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, 2018	Mar. 31, 2017
Liability for Claims and Claims Adjustment Expense, Beginning Balance	$ 168,683	$ 219,113
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	42,136	88,853
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	126,547	130,260
Current Year Claims and Claims Adjustment Expense	42,761	38,882
Prior Year Claims and Claims Adjustment Expense	(5,659)	(5,756)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	37,102	33,126
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	10,527	7,258
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	26,690	30,081
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	37,217	37,339
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	126,432	126,047
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	39,491	56,245
Liability for Claims and Claims Adjustment Expense, Ending Balance	165,923	182,292
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(3,778)	(1,636)
Specialty Health Segment Member | Health Insurance Product Line
Liability for Claims and Claims Adjustment Expense, Beginning Balance	32,904	27,183
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	762	1,179
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	32,142	26,004
Current Year Claims and Claims Adjustment Expense	14,472	11,776
Prior Year Claims and Claims Adjustment Expense	(2,584)	(1,200)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	11,888	10,576
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	1,420	153
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	10,170	10,338
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	11,590	10,491
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	32,440	26,089
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	698	427
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 33,138	$ 26,516