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Segment Information - Gross Premiums Earned by Product (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 $ (95,315) $ (101,510) $ (68,879)
Net premiums earned $ 193,694 $ 185,275 $ 176,732 $ 177,579 $ 164,874 $ 182,085 $ 175,293 $ 171,899 733,281 694,149 699,731
Specialty P&C                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (78,115) (84,805) (50,319)
Net premiums earned                 457,816 443,313 492,733
Premiums ceded to Lloyd's Syndicate                 14,000 14,400 4,200
Specialty P&C | Healthcare professional liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 474,981 463,599 477,031
Specialty P&C | Legal professional liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 26,125 28,234 28,278
Specialty P&C | Medical technology liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 34,158 34,838 35,913
Specialty P&C | Other                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 667 1,447 1,830
Workers' Compensation                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (25,335) (25,122) (21,793)
Net premiums earned                 220,815 213,161 194,540
Workers' Compensation | Traditional business                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 170,492 172,115 160,717
Workers' Compensation | Alternative market business                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 75,658 66,168 55,616
Lloyd's Syndicate                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (5,914) (5,942) (971)
Net premiums earned                 54,650 37,675 12,458
Lloyd's Syndicate | Property and casualty                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 $ 60,564 $ 43,617 $ 13,429