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Reserve for Losses and Loss Adjustment Expenses - Roll Forward (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Reserve for Losses and Loss Adjustment Expenses              
Reserve for losses and loss adjustment expenses net of reinsurance recoverables at beginning of period $ 1,428 $ 3,159 $ 4,165 $ 4,432 $ 4,432 $ 3,336 $ 1,562
Add: Incurred losses and loss adjustment expenses, net of reinsurance, related to:              
Current year 2,647 5,258 3,660 8,445 8,165 12,257 7,472
Prior years (208) 116 (262) (1,402) (1,891) (132) (180)
Total incurred 2,439 5,374 3,398 7,043 6,274 12,125 7,292
Deduct: Loss and loss adjustment expense payments, net of reinsurance, related to:              
Current year 641 392 1,044 1,656 4,409 8,986 4,824
Prior years 312 459 3,605 2,137 2,132 2,043 694
Total payments 953 851 4,649 3,793 6,541 11,029 5,518
Reserve for losses and loss adjustment expense net of reinsurance recoverables at end of period $ 2,914 $ 7,682 $ 2,914 $ 7,682 $ 4,165 $ 4,432 $ 3,336