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Note 10. Share-based Compensation (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
1 Months Ended 9 Months Ended 9 Months Ended
Sep. 30, 2014
Independence Holding Company Share Based Plans Total Member
May 31, 2014
Independence Holding Company Share Based Plans Total Member
Employee Stock Option
Sep. 30, 2014
Independence Holding Company Share Based Plans Total Member
Employee Stock Option
Sep. 30, 2014
Independence Holding Company Share Based Plans Total Member
Restricted Stock Units (RSUs)
Sep. 30, 2013
Independence Holding Company Share Based Plans Total Member
Restricted Stock Units (RSUs)
Sep. 30, 2014
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Sep. 30, 2014
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Accounts Payable and Accrued Liabilities
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Accounts Payable and Accrued Liabilities
Sep. 30, 2014
American Independence Corp Share Based Plans Total Member
Employee Stock Option
Sep. 30, 2013
American Independence Corp Share Based Plans Total Member
Employee Stock Option
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant 377,286                    
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Description and Terms   In May 2014, option agreements affecting 15 employees were modified to extend the expirations of their terms from 2015 to 2017 and as a result, the Company recorded incremental compensation costs of $405,000.                  
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Number of Employees Affected   15                  
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost   $ 405                  
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options     121             95  
Employee Service Share-Based Compensation, Nonvested Awards, Total Compensation Cost Not Yet Recognized, Period For Recognition 1     6 months 2 years              
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period       7,425 7,425            
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value       $ 13.27 $ 11.66            
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value       103 69            
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Share-based Awards Other than Options       152              
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Outstanding, Number           247,950 251,800        
Deferred Compensation Share-based Arrangements, Liability, Current and Noncurrent               $ 1,189 $ 1,307    
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value                   $ 5.70 $ 4.04