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Commitments and Contingencies (Tables)
9 Months Ended
Sep. 30, 2016
Commitments and Contingencies [Abstract]  
Schedule of expenses and losses incurred but not reported
The Company has appropriately recognized estimated expenses and liabilities related to these policies for losses incurred but not reported to the Company or its insurance carrier as follows (in thousands):

  
September 30,
  
December 31,
 
  
2016
  
2015
 
Estimated expenses and liabilities(1)
 
$
2,783
  
$
2,086
 
_________________________________
(1) Premiums paid and expensed for which possible and anticipated claims that have not been reported and/or fully developed as of the balance sheet date.
Schedule of accrued medical claims
Medical accrued amounts are as follows (in thousands):

  
September 30,
  
December 31,
 
  
2016
  
2015
 
Accrued medical claims
 
$
1,839
  
$
1,107