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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Sep. 30, 2018
Dec. 31, 2017
Policy claims and other benefits payable:    
Life insurance $ 190,158 $ 186,429
Total 337,981 333,294
Health Insurance [Member]    
Policy claims and other benefits payable:    
Total $ 147,823 $ 146,865