Dividend Payment Restrictions [Text Block] (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2018	Dec. 31, 2017
Statutory Accounting Practices, Statutory Amount Available for Dividend Payments without Regulatory Approval	$ 41,275
Dividends, Common Stock, Cash	4,468	$ 2,392
MadisonNationalLifeSubsidiariesMember
Payments of Dividends	12,035	11,000
StandardSecurityLifeSubsidiariesMember
Payments of Dividends	3,000	7,000
IndependenceAmericanSubsidiariesMember
Payments of Dividends	$ 8,400	$ 0

Amount of paid and unpaid common stock dividends declared with the form of settlement in cash.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.3-04)
-URI http://asc.fasb.org/extlink&oid=27012166&loc=d3e187085-122770

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- Definition

Cash outflow in the form of capital distributions and dividends to common shareholders, preferred shareholders and noncontrolling interests.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 15
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585

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- Definition

Amount of dividends that can be declared or paid without approval of regulatory agency.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

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