Dividend Payment Restrictions [Text Block] (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
Dec. 31, 2019	Dec. 31, 2018
Statutory Accounting Practices, Statutory Amount Available for Dividend Payments without Regulatory Approval	$ 31,287
Statutory Accounting Practices, Dividends Paid with Approval of Regulatory Agency	$ 165,472
Common Stock, Dividends, Per Share, Declared	$ 0.40	$ 0.30
Dividends, Common Stock, Cash	$ 5,963	$ 4,468
MadisonNationalLifeSubsidiariesMember
Payments of Dividends	0	12,035
StandardSecurityLifeSubsidiariesMember
Payments of Dividends	0	3,000
IndependenceAmericanSubsidiariesMember
Payments of Dividends	$ 18,000	$ 8,400

Aggregate dividends declared during the period for each share of common stock outstanding.

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

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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=118932676&loc=d3e3291-108585

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Amount of dividends paid subject to regulatory approval.

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

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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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