LOSS AND LOSS ADJUSTMENT EXPENSE RESERVES (Tables)

9 Months Ended

Sep. 30, 2017

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]

At September 30, 2017 and December 31, 2016, loss and loss adjustment expense reserves were comprised of the following:



Consolidated	September 30, 2017		December 31, 2016
	($ in thousands)
Case reserves	$	179,911	$	98,815
IBNR	265,867		207,826
Total	$	445,778	$	306,641

At September 30, 2017 and December 31, 2016, the loss and loss adjustment expense reserves relating to health were $21.6 million and $19.0 million, respectively.

A summary of changes in outstanding loss and loss adjustment expense reserves for the nine months ended September 30, 2017 and 2016 is as follows:



Consolidated	2017			2016
	($ in thousands)
Gross balance at January 1	$	306,641		$	305,997
Less: Losses recoverable	(2,704		)	(3,368		)
Net balance at January 1	303,937			302,629
Incurred losses related to:
Current year	360,102			254,211
Prior years	19,644			29,300
Total incurred	379,746			283,511
Paid losses related to:
Current year	(130,207		)	(126,296		)
Prior years	(128,937		)	(175,126		)
Total paid	(259,144		)	(301,422		)
Foreign currency revaluation	2,792			(4,997		)
Net balance at September 30	427,331			279,721
Add: Losses recoverable	18,447			3,220
Gross balance at September 30	$	445,778		$	282,941

The changes in the outstanding loss and loss adjustment expense reserves for health claims for the nine months ended September 30, 2017 and 2016 are as follows:



Health	2017			2016
	($ in thousands)
Gross balance at January 1	$	18,993		$	21,533
Less: Losses recoverable	—			—
Net balance at January 1	18,993			21,533
Incurred losses related to:
Current year	33,463			20,907
Prior years	2,949			(266		)
Total incurred	36,412			20,641
Paid losses related to:
Current year	(15,019		)	(9,150		)
Prior years	(18,832		)	(11,646		)
Total paid	(33,851		)	(20,796		)
Foreign currency revaluation	—			—
Net balance at September 30	21,554			21,378
Add: Losses recoverable	—			—
Gross balance at September 30	$	21,554		$	21,378