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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Investments:    
Debt securities, available-for-sale, at amortized cost $ 439,254 $ 433,664
Total investments (including $0,000 and $26,284 related to the VIE, respectively) 468,834 451,525
Premiums receivable, allowance for doubtful accounts 67 77
Deferred financing costs $ 1,599 $ 596
Shareholders' Equity    
Preferred Stock, Par or Stated Value Per Share $ 0.01 $ 0.01
Preferred Stock, Shares Authorized 1,000,000 1,000,000
Common Stock, Par or Stated Value Per Share $ 0.01 $ 0.01
Common Stock, Shares Authorized 25,000,000 25,000,000
Common stock, shares issued (in shares) 12,836,401 12,784,444
Common Stock, Shares, Outstanding 12,836,401 12,784,444