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	6 Months Ended
	Jun. 30, 2019	Jun. 30, 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	96,736	84,871
Prior Year Claims and Claims Adjustment Expense	(8,141)	(13,189)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	88,595	71,682
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	41,644	35,956
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	37,242	42,108
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	78,886	78,064
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	131,702	120,165
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	37,282	39,513
Liability for Claims and Claims Adjustment Expense, Ending Balance	168,984	159,678
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(3,158)	(8,398)
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	25,855	26,747
Prior Year Claims and Claims Adjustment Expense	(1,622)	(7,174)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	24,233	19,573
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	7,838	7,336
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	13,157	16,662
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	20,995	23,998
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	28,455	27,717
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	445	683
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 28,900	$ 28,400