
Total cash, cash equivalents, and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents
Variable lease cost
Variable Lease, Cost
Operating lease cost
Operating Lease, Cost
Common stock, shares, issued (in shares)
Common Stock, Shares, Issued
Vested (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Accumulated unrealized losses
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Loss
Less: Treasury stock, at cost; 7,912,750 and 2,072,752 shares held at December 31, 2023 and December 31, 2022, respectively
Less: Treasury stock, at cost; 7,912,750 and 2,072,752 shares held at December 31, 2023 and 2022, respectively
Treasury Stock, Common, Value
Total assets at fair value
Assets, Fair Value Disclosure
Net proceeds from sale of stock
Sale of Stock, Consideration Received on Transaction
Employer matching contribution, percent of match
Defined Contribution Plan, Employer Matching Contribution, Percent of Match
Balance at beginning of period
Balance at end of period
SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount
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
Public and private placement warrants
Public And Private Placement Warrants [Member]
Public And Private Placement Warrants [Member]
Common Class A
Common Class A [Member]
Cost not yet recognized, period for recognition (in years)
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Short-term lease cost
Short-Term Lease, Cost
Entity Address, Address Line One
Entity Address, Address Line One
Entity Address, Address Line Two
Entity Address, Address Line Two
Subsequent Event [Table]
Subsequent Event [Table]
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
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
Weighted-average exercise price
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Subsequent event
Subsequent Event [Member]
Issuance of common stock related to exercises of legacy and public and private placement warrants
Stock Issued During Period, Value, Warrants Exercised
Stock issued during period value warrants exercised.
Operating loss carryforwards
Operating Loss Carryforwards
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Due to related parties, net
Other liabilities, current
Other Liabilities, Current
Effects of Reinsurance [Table]
Effects of Reinsurance [Table]
Income Statement [Abstract]
Income Statement [Abstract]
Conversion of preferred stock to common stock
Conversion of Stock, Amount Converted
Issuance of common stock, net of stock issuance costs (in shares)
Stock Issued During Period, Shares, New Issues
Insider Trading Policies and Procedures Adopted
Insider Trading Policies and Procedures Adopted [Flag]
Other assets, current
Other Assets, Current
Life insurance reserves, coinsurance percentage
Life Insurance Reserves, Coinsurance Percentage
Life Insurance Reserves, Coinsurance Percentage
Class of Stock [Line Items]
Class of Stock [Line Items]
Income tax provision at federal statutory rate (21%)
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Issuance of common stock related to convertible debt
Debt Conversion, Converted Instrument, Amount
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]
Reinsurance
Reinsurance [Text Block]
Equity method investment
Equity Method Investments
Financial Instrument
Financial Instrument [Axis]
Total Shareholder Return Amount
Total Shareholder Return Amount
Treasury stock acquired
Purchase of Treasury stock
Payments for Repurchase of Common Stock
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Net unpaid claims, including claims adjustment expenses
Short-Duration Insurance Contracts, Liability for Unpaid Claims and Allocated Claim Adjustment Expense, Net
Adjustment To PEO Compensation, Footnote
Adjustment To PEO Compensation, Footnote [Text Block]
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
Non-Insurance
Non-Insurance Disclosure [Text Block]
Non-Insurance Disclosure
Segments [Domain]
Segments [Domain]
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Axis]
Performance guarantees
Minimum Guarantees, Policy [Policy Text Block]
Consolidation Items [Domain]
Consolidation Items [Domain]
Accumulated deficit
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Vested restricted stock units and performance stock units (in shares)
Stock Issued During Period, Shares, Restricted Stock Award, Gross
Statutory Equity
Insurance Disclosure [Text Block]
Accrued salaries and benefits
Intercompany accrued salaries and benefits
Increase (Decrease) in Accrued Salaries
Short-duration Insurance Contracts, Claims Development [Table]
Short-Duration Insurance Contracts, Claims Development [Table]
Current assets
Assets, Current [Abstract]
Leases [Abstract]
Leases [Abstract]
Prior years
Prior Year Claims and Claims Adjustment Expense
Schedule of Other Restructuring and Related Costs
Other Restructuring And Related Costs [Table Text Block]
Other Restructuring And Related Costs
Deferred acquisition costs
Deferred Policy Acquisition Costs, Policy [Policy Text Block]
Entity Address, State or Province
Entity Address, State or Province
Compensation Actually Paid vs. Total Shareholder Return
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
Claims incurred, gross
Policyholder Benefits and Claims Incurred, Direct
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Class of Warrant or Right [Domain]
Class of Warrant or Right [Domain]
Vendor related costs
Vendor related costs
Vendor Related Costs [Member]
Vendor Related Costs
Other receivables
Other Receivables
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.
Premium deficiency reserve
Premium deficiency reserve
Liability for Future Policy Benefit, before Reinsurance
Surplus note
Notes Payable
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
Increase (Decrease) in Temporary Equity [Roll Forward]
Increase (Decrease) in Temporary Equity [Roll Forward]
Employer maximum annual contributions per employee, percent
Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent
Class of Stock
Class of Stock [Domain]
Net loss attributable to Common Stockholders
Net Income (Loss) Available to Common Stockholders, Basic
Number of stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward]
Non-Insurance performance year obligation
Increase (Decrease) In Performance Year Obligation
Increase (Decrease) In Performance Year Obligation
Schedule of Company's Condensed Consolidated Statement of Comprehensive Income and Cash Flows
Schedule of Error Corrections and Prior Period Adjustments [Table Text Block]
Total
Operating Lease, Liability
Schedule of Share-Based Payment Arrangement, Activity
Share-Based Payment Arrangement, Activity [Table Text Block]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Organization and Operations
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Total Shareholder Return Vs Peer Group
Total Shareholder Return Vs Peer Group [Text Block]
Vesting [Domain]
Vesting [Domain]
Accumulated
other
comprehensive
income (loss)
AOCI Attributable to Parent [Member]
Aggregate Erroneous Compensation Amount
Aggregate Erroneous Compensation Amount
Charged to costs and expenses
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense
All Executive Categories
All Executive Categories [Member]
Other, net
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
Intercompany note receivable
Intercompany Note Receivable
Intercompany Note Receivable
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Short-Duration Insurance Contracts, Discounted Liabilities [Line Items]
Plan Name
Plan Name [Axis]
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Number of reporting segments (in segments)
Number of Reportable Segments
Per share data:
Per share data:
Earnings Per Share [Abstract]
Common stock, value
Common Stock, Value, Issued
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
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Unused lines of Credit
Unused lines of Credit [Member]
2021 and prior
Short-Duration Insurance Contracts, Accident Year 2021 And Prior [Member]
Short-Duration Insurance Contracts, Accident Year 2021 And Prior
Regulatory Matters
Legal Matters and Contingencies [Text Block]
Unpaid claim reserve discounting
Deferred Tax Assets, Unpaid Claim Reserve Discounting
Deferred Tax Assets, Unpaid Claim Reserve Discounting
All Individuals
All Individuals [Member]
Fair value
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Fair Value
Schedule of Claims Development and Claim Frequency
Short-Duration Insurance Contracts, Claims Development [Table Text Block]
Entity Filer Category
Entity Filer Category
Non-PEO NEO Average Total Compensation Amount
Non-PEO NEO Average Total Compensation Amount
Statement [Table]
Statement [Table]
Current Fiscal Year End Date
Current Fiscal Year End Date
Conversion from Class A Common Stock to Class B Common Stock
Conversion From Class A To Class B Common Stock
Conversion From Class A To Class B Common Stock
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Fair value
Fair value
Debt Securities, Held-to-Maturity, Fair Value
Annuity reserves, transfer of risk percentage
Annuity Reserves, Transfer Of Risk Percentage
Annuity Reserves, Transfer Of Risk Percentage
PEO Name
PEO Name
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Notes and securities payable
Debt, Policy [Policy Text Block]
Condensed Financial Information Disclosure [Abstract]
Preferred stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Restricted cash
Restricted Cash, Current
Schedule of Goodwill
Schedule of Goodwill [Table Text Block]
Preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Equity in net losses of consolidated subsidiaries
Income (Loss) from Subsidiaries, Net of Tax
Stock based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-Based Compensation Cost
(Deductions)
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction
Reinsurance premium payable
Prepaid Reinsurance Premiums
Investment securities, available-for-sale (Amortized cost: 2023: $101,412; 2022: $193,300)
Investment securities, available-for sale
Debt Securities, Available-for-Sale, Current
Investment securities, held-to-maturity, fair value current
Debt Securities, Held-to-Maturity, Fair Value, Current
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
Corporate/Other
Corporate, Non-Segment [Member]
Change in fair value of warrants
Fair Value Adjustment of Warrants
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.
Direct Contracting, shared savings and losses, percent
Direct Contracting, Shared Savings and Losses, Percent
Direct Contracting, Shared Savings and Losses, Percent
Warrants receivable
Warrants Receivable [Member]
Warrants Receivable
Unpaid claims and Medical claims incurred
Unpaid Policy Claims and Claims Adjustment Expense, Policy [Policy Text Block]
Accounts payable and accrued expenses
Accounts Payable and Accrued Liabilities, Current
Award fees and expenses
Derivative Instruments , Award Fees and Expenses
Derivative Instruments , Award Fees and Expenses
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Total stockholders' equity
Equity, Attributable to Parent
Net medical claims incurred
Net claims incurred
Claims incurred, gross and net
Policyholder Benefits and Claims Incurred, Net
Premiums earned, net (Net of ceded premiums of $444, $470, and $489 for the years ended December 31, 2023 and 2022, and 2021 respectively)
Net premiums earned
Premiums earned, net (Net of ceded premiums)
Premiums Earned, Net
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
Due within one year
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Expected term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Subsequent Events [Abstract]
Activities from Seek Dissolution
Activities From Seek Dissolution
Activities From Seek Dissolution
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
Fair value measurements
Fair Value Measurement, Policy [Policy Text Block]
Fixed assets and intangible assets
Deferred Tax Assets, Property, Plant And Equipment And Intangible Assets
Deferred Tax Assets, Property, Plant And Equipment And Intangible Assets
Restructuring Costs
Restructuring and Related Activities Disclosure [Text Block]
Convertible debt conversion and other (in shares)
Stock Issued During Period, Shares, Conversion of Convertible Securities
Level 2
Fair Value, Inputs, Level 2 [Member]
Current year
Current Year Claims and Claims Adjustment Expense
Investment securities, held-to-maturity
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss [Abstract]
Condensed Income Statement [Table]
Condensed Income Statement [Table]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Named Executive Officers, Footnote
Named Executive Officers, Footnote [Text Block]
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
Document Fiscal Period Focus
Document Fiscal Period Focus
Finite-lived intangible asset, useful life (in years)
Finite-Lived Intangible Asset, Useful Life
Unused balance
Line of Credit Facility, Remaining Borrowing Capacity
Claims incurred, ceded
Policyholder Benefits and Claims Incurred, Ceded
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.
2027
Lessee, Operating Lease, Liability, to be Paid, Year Four
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
Stock-based compensation expense
Intercompany stock-based compensation expense
Share-Based Payment Arrangement, Noncash Expense
Weighted Average
Weighted Average [Member]
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.
Cumulative incurred claims
Cumulative incurred claims, net
Short-Duration Insurance Contracts, Incurred Claims and Allocated Claim Adjustment Expense, Net
City Area Code
City Area Code
Product and Service [Axis]
Product and Service [Axis]
Net Loss per Share
Earnings Per Share [Text Block]
Condensed Income Statements, Captions [Line Items]
Condensed Income Statements, Captions [Line Items]
Ownership percentage
Equity Method Investment, Ownership Percentage
Document Fiscal Year Focus
Document Fiscal Year Focus
Conversion from Class A Common Stock to Class B Common Stock (in shares)
Conversion From Class A To Class B Common Stock, Shares
Conversion From Class A To Class B Common Stock, Shares
Deposits with various states and regulatory bodies
Deposits
Capitalized software
Software and Software Development Costs [Member]
Receivables [Abstract]
Receivables [Abstract]
Schedule of Stock Option Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Exercise Price
Award Exercise Price
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
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
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Nonrelated Party
Nonrelated Party [Member]
Net loss
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
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
Developed Technology
Developed Technology Rights [Member]
Total liabilities and stockholders' equity
Liabilities and Equity
Amortized cost
Debt Securities, Available-for-Sale, Amortized Cost
Other assets, non-current
Other Assets, Noncurrent
Peer Group Total Shareholder Return Amount
Peer Group Total Shareholder Return Amount
Weighted-average risk-free interest rate
Risk-free interest rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Number of positions eliminated as a percent
Restructuring and Related Cost, Number of Positions Eliminated, Period Percent
Equity Valuation Assumption Difference, Footnote
Equity Valuation Assumption Difference, Footnote [Text Block]
Arrangement Duration
Trading Arrangement Duration
Reinsurance recoverable
Increase (Decrease) in Reinsurance Recoverable
Entity Address, City or Town
Entity Address, City or Town
Award Timing MNPI Considered
Award Timing MNPI Considered [Flag]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Related party
Related Party [Member]
Investment securities, held-to-maturity (Fair value: 2023: $692; 2022: $636)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Noncurrent
Operating loss carryforwards, not subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Not Subject to Expiration
Private placement warrants
Private Placement Warrants [Member]
769aecb0-ae66-4742-bc76-8af31ac78bc1
Total Restructuring costs
Charges
Restructuring Charges
Termination Date
Trading Arrangement Termination Date
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Fair value
Debt securities
Debt Securities, Available-for-Sale
Document Information [Table]
Document Information [Table]
Accumulated unrealized gains
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Gain, before Tax
Short-term investments
Short-Term Investments [Member]
Indefinite-Lived Intangible Assets [Axis]
Indefinite-Lived Intangible Assets [Axis]
Other assets, fair value
Other Assets, Fair Value Disclosure
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]
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
Debt Securities, Held-to-maturity, Maturity, Amortized Cost, Net [Abstract]
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity [Abstract]
Award Timing Disclosures [Line Items]
Stock issued upon conversion (in shares)
Conversion of Stock, Shares Issued
Loss (gain) on investment
Gain on investment
Loss (gain) on investment
Gain (Loss) on Investments
Escrow deposit
Escrow Deposit
Additional paid-in capital
Additional Paid in Capital
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
Schedule of Changes in Fair Value of Warrants Payable
Schedule of Changes in Fair Value of Warrants Payable [Table Text Block]
Schedule of Changes in Fair Value of Warrants Payable
Document Information [Line Items]
Document Information [Line Items]
Restructuring Plan [Axis]
Restructuring Plan [Axis]
Derivative liabilities
Derivative Financial Instruments, Liabilities [Member]
Short-term Debt, Type
Short-Term Debt, Type [Axis]
Federal income taxes
Income Tax, Policy [Policy Text Block]
Insider Trading Arrangements [Line Items]
Related Party
Related Party, Type [Axis]
Stock options, outstanding, intrinsic value (less than)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Reinsurance Recoverables, Including Reinsurance Premium Paid [Abstract]
Reinsurance Recoverables, Including Reinsurance Premium Paid [Abstract]
Revenue, Major Customer [Line Items]
Revenue, Major Customer [Line Items]
Entity Registrant Name
Entity Registrant Name
Material Terms of Trading Arrangement
Material Terms of Trading Arrangement [Text Block]
Award Timing Method
Award Timing Method [Text Block]
Other assets
Increase (Decrease) in Other Operating Assets
Warrants receivable
Warrants and Rights Outstanding
Adjustment to Compensation, Amount
Adjustment to Compensation Amount
Tranche Two
Share-Based Payment Arrangement, Tranche Two [Member]
Employee termination benefits
Employee Termination Benefits
Employee Severance [Member]
Auditor Name
Auditor Name
Other income
Other Income, Policy [Policy Text Block]
Other Income, Policy
Compensation Actually Paid vs. Net Income
Compensation Actually Paid vs. Net Income [Text Block]
Peer Group Issuers, Footnote
Peer Group Issuers, Footnote [Text Block]
Less: accumulated depreciation and amortization
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Schedule of Fair Value Measurements for Items
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
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
Corporate/Other
Corporate and Other [Member]
Convertible securities
Convertible Securities [Member]
Convertible securities member.
Other income
Revenue Not from Contract with Customer, Other
Entity Central Index Key
Entity Central Index Key
Amortization of notes and securities discounts
Amortization of notes and securities discounts and debt issuance costs
Amortization of Debt Issuance Costs and Discounts
Activities from Seek Dissolution
Adjustments To Additional Paid In Capital And Accumulated Deficit, From Seek Dissolution
Stockholders' Equity, Activities From Seek Dissolution
Total compensation cost recognized for stock-based compensation plans
Share-Based Payment Arrangement, Expense
Non-Rule 10b5-1 Arrangement Terminated
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Finite-lived, cost
Finite-Lived Intangible Assets, Gross
Amortization of the Non-Insurance performance year obligation
Non-Insurance, Performance Year Obligation, Amortization
Non-Insurance, Performance Year Obligation, Amortization
Finite-lived, impairment
Finite-Lived Intangible Assets, Impairment
Finite-Lived Intangible Assets, Impairment
2020 Equity and Management Incentive Plan
Two Thousand Twenty Equity And Management Incentive Plan [Member]
Two thousand twenty equity and management incentive plan.
Other
Other
Other Restructuring [Member]
Equity interest percentage (less than)
Equity Ownership Interest, Percentage
Equity Ownership Interest, Percentage
Name
Trading Arrangement, Individual Name
Legacy warrants
Legacy Warrants [Member]
Legacy Warrants
Issuance of common stock, net of stock issuance costs
Stock Issued During Period, Value, New Issues
Hong Kong Rate Differential
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount
Amendment Flag
Amendment Flag
Beginning balance (in shares)
Ending balance (in shares)
Temporary Equity, Shares Outstanding
Goodwill & Intangible
Deferred Tax Assets, Goodwill and Intangible Assets
Weighted-average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Licensing Agreements
Licensing Agreements [Member]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Cash paid during the period for interest
Interest Paid, Excluding Capitalized Interest, Operating Activities
Due within one year
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Stockholders' Equity and Convertible Preferred Stock
Stockholders' Equity And Temporary Equity [Text Block]
Stockholders' Equity And Temporary Equity
Business Combinations
Business Combinations Policy [Policy Text Block]
Notes payable, net of discount and deferred issuance costs
Long-Term Debt, Excluding Current Maturities
Held-to-maturity debt securities, allowance for credit loss
Debt Securities, Held-to-Maturity, Allowance for Credit Loss
Leasehold improvements
Leasehold Improvements [Member]
General and administrative expenses
Selling, General and Administrative Expenses, Policy [Policy Text Block]
Diluted weighted average number of Class A and Class B common shares and common share equivalents outstanding (in shares)
Diluted weighted average number of common shares and common share equivalents outstanding (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Employers matching contribution, vesting percentage
Defined Contribution Plan, Employers Matching Contribution, Annual Vesting Percentage
Reinsurance recoverable on paid claims, gross
Reinsurance Recoverable for Paid Claims and Claims Adjustments
Forgone Recovery, Explanation of Impracticability
Forgone Recovery, Explanation of Impracticability [Text Block]
Amortization expense of deferred acquisition costs
Deferred Policy Acquisition Costs, Amortization Expense
Effect of Change
Revision of Prior Period, Change in Accounting Principle, Adjustment [Member]
Net realized losses on investment securities
Debt Securities, Available-for-Sale, Realized Gain (Loss)
Reinsurance
Reinsurance Accounting Policy [Policy Text Block]
Operating expenses:
Operating Expenses [Abstract]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Company Selected Measure Amount
Company Selected Measure Amount
Total assets
Total assets
Assets
Name
Awards Close in Time to MNPI Disclosures, Individual Name
Warrants payable
Warrants Payable [Member]
Warrants payable.
Equipment
Equipment [Member]
Investment securities, held-to-maturity (Fair value: 2023: $6,778; 2022: $15)
Investment securities, held-to-maturity
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Current
Stock-based compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Ceded premiums
Premiums earned, ceded
Ceded Premiums Earned
Salaries and benefits
Salaries and benefits
Labor and Related Expense
Restructuring and Related Activities [Abstract]
Deferred rent
Increase (Decrease) in Deferred Charges
Schedule of Effects of Reinsurance
Effects of Reinsurance [Table Text Block]
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
Public warrants
Public Warrants [Member]
Public warrants member.
Non-NEOs
Non-NEOs [Member]
Operating lease liability
Deferred Tax Assets, Operating Lease Liability
Deferred Tax Assets, Operating Lease Liability
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
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
Non-PEO NEO
Non-PEO NEO [Member]
Impairment of goodwill and other intangible assets
Impairment
Impairment of goodwill and other intangible assets
Goodwill and Intangible Asset Impairment
Adjustment to Compensation:
Adjustment to Compensation [Axis]
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
Net operating loss carryforward (NOL)
Deferred Tax Assets, Operating Loss Carryforwards
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
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Revenues:
Revenues [Abstract]
Pay vs Performance Disclosure
Pay vs Performance Disclosure [Table]
Statement [Line Items]
Statement [Line Items]
Convertible debt conversion and other issuances
Stock Issued During Period, Value, Conversion of Convertible Securities
Condensed Financial Statements [Table]
Condensed Financial Statements [Table]
Issuance of common stock related to exercises of legacy and public and private placement warrants (in shares)
Stock Issued During Period, Shares, Warrants Exercised
Stock issued during period shares warrants exercised.
Recognition of equity method investments and preferred stock
Transfer to Investments
Noncontrolling
interest
Noncontrolling Interest [Member]