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Note 7. Goodwill and Other Intangible Assets (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Apr. 30, 2015
Dec. 31, 2015
Dec. 31, 2013
Dec. 31, 2014
Dec. 31, 2012
Intangible Assets, Net (Excluding Goodwill)   $ 15,517 $ 14,767 $ 12,135 $ 18,271
Net Intangible Assets Written off Related to Sale Of Business Unit   122 $ 101    
Fully Insured Segment Member          
Net Intangible Assets Written off Related to Sale Of Business Unit   $ 122      
GAF Acquiree Member          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles $ 5,500        
GAF Acquiree Member | Fully Insured Segment Member          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles 5,500        
GAF Acquiree Member | Fully Insured Segment Member | Trademarks          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles $ 1,000        
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life 8 years        
GAF Acquiree Member | Fully Insured Segment Member | Customer Relationships          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles $ 4,500        
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life 9 years        
GeneveAndAffiliatedInsidersMember          
EntityCommonStockOutstandingOwnershipPercent   57.00%