Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Operating Activities
Net Income	$ 2,493	$ 3,414
Adjustments to reconcile net income to net cash flows provided by operating activities:
Change in deferred acquisition costs	(4,303)	2,922
Depreciation and amortization	3,266	2,220
Deferred income tax expense	1,046	(64)
Net realized investment (gains) losses	(7)	3
Stock-based compensation expense	303	179
Direct stock awards to employees	2	0
Amortization of premiums and accretions of discounts on investments	350	312
Non-controlling interests	818	18
Change in allowance for doubtful accounts	11	544
Changes in operating assets and liabilities, net of the effects of acquisitions and dispositions:
Accrued investment income	56	2
Accounts and premiums receivable, net	(6,868)	(11,557)
Other receivables	(14,678)	(7,694)
Reinsurance receivables	7,281	8,319
Income Taxes Receivable	(375)	0
Other assets	(887)	234
Unpaid claims	948	(86)
Unearned premiums	(10,612)	(6,870)
Policyholder account balances	(534)	(475)
Accrued expenses, accounts payable and other liabilities	12,592	6,792
Income Taxes Payable	0	40
Deferred revenue	7,803	(3,055)
Net cash flows provided by (used in) operating activities	(1,295)	(4,802)
Investing Activities:
Proceeds from maturities, calls and prepayments of available-for-sale investments	3,332	1,697
Proceeds from sales of available-for-sale investments	412	2,050
Net change in short-term investments	0	100
Purchases of available-for-sale investments	(10,199)	(5,236)
Purchases of property and equipment	(993)	(1,800)
Net paid for acquisitions of subsidiaries, net of cash received	(2,902)	0
Net proceeds (issuance) from notes receivable	110	(199)
Repayment of Notes Receivable from Related Parties	6,135	0
Change in restricted cash, net of restricted cash received from acquisitions	2,261	(4,779)
Net cash flows (used in) provided by investing activities	(1,844)	(8,167)
Financing activities
Payments on notes payable	(8,188)	(23,000)
Proceeds from notes payable	10,500	24,700
Repurchase of shares of common stock	0	1,394
Dividends paid to non-controlling interests	43	0
Net cash flows (used in) provided by financing activities	2,269	306
Net (decrease) increase in cash and cash equivalents	(870)	(12,663)
Cash and cash equivalents, beginning of period	$ 15,209	$ 31,339