Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]: Schedule of Liability for Unpaid Claims and Claims Adjustment Expense (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016	Dec. 31, 2016	Dec. 31, 2015
Liability for Claims and Claims Adjustment Expense, Beginning Balance	$ 219,113	$ 245,443
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	88,853	65,362
Liability for Unpaid Claims and Claims Adjustment Expense, Net	126,047	138,932	$ 130,260	$ 180,081
Current Year Claims and Claims Adjustment Expense	38,882	36,425
Prior Year Claims and Claims Adjustment Expense	(5,756)	(6,231)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	33,126	30,194
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	7,258	7,238
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	30,081	64,105
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	37,339	71,343
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	56,245	108,968
Liability for Claims and Claims Adjustment Expense, Ending Balance	182,292	247,900
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(1,636)	(2,109)
Specialty Health Segment Member | Health Insurance Product Line
Liability for Claims and Claims Adjustment Expense, Beginning Balance	27,183	23,425
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	1,179	1,362
Liability for Unpaid Claims and Claims Adjustment Expense, Net	26,089	18,653	$ 26,004	$ 22,063
Current Year Claims and Claims Adjustment Expense	11,776	10,196
Prior Year Claims and Claims Adjustment Expense	(1,200)	(5,232)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	10,576	4,964
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	153	417
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	10,338	7,957
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	10,491	8,374
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	427	906
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 26,516	$ 19,559