Claim Liabilities and Claim Adjustment Expenses, Reconciliation of Net Incurred and Paid Claims Development (Details) - USD ($)
$ in Thousands
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Net Outstanding Liabilities [Abstract]        
Liabilities for unpaid claims and claim adjustment expenses, net of reinsurance $ 420,240      
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Total gross liability for unpaid claims and claim adjustment expense 487,943 $ 491,765 $ 390,086 $ 420,421
Intersegment Elimination [Member]        
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Reinsurance recoverable on unpaid claims (939)      
Managed Care [Member]        
Net Outstanding Liabilities [Abstract]        
Liabilities for unpaid claims and claim adjustment expenses, net of reinsurance 349,047      
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Total gross liability for unpaid claims and claim adjustment expense 349,047 348,297 249,330 283,615
Property and Casualty [Member]        
Net Outstanding Liabilities [Abstract]        
Liabilities for unpaid claims and claim adjustment expenses, net of reinsurance 71,091      
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Reinsurance recoverable on unpaid claims 25,885      
Other Segments [Member]        
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Total gross liability for unpaid claims and claim adjustment expense [1] 138,896 $ 143,468 $ 140,756 $ 136,806
Other Short-duration Insurance Line [Member]        
Net Outstanding Liabilities [Abstract]        
Liabilities for unpaid claims and claim adjustment expenses, net of reinsurance 102      
Insurance Lines Other Than Short-duration [Member]        
Reconciliation of Claims Development to Liability Reinsurance Recoverable on Unpaid Claims [Abstract]        
Reinsurance recoverable on unpaid claims $ 42,757      
[1] Other Business Segments include the Life Insurance and Property and Casualty segments as well as intersegment eliminations.