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, 2020	Mar. 31, 2019
Liability for Claims and Claims Adjustment Expense, Beginning Balance	$ 164,802	$ 160,115
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	36,993	38,122
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	127,809	121,993
Current Year Claims and Claims Adjustment Expense	61,159	46,775
Prior Year Claims and Claims Adjustment Expense	(7,123)	(3,000)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	54,036	43,775
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	14,168	12,658
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	33,681	26,080
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	47,849	38,738
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	133,996	127,030
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	36,840	37,880
Liability for Claims and Claims Adjustment Expense, Ending Balance	170,836	164,910
Specialty Health Segment Member
Prior Year Claims and Claims Adjustment Expense	(2,057)	(1,510)
Specialty Health Segment Member | Health Insurance Product Line
Liability for Claims and Claims Adjustment Expense, Beginning Balance	31,259	26,068
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Beginning Balance	1,113	851
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Beginning Balance	30,146	25,217
Current Year Claims and Claims Adjustment Expense	13,316	13,416
Prior Year Claims and Claims Adjustment Expense	(1,597)	(930)
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims	11,719	12,486
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year	3,430	1,695
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years	11,723	8,398
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid	15,153	10,093
Liability for Unpaid Claims and Claims Adjustment Expense, Net, Ending Balance	26,712	27,610
Reinsurance Recoverable for Unpaid Claims and Claims Adjustments, Ending Balance	1,081	499
Liability for Claims and Claims Adjustment Expense, Ending Balance	$ 27,793	$ 28,109