Schedule III - Supplementary Insurance Information: Schedule III - Suppplementary Insurance Information Table Text (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	$ 35,252	$ 24,993	$ 21,030
Supplementary Insurance Information, Unearned Premiums	4,061	2,437	427
Supplementary Insurance Information, Premium Revenue	127,203	83,778	72,448
Supplementary Insurance Information, Net Investment Income	2,104	2,126	2,189
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	87,118	56,849	47,768
Supplementary Insurance Information, Other Operating Expense	58,878	37,875	34,924
Supplementary Insurance Information, Premiums Written	128,827	85,787	72,744
Independence American Subsidiary Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	35,252	24,993	21,030
Supplementary Insurance Information, Unearned Premiums	4,061	2,437	427
Supplementary Insurance Information, Premium Revenue	127,203	83,778	72,448
Supplementary Insurance Information, Net Investment Income	1,946	1,905	1,981
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	87,118	56,849	47,768
Supplementary Insurance Information, Other Operating Expense	35,091	21,751	19,349
Supplementary Insurance Information, Premiums Written	128,827	85,787	72,744
Risk Solutions and Agencies Subsidary Member
Supplementary Insurance Information, Net Investment Income	111	171	163
Supplementary Insurance Information, Other Operating Expense	22,384	14,705	13,737
Medical Stop Loss Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	20,618	16,363	14,165
Supplementary Insurance Information, Premium Revenue	55,508	47,531	38,569
Supplementary Insurance Information, Net Investment Income	1,242	1,327	1,417
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	37,762	32,574	25,759
Supplementary Insurance Information, Other Operating Expense	16,566	12,924	11,497
Supplementary Insurance Information, Premiums Written	55,508	47,531	38,569
Fully Insured Health Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	13,276	7,822	6,259
Supplementary Insurance Information, Unearned Premiums	3,759	2,224	287
Supplementary Insurance Information, Premium Revenue	66,167	32,762	30,913
Supplementary Insurance Information, Net Investment Income	631	513	496
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	45,884	22,220	20,198
Supplementary Insurance Information, Other Operating Expense	16,931	7,784	6,935
Supplementary Insurance Information, Premiums Written	67,702	34,699	31,188
Group Disability Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	1,358	808	606
Supplementary Insurance Information, Unearned Premiums	302	213	140
Supplementary Insurance Information, Premium Revenue	5,528	3,485	2,966
Supplementary Insurance Information, Net Investment Income	73	65	68
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	3,472	2,055	1,811
Supplementary Insurance Information, Other Operating Expense	1,594	1,043	917
Supplementary Insurance Information, Premiums Written	5,617	3,557	2,987
Corporate
Supplementary Insurance Information, Net Investment Income	47	50	45
Supplementary Insurance Information, Other Operating Expense	$ 1,403	$ 1,419	$ 1,838