Note 16. Dividend Restrictions On Insurance Subsidiary (Details) - Independence American Subsidiary Member - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statutory Capital and Surplus Applying National Association of Insurance Commissioners (NAIC) Practices	$ 63,412	$ 60,168
Statutory Accounting Practices, Statutory Net Income Amount	$ 2,960	$ 3,127	$ 3,176

Amount of net income for the period determined using accounting principles prescribed or permitted by insurance regulators.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 210
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03.23(c))
-URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Regulation S-X (SX)
-Number 210
-Section 03
-Paragraph 24
-Subparagraph c
-Article 7

Name:	us-gaap_StatutoryAccountingPracticesStatutoryNetIncomeAmount
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration