Note 16. Dividend Restrictions On Insurance Subsidiary (Details) (Independence American Subsidiary Member, USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Independence American Subsidiary Member
Cash Dividends Paid to Parent Company	$ 2,000	$ 1,000
Statutory Capital and Surplus Applying National Association of Insurance Commissioners (NAIC) Practices	54,427	51,407
Statutory Accounting Practices, Statutory Net Income Amount	$ 3,271	$ 4,542	$ 2,697