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	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Liability for Claims and Claims Adjustment Expense, Beginning Balance	$ 160,115	$ 168,683
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	38,122	42,136
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	121,993	126,547
Current Year Claims and Claims Adjustment Expense	46,775	42,761
Prior Year Claims and Claims Adjustment Expense	(3,000)	(5,659)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	43,775	37,102
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	12,658	10,527
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	26,080	26,690
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	38,738	37,217
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	127,030	126,432
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	37,880	39,491
Liability for Claims and Claims Adjustment Expense, Ending Balance	164,910	165,923
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(1,510)	(3,778)
Specialty Health Segment Member | Health Insurance Product Line
Liability for Claims and Claims Adjustment Expense, Beginning Balance	26,068	32,904
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	851	762
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	25,217	32,142
Current Year Claims and Claims Adjustment Expense	13,416	14,472
Prior Year Claims and Claims Adjustment Expense	(930)	(2,584)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	12,486	11,888
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	1,695	1,420
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	8,398	10,170
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	10,093	11,590
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	27,610	32,440
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	499	698
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 28,109	$ 33,138