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Compensation and Employee Benefit Plans [Text Block]: Schedule of Compensation Cost for Share-based Payment Arrangements, Allocation of Share-based Compensation Costs by Plan (Details) - Independence Holding Company Share Based Plans Total Member - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Employee Service Share-based Compensation, Tax Benefit from Compensation Expense $ 90 $ 72 $ 195 $ 72
Allocated Share-based Compensation Expense, Net of Tax 181 109 389 108
Selling, General and Administrative Expenses        
Allocated Share-based Compensation Expense 271 181 584 180
Employee Stock Option | Selling, General and Administrative Expenses        
Allocated Share-based Compensation Expense 188 35 369 69
Restricted Stock Units (RSUs) | Selling, General and Administrative Expenses        
Allocated Share-based Compensation Expense 44 27 90 58
Stock Appreciation Rights (SARs) | Selling, General and Administrative Expenses        
Allocated Share-based Compensation Expense $ 39 $ 119 $ 125 $ 53