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	9 Months Ended
	Sep. 30, 2018	Sep. 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	127,544	114,795
Prior Year Claims and Claims Adjustment Expense	(19,152)	(9,236)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	108,392	105,559
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	65,380	52,822
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	49,916	56,452
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	115,296	109,274
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	119,643	126,545
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	38,525	43,002
Liability for Claims and Claims Adjustment Expense, Ending Balance	158,168	169,547
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(9,729)	1,304
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	37,099	40,836
Prior Year Claims and Claims Adjustment Expense	(8,266)	1,144
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	28,833	41,980
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	14,880	13,528
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	19,507	23,797
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	34,387	37,325
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	26,588	30,659
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	865	814
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 27,453	$ 31,473