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Segment Information - Gross Premiums Earned by Product (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 $ (110,347) $ (95,315) $ (101,510)
Net premiums earned $ 182,972 $ 192,303 $ 180,353 $ 182,903 $ 193,694 $ 185,275 $ 176,732 $ 177,579 738,531 733,281 694,149
Specialty P&C                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (83,662) (78,115) (84,805)
Net premiums earned                 453,921 457,816 443,313
Premiums ceded to Lloyd's Syndicate                 11,800 14,000 14,400
Specialty P&C | Healthcare professional liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 477,561 474,981 463,599
Specialty P&C | Legal professional liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 25,771 26,125 28,234
Specialty P&C | Medical technology liability                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 33,836 34,158 34,838
Specialty P&C | Other                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 415 667 1,447
Workers' Compensation                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (25,893) (25,335) (25,122)
Net premiums earned                 227,408 220,815 213,161
Workers' Compensation | Traditional business                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 172,603 170,492 172,115
Workers' Compensation | Alternative market business                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 80,698 75,658 66,168
Lloyd's Syndicate                      
Segment Reporting Information [Line Items]                      
Ceded premiums earned                 (12,547) (5,914) (5,942)
Net premiums earned                 57,202 54,650 37,675
Lloyd's Syndicate | Property and casualty                      
Segment Reporting Information [Line Items]                      
Gross premiums earned                 $ 69,749 $ 60,564 $ 43,617