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	6 Months Ended
	Jun. 30, 2018	Jun. 30, 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	84,871	78,482
Prior Year Claims and Claims Adjustment Expense	(13,189)	(7,669)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	71,682	70,813
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	35,956	24,034
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	42,108	44,419
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	78,064	68,453
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	120,165	132,620
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	39,513	48,945
Liability for Claims and Claims Adjustment Expense, Ending Balance	159,678	181,565
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(8,398)	65
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	26,747	25,514
Prior Year Claims and Claims Adjustment Expense	(7,174)	343
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	19,573	25,857
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	7,336	2,927
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	16,662	17,355
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	23,998	20,282
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	27,717	31,579
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	683	666
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 28,400	$ 32,245