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, 2019	Sep. 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	145,938	127,544
Prior Year Claims and Claims Adjustment Expense	(15,950)	(19,152)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	129,988	108,392
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	76,395	65,380
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	51,326	49,916
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	127,721	115,296
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	124,260	119,643
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	37,169	38,525
Liability for Claims and Claims Adjustment Expense, Ending Balance	161,429	158,168
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(4,370)	(9,729)
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	38,950	37,099
Prior Year Claims and Claims Adjustment Expense	(2,370)	(8,266)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	36,580	28,833
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	15,630	14,880
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	15,357	19,507
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	30,987	34,387
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	30,810	26,588
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	919	865
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 31,729	$ 27,453