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Premiums and Accounts Receivable (Details) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Premiums and Accounts Receivable    
Insurance premiums receivable $ 60,286 $ 64,352
Other receivables 6,805 17,547
Allowance for uncollectible amounts (4,310) (4,432)
Total $ 62,781 $ 77,467