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Liability for Unpaid Claims - Reconciliation of Net Incurred and Paid Claims Development to Liability (Details) - USD ($)
$ in Thousands
Mar. 31, 2017
Dec. 31, 2016
Policy claims and other benefits payable:    
Short-duration contracts $ 24,341 $ 26,721
Insurance lines other than short duration—health 118,344 116,407
Insurance lines other than short duration—life 159,259 156,437
Total policy claims and other benefits payable $ 301,944 $ 299,565