Related Party Transactions (Detail) - USD ($)	12 Months Ended
Dec. 31, 2018	Dec. 31, 2017
Receipts, Net	$ 65,283,000	$ 39,716,000
AHMC
AHMC – Risk pool revenue	68,200,000	42,600,000
HSMSO
Management fees, net	(2,600,000)	(2,600,000)
Aurion
Management fees, net	$ (317,000)	$ (284,000)

Revenue from insurance services, including net premiums earned, gain on sale of insurance block, agency management fees and insurance contract fees and commissions.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04.1,4)
-URI http://asc.fasb.org/extlink&oid=114873790&loc=SL114874131-224263

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- Definition

Amount of expenses related to the managing member or general partner for management of the day-to-day business functions of the limited liability company (LLC) or limited partnership (LP).

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 850
-SubTopic 10
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6457730&loc=d3e39549-107864

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- Definition

Reflects the sum of all other revenue and income realized from sales and other transactions (excluding transactions that are eliminated in consolidated or combined financial statements) with related party during the period.

+ References

No definition available.

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