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, 2019	Dec. 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	196,124	166,899
Prior Year Claims and Claims Adjustment Expense	(20,294)	(19,907)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	175,830	146,992
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	115,319	97,168
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	54,695	54,378
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	170,014	151,546
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	127,809	121,993
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	36,993	38,122
Liability for Claims and Claims Adjustment Expense, Ending Balance	164,802	160,115
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(5,879)	(10,716)
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	51,479	47,143
Prior Year Claims and Claims Adjustment Expense	(3,517)	(9,000)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	47,962	38,143
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	25,738	24,422
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	17,295	20,646
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	43,033	45,068
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	30,146	25,217
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	1,113	851
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 31,259	$ 26,068