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Investments - Net Realized and Unrealized Investment Gains and Losses (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
Net realized and unrealized investment gains and losses              
Gains on sales of fixed maturity securities $ 38 $ 11 $ 135 $ 20 $ 19 $ 3 $ 56
Gains on sales of equity securities   18 64 421 4,287 802 592
Total realized gains 38 29 199 441 4,306 805 648
Losses on sales of fixed maturity securities (1) (102) (70) (257) (418) (48)  
Losses on sales of equity securities (21) (229) (174) (4,287) (421) (149) (149)
Total realized losses (22) (331) (244) (4,544) (839) (197) (149)
Net realized investment losses 16 (302) (45) (4,103) 3,467 608 499
Net unrealized gains (losses) on equity securities 345 1,638 3,310 5,072 (6,036)    
Net realized and unrealized gains (losses) on investments 361 1,336 3,265 969 (2,569) 608 499
Proceeds from sales of fixed maturity securities              
Proceeds from the sale of fixed maturity securities $ 28,800 $ 32,400 $ 87,541 $ 61,871 $ 81,215 $ 28,628 $ 18,984