Losses and Loss Adjustment Expenses - Schedule of Reconciliation for Net Incurred and Paid Loss Development Tables to Liability for Losses and LAE (Details) - USD ($)	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Shortduration Insurance Contracts Reconciliation Of Claims Development To Liability [Line Items]
Liabilities for losses and loss adjustment expenses, net of Reinsurance	$ 56,092,840
Total reinsurance recoverable on unpaid claims	7,515,135
Total gross liability for losses and loss adjustment expenses	63,607,975	$ 68,392,333	$ 68,374,554
Medical Professional [Member]
Shortduration Insurance Contracts Reconciliation Of Claims Development To Liability [Line Items]
Liabilities for losses and loss adjustment expenses, net of Reinsurance	56,092,840
Total reinsurance recoverable on unpaid claims	$ 7,515,135