Schedule III - Supplementary Insurance Information: Schedule III - Suppplementary Insurance Information Table Text (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	$ 43,764	$ 33,616	$ 35,252
Supplementary Insurance Information, Unearned Premiums	5,060	4,048	4,061
Supplementary Insurance Information, Premium Revenue	148,803	133,606	127,203
Supplementary Insurance Information, Net Investment Income	2,247	2,202	2,104
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	98,741	88,887	87,118
Supplementary Insurance Information, Other Operating Expense	76,410	69,752	58,878
Supplementary Insurance Information, Premiums Written	149,815	133,593	128,827
Independence American Subsidiary Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	43,764	33,616	35,252
Supplementary Insurance Information, Unearned Premiums	5,060	4,048	4,061
Supplementary Insurance Information, Premium Revenue	148,803	133,606	127,203
Supplementary Insurance Information, Net Investment Income	2,172	1,987	1,946
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	98,741	88,887	87,118
Supplementary Insurance Information, Other Operating Expense	41,008	39,581	35,091
Supplementary Insurance Information, Premiums Written	149,815	133,593	128,827
Risk Solutions and Agencies Subsidary Member
Supplementary Insurance Information, Net Investment Income	(18)	150	111
Supplementary Insurance Information, Other Operating Expense	32,765	28,515	22,384
Medical Stop Loss Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	23,257	15,929	20,618
Supplementary Insurance Information, Premium Revenue	69,169	53,279	55,508
Supplementary Insurance Information, Net Investment Income	1,131	1,103	1,242
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	52,844	36,330	37,762
Supplementary Insurance Information, Other Operating Expense	14,862	14,524	16,566
Supplementary Insurance Information, Premiums Written	69,169	53,279	55,508
Fully Insured Health Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	18,495	15,742	13,276
Supplementary Insurance Information, Unearned Premiums	4,680	3,686	3,759
Supplementary Insurance Information, Premium Revenue	73,745	74,309	66,167
Supplementary Insurance Information, Net Investment Income	928	782	631
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	42,496	48,710	45,884
Supplementary Insurance Information, Other Operating Expense	24,344	23,290	16,931
Supplementary Insurance Information, Premiums Written	74,739	74,236	67,702
Group Disability Member
Supplementary Insurance Information, Liability for Future Policy Benefits, Losses, Claims and Loss Expense Reserves	2,012	1,945	1,358
Supplementary Insurance Information, Unearned Premiums	380	362	302
Supplementary Insurance Information, Premium Revenue	5,889	6,018	5,528
Supplementary Insurance Information, Net Investment Income	113	102	73
Supplementary Insurance Information, Benefits, Claims, Losses and Settlement Expense	3,401	3,847	3,472
Supplementary Insurance Information, Other Operating Expense	1,802	1,767	1,594
Supplementary Insurance Information, Premiums Written	5,907	6,078	5,617
Corporate
Supplementary Insurance Information, Net Investment Income	93	65	47
Supplementary Insurance Information, Other Operating Expense	$ 2,637	$ 1,656	$ 1,403