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	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Liability for Claims and Claims Adjustment Expense	$ 219,113	$ 245,443	$ 236,803
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments	88,853	65,362	78,531
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	130,260	180,081	158,272
Claims and Claims Adjustment Expenses Assumed	0	0	10,343
Current Year Claims and Claims Adjustment Expense	147,603	155,044	294,390
Prior Year Claims and Claims Adjustment Expense	(8,008)	(5,496)	(8,488)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	139,595	149,548	285,902
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	80,839	78,159	169,488
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	62,469	121,210	104,948
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	143,308	199,369	274,436
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	126,547	130,260	180,081
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments	42,136	88,853	65,362
Liability for Claims and Claims Adjustment Expense	168,683	219,113	245,443
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	1,425	(1,392)	(7,977)
Specialty Health Segment Member | Health Insurance Product Line
Liability for Claims and Claims Adjustment Expense	27,183	23,425	35,620
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments	1,179	1,362	3,584
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	26,004	22,063	32,036
Current Year Claims and Claims Adjustment Expense	54,333	44,243	63,122
Prior Year Claims and Claims Adjustment Expense	158	(4,702)	(8,410)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	54,491	39,541	54,712
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	24,370	19,371	42,419
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	23,983	16,229	22,266
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	48,353	35,600	64,685
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	32,142	26,004	22,063
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments	762	1,179	1,362
Liability for Claims and Claims Adjustment Expense	$ 32,904	$ 27,183	$ 23,425