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, 2018	Dec. 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	166,899	147,603
Prior Year Claims and Claims Adjustment Expense	(19,907)	(8,008)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	146,992	139,595
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	97,168	80,839
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	54,378	62,469
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	151,546	143,308
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	121,993	126,547
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	38,122	42,136
Liability for Claims and Claims Adjustment Expense, Ending Balance	160,115	168,683
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(10,716)	1,425
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	47,143	54,333
Prior Year Claims and Claims Adjustment Expense	(9,000)	158
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	38,143	54,491
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	24,422	24,370
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	20,646	23,983
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	45,068	48,353
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	25,217	32,142
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	851	762
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 26,068	$ 32,904