DCP Holding 10-Q 14 Nov 16 2016 Q3 Quarterly report Financial data

Document And Entity Information

Document And Entity Information	9 Months Ended
	Sep. 30, 2016shares
Class A Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	507
Class B Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	8,437
Class C Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	3,771
Entity Registrant Name	DCP Holding CO
Entity Central Index Key	1,361,025
Trading Symbol	dcph
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Well-known Seasoned Issuer	No
Document Type	10-Q
Document Period End Date	Sep. 30, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	Q3
Amendment Flag	false

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets (Current Period Unaudited) - USD ($)	Sep. 30, 2016	Dec. 31, 2015
Institutional Preferred Shares 2010 Series [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	$ 0	$ 420,515
Institutional Preferred Shares 2012 Series [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	0	1,213,791
Institutional Preferred Shares 2013 Series [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	0	1,116,442
Class A Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	549,386	522,045
Class B Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	9,142,352	8,237,390
Class C Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Institutional preferred shares	4,086,264	2,028,490
Fixed maturities, available for sale at fair value, amortized cost of $8,656,000 and $8,745,000 at September 30, 2016 and December 31, 2015, respectively	8,890,561	8,708,799
Short-term investments, available for sale at fair value, cost of $510,000 and $449,000 at September 30, 2016 and December 31, 2015, respectively	510,564	449,457
Total investments	9,401,125	9,158,256
CASH AND CASH EQUIVALENTS	9,983,246	11,657,287
ACCRUED INVESTMENT INCOME	72,775	75,257
ACCOUNTS RECEIVABLE, including uncollected premiums of $938,690 and $785,942, net of allowance of $23,675 and $14,715 at September 30, 2016 and December 31, 2015, respectively	51,195,060	31,741,166
DEFERRED ACQUISITION COSTS	3,302,149	2,012,604
PROPERTY AND EQUIPMENT, net of depreciation and amortization of $3,523,178 and $3,168,946 at September 30, 2016 and December 31, 2015, respectively	2,562,410	2,700,909
OTHER ASSETS	4,697,710	2,998,073
TOTAL ASSETS	81,214,475	60,343,552
CLAIMS PAYABLE	3,295,156	3,253,346
UNEARNED PREMIUM REVENUE	51,950,762	32,631,117
OTHER PAYABLES AND ACCRUALS	6,843,599	5,565,495
MORTGAGE LOAN PAYABLE	1,160,600	1,198,400
CAPITAL LEASE OBLIGATIONS	637,903	869,456
DEFERRED COMPENSATION	3,548,453	3,287,065
TOTAL LIABILITIES	67,436,473	46,804,879
COMMITMENTS AND CONTINGENCIES
Total redeemable preferred and common shares	13,778,002	13,538,673
SHAREHOLDERS’ EQUITY—Preferred Shares; no par value—authorized, 92,700 shares; issued, none outstanding	0	0
TOTAL LIABILITIES, REDEEMABLE SHARES AND SHAREHOLDERS’ EQUITY	$ 81,214,475	$ 60,343,552

Condensed Consolidated Balance3

Condensed Consolidated Balance Sheets (Current Period Unaudited) (Parentheticals) - USD ($)	Sep. 30, 2016	Dec. 31, 2015
Institutional Preferred Shares 2010 Series [Member]
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized (in shares)	300	300
Redeemable preferrd shares, shares issued (in shares)	0	300
Redeemable preferred shares, shares outstanding (in shares)	0	0
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Institutional Preferred Shares 2012 Series [Member]
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized (in shares)	1,000	1,000
Redeemable preferrd shares, shares issued (in shares)	0	1,000
Redeemable preferred shares, shares outstanding (in shares)	0	1,000
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Institutional Preferred Shares 2013 Series [Member]
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized (in shares)	1,000	1,000
Redeemable preferrd shares, shares issued (in shares)	0	1,000
Redeemable preferred shares, shares outstanding (in shares)	0	1,000
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Class A Redeemable Common Shares [Member]
Redeemable preferred shares, authorized (in shares)	7,500	7,500
Redeemable preferrd shares, shares issued (in shares)	507	516
Redeemable preferred shares, shares outstanding (in shares)	507	516
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Class B Redeemable Common Shares [Member]
Redeemable preferred shares, authorized (in shares)	120,000	120,000
Redeemable preferrd shares, shares issued (in shares)	8,437	8,142
Redeemable preferred shares, shares outstanding (in shares)	8,437	8,142
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Class C Redeemable Common Shares [Member]
Redeemable preferred shares, authorized (in shares)	80,000	80,000
Redeemable preferrd shares, shares issued (in shares)	3,771	2,005
Redeemable preferred shares, shares outstanding (in shares)	3,771	2,005
Redeemable preferred shares, par value (in dollars per share)	$ 0	$ 0
Fix maturities, available for sale at fair value, amortized cost	$ 8,656,000	$ 8,745,000
Short-term investments, available for sale at fair value, amortized cost	510,000	449,000
Accounts receivable, uncollected premiums	938,690	785,942
Accounts receivable, allowance	23,675	14,715
Depreciation and amortization, property and equipment	$ 3,523,178	$ 3,168,946
Preferred shares, no par value (in dollars per share)
Preferred shares, authorized (in shares)
Preferred shares, issued (in shares)
Preferred shares, outstanding (in shares)

Condensed Consolidated Statemen

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
REVENUES
Premium revenue	$ 26,734,505	$ 25,261,384	$ 79,409,241	$ 73,725,845
Investment income	68,498	67,875	206,966	183,877
Realized gains on investments, net	99,558	11,137	48,233	31,364
Other income	10,384	10,384	46,728	46,728
Total revenues	26,912,945	25,350,780	79,711,168	73,987,814
EXPENSES
Healthcare services expense	20,311,592	19,663,702	61,154,178	58,126,663
Insurance expense:
Salaries and benefits expense	2,150,771	1,968,217	6,605,983	5,635,583
Commission expenses and other acquisition costs	1,435,961	1,407,888	4,033,805	4,009,843
Other insurance expense	1,858,026	1,678,741	5,567,876	5,099,432
Total insurance expense	5,444,758	5,054,846	16,207,664	14,744,858
Total expenses	25,756,350	24,718,548	77,361,842	72,871,521
INCOME BEFORE INCOME TAX	1,156,595	632,232	2,349,326	1,116,293
INCOME TAX EXPENSE	501,616	273,566	1,018,419	483,005
NET INCOME	654,979	358,666	1,330,907	633,288
OTHER COMPREHENSIVE INCOME (LOSS)
Change in the fair value of interest rate swap, net of income tax (benefit) of $3,176, ($9,782), ($12,638) and ($9,442), respectively	6,163	(18,987)	(24,532)	(18,330)
Change in the fair value of investments, net of income tax (benefit) of ($2,939), ($19,439), $96,324 and ($36,742), respectively	(5,705)	(37,731)	186,982	(71,313)
Reclassification adjustment for realized gains included in net income, net of income tax (benefit) of ($20,842), $3,786, ($3,392) and $10,664, respectively	(40,459)	(7,351)	(6,584)	(20,700)
Total other comprehensive income (loss)	(40,001)	(64,069)	155,866	(110,343)
TOTAL COMPREHENSIVE INCOME	$ 614,978	$ 294,597	$ 1,486,773	$ 522,945

Condensed Consolidated Stateme5

Condensed Consolidated Statements of Comprehensive Income (Unaudited) (Parentheticals) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Interest rate swap, tax expense (benefit)	$ 3,176	$ (9,782)	$ (12,638)	$ (9,442)
Investments, tax expense (benefit)	2,939	(19,439)	96,324	(36,742)
Reclassification adjustment for gains included in net income, benefit (tax)	$ (20,842)	$ 3,786	$ (3,392)	$ 10,664

Condensed Consolidated Stateme6

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 1,330,907	$ 633,288
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	368,113	348,457
Realized gain on investments, net	(48,233)	(31,364)
Increase (Decrease) in Deferred Compensation	434,409	407,607
Effects of changes in operating assets and liabilities:
Accrued investment income	2,482	9,502
Accounts receivable	(19,453,894)	(6,298,385)
Deferred acquisition costs	(1,289,545)	(419,549)
Other assets	(208,730)	(241,389)
Claims payable	41,810	(307,765)
Unearned premium revenue	19,319,645	7,268,612
Other payables and accruals	1,284,815	(219,261)
Net cash provided by operating activities	1,781,779	1,149,753
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of investments	(4,419,358)	(3,879,199)
Sales of investments	2,712,964	2,402,414
Maturities of investments	200,000	500,000
Investment, other	0	(2,000)
Acquisition of property and equipment	(224,556)	(359,774)
Net cash used in investing activities	(1,730,950)	(1,338,559)
CASH FLOWS FROM FINANCING ACTIVITIES:
Mortgage loan repayments	(37,800)	(36,900)
Payments on capital lease	(231,553)	(183,365)
Repurchase of redeemable common shares	(184,461)	(211,305)
Repurchase of redeemable preferred shares	(2,805,064)	0
Extinguishment cost of redeemable preferred shares	(118,812)	0
Redeemable shares issued	2,280,066	1,600,235
Issuance cost of redeemable shares	(116,833)	(98,120)
Dividends paid	(510,413)	(447,223)
Net cash used in financing activities	(1,724,870)	623,322
(DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS	(1,674,041)	434,516
CASH AND CASH EQUIVALENTS—Beginning of period	11,657,287	9,189,994
CASH AND CASH EQUIVALENTS—End of period	9,983,246	9,624,510
SUPPLEMENTAL CASH FLOW INFORMATION:
Cash paid for interest	53,500	51,500
Cash paid for income taxes	855,000	705,000
NON-CASH INVESTING AND FINANCING ACTIVITIES:
Redeemed common shares (in other payables and accruals)	49,560	23,481
Redeemable common shares to be issued in lieu of cash payment of deferred compensation	173,021	164,407
Deferred restricted shares in lieu of cash dividend	101,840	64,564
Purchased property and equipment (included in other payables and accruals)	$ 0	$ 2,358

Note 1 - Basis of Presentation

Note 1 - Basis of Presentation	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]	1. BASIS OF PRESENTATION DCP Holding Company (the “Company”) is the parent holding company of three wholly-owned subsidiaries which include Dental Care Plus, Inc., an Ohio corporation; Insurance Associates Plus, Inc., an Ohio corporation, and Adenta, Inc., a Kentucky corporation. Dentists who participate in one or more of the Dental Care Plus networks own a majority of the Company’s Redeemable Common Shares. The Company’s Redeemable Common Shares are also owned by retired dentists, Company board members, non-dentist individuals and employees. The Company primarily offers to employer groups of all sizes health maintenance organization (“HMO”), participating provider organization (“PPO”) and indemnity plans for dental care services and vision benefit plans. The condensed consolidated interim financial statements included in this report have been prepared by the Company without audit, pursuant to the rules and regulations of the Securities and Exchange Commission (the “Commission”). In the opinion of management, all adjustments (consisting of normal recurring adjustments) necessary for a fair presentation are reflected in the interim financial statements. These unaudited condensed consolidated financial statements should be read in conjunction with the audited 2015 financial statements and notes thereto as included in the DCP Holding Company annual report on Form 10-K for the year ended December 31, 2015 filed with the Commission on March 23, 2016. These unaudited condensed consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America for interim financial statements. Certain financial information that is required in the annual financial statements may not be required for interim financial reporting purposes and has been condensed or omitted. Operating results for the three and nine months ended September 30, 2016 are not necessarily indicative of the results that may be expected for the year ending December 31, 2016. The accounting policies of the Company conform to accounting principles generally accepted in the United States of America (“GAAP”). The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The accompanying consolidated financial statements include estimates. Actual results could differ from those estimates.

Note 2 - Summary of Significant

Note 2 - Summary of Significant Accounting Policies	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Organization, Consolidation and Presentation of Financial Statements Disclosure and Significant Accounting Policies [Text Block]	2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES The interim condensed consolidated financial statements have been prepared in accordance with the accounting policies described in the notes to the Company’s consolidated financial statements for the year ended December 31, 2015. While management believes that the procedures followed in preparation of interim financial information are reasonable, the accompanying condensed consolidated financial statements include estimates for items such as changes in claims payable, income tax accounts, deferred acquisition costs, deferred share-based compensation and accrued expenses and various other liability accounts. Any adjustments related to such estimates during the reporting period were of a normal recurring nature. Premium Revenue — Fully-Insured Self-Insured Third-party administration fee revenue (“ASO fees”) is recognized monthly when earned and is normally based on annual contracts with the self-insured groups. ASO fees are charged to self-insured employer groups monthly on a per subscriber per month basis and included in premium revenue in the accompanying condensed consolidated statements of comprehensive income. Corporate, All Other Healthcare Services Expense Investments Deferred Acquisition Costs— Claims Payable— New Accounting Guidance Services-Insurance: Disclosures About Short-Duration Contracts. In January 2016, the FASB issued ASU 2016-01, Financial Instruments – Overall (Subtopic 825-10) – Recognition and Measurement of Financial Assets and Financial Liabilities In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326

Note 3 - Investments

Note 3 - Investments	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]	3. INVESTMENTS The Company owned certificates of deposit insured by the Federal Deposit Insurance Corporation (“FDIC”) with an amortized cost of $1,090,000 as of September 30, 2016 and December 31, 2015. The certificates of deposit included in short term and fixed maturities investments are classified as available-for-sale and are carried at fair value. The Company also invests in money market funds included in short term investments that are classified as available-for-sale, with a cost of approximately $220,000 and $249,000 as of September 30, 2016 and December 31, 2015, respectively. The Company invested in corporate bonds with an amortized cost of approximately $7,856,000 and $7,855,000 as of September 30, 2016 and December 31, 2015, respectively. These corporate bonds included in fixed maturity investments are classified as available-for-sale and are carried at fair value. The Company owned corporate bonds at September 30, 2016, which consisted primarily of investment grade securities. At September 30, 2016, total bond fair value was approximately $8,080,000, which consisted of approximately $7,499,000 with a credit rating of BBB- or better. The remaining securities, totaling approximately $581,000 had a credit rating of BB+ or lower. The weighted average yield-to-cost of the Company’s corporate bonds was approximately 3.1% at September 30, 2016. The weighted average maturity of the Company’s corporate bonds was 5.07 years at September 30, 2016. At September 30, 2016 and December 31, 2015, maturity dates for fixed maturities and short term investments (excluding the money market funds) were: Available-for-Sale Amortized Fair % of Total September 30, 2016 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 290,000 $ 290,865 3.1 % Years 1-5 5,890,474 5,993,137 65.3 % Years 5-10 2,597,838 2,725,128 29.7 % Due after ten years 167,584 172,296 1.9 % Total $ 8,945,896 $ 9,181,426 100.0 % Available-for-Sale Amortized Fair % of Total December 31, 2015 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 200,000 $ 200,324 2.2 % Years 1-5 6,089,269 6,047,291 67.9 % Years 5-10 2,528,939 2,535,648 28.5 % Due after ten years 126,547 125,860 1.4 % Total $ 8,944,755 $ 8,909,123 100.0 % Investments classified at September 30, 2016 and December 31, 2015 as fixed maturities and short term investments were as follows: Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair September 30, 2016 Cost Gain Loss Value Money market fund $ 219,699 $ 219,699 Certificates of deposit, short term 290,000 $ 865 290,865 Certificates of deposit, fixed maturities 800,000 10,236 810,236 Corporate bonds, fixed maturities 7,855,896 238,216 (13,787 ) 8,080,325 Total investments $ 9,165,595 $ 249,317 $ (13,787 ) $ 9,401,125 Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair December 31, 2015 Cost Gain Loss Value Money market fund $ 249,133 $ 249,133 Certificates of deposit, short term 200,000 $ 324 200,324 Certificates of deposit, fixed maturities 890,000 302 $ (3,552 ) 886,750 Corporate bonds, fixed maturities 7,854,755 83,037 (115,743 ) 7,822,049 Total investments $ 9,193,888 $ 83,663 $ (119,295 ) $ 9,158,256 Unrealized losses on investments at September 30, 2016 and December 31, 2015 were generally due to higher current market yields relative to the yields of the investments at their amortized cost. Unrealized losses due to credit risk associated with the underlying collateral of the investments, if any, are not material. All investments with unrealized losses are reviewed quarterly to determine if any impairment is other than temporary, requiring a charge to earnings. The Company considers the severity of the loss on a security, duration of loss, duration of the investment, credit rating of the security, as well as payment performance and the Company’s intent or requirement to sell the investment before recovery when determining whether any impairment is other than temporary. The Company had no investments in a material unrealized loss position for greater than one year at September 30, 2016 or December 31, 2015.

Note 4 - Deferred Compensation

Note 4 - Deferred Compensation Plan	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Compensation Related Costs, General [Text Block]	4. DEFERRED COMPENSATION PLAN In accordance with the 2006 Dental Care Plus Management Equity Incentive Plan and the Dental Care Plus, Inc. and DCP Holding Company Deferred Compensation Plan (the “Plans”), Company directors and certain key employees elected to defer portions of their director fees and employee compensation, as applicable. In 2016, the non-employee members of the Board were granted a total of 228 share based awards. In 2016, key employees were granted 89 share based awards. The Company recorded deferred compensation expense of approximately $125,000 and $46,000 related to deferred share awards and the change in the value of phantom shares for the three months ended September 30, 2016 and 2015, respectively. The Company recorded deferred compensation expense of approximately $15,000 and $26,000 related to deferred director fees and deferred employee compensation for the three months ended September 30, 2016 and 2015, respectively. The Company recorded deferred compensation expense of approximately $399,000 and $371,000 related to deferred share awards and the change in the value of phantom shares for the nine months ended September 30, 2016 and 2015, respectively. The Company recorded deferred compensation expense of approximately $40,000 and $112,000 related to deferred director fees and deferred employee compensation for the nine months ended September 30, 2016 and 2015, respectively. The Plans also provide for the directors and key employees to receive share awards based on the book value of the Redeemable Common Shares. In February 2016 and 2015, the Board declared a per share cash dividend for all Redeemable Common Shares in the amounts of $40.47 and $39.86 per share, respectively. With the dividend, the holders of restricted share units and phantom shares received an equivalent share based dividend that resulted in an increase in the deferred compensation liability of approximately $102,000 and $65,000 in February 2016 and February 2015, respectively. At September 30, 2016 and December 31, 2015, the deferred compensation liability was approximately $3,548,000 and $3,287,000, respectively.

Note 5 - Federal Income Taxes

Note 5 - Federal Income Taxes	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Income Tax Disclosure [Text Block]	5. FEDERAL INCOME TAXES The Company calculates its year to date income tax provision by applying the estimated annual effective tax rate for the year to pretax income. The effective tax for the three and nine months ended September 30, 2016 was 43.3% with tax expense of approximately $502,000 and $1,018,000, respectively. The effective tax for the three and nine months ended September 30, 2015 was 43.3% with tax expense of approximately $274,000 and $483,000, respectively. Tax years subsequent to 2012 remain open to examination by the Internal Revenue Service (“IRS”), and 2011 remains open to state and local tax authorities. The Company has recorded no uncertain tax positions in the tax years that are subject to examination.

Note 6 - Accumulated Other Comp

Note 6 - Accumulated Other Comprehensive Income	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Comprehensive Income (Loss) Note [Text Block]	6. ACCUMULATED OTHER COMPREHENSIVE INCOME Accumulated other comprehensive income includes changes in unrealized gains and losses on available for sale and other invested assets as follows: Three months ended Three months ended September 30, 2016 September 30, 2015 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized gains, net, on investments available for sale, beginning of period $ 308,777 $ 104,988 $ 203,789 $ 84,702 $ 28,799 $ 55,903 Other comprehensive loss before reclassification (8,644 ) (2,939 ) (5,705 ) (57,170 ) (19,439 ) (37,731 ) Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (61,301 ) (20,842 ) (40,459 ) (11,137 ) (3,786 ) (7,351 ) Effect on other comprehensive loss (69,945 ) (23,781 ) (46,164 ) (68,307 ) (23,225 ) (45,082 ) Accumulated unrealized gains, net, on investments available for sale, end of period $ 238,832 $ 81,207 $ 157,625 $ 16,395 $ 5,574 $ 10,821 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (64,525 ) $ (21,940 ) $ (42,585 ) $ (3,857 ) $ (1,311 ) $ (2,546 ) Other comprehensive income (loss) before reclassification 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Effect on other comprehensive income (loss) 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (55,186 ) $ (18,764 ) $ (36,422 ) $ (32,626 ) $ (11,093 ) $ (21,533 ) Accumulated other comprehensive income, beginning of period $ 244,252 $ 83,048 $ 161,204 $ 80,845 $ 27,488 $ 53,357 Change in unrealized losses, net, on investments available for sale (69,945 ) (23,781 ) (46,164 ) (68,307 ) (23,225 ) (45,082 ) Change in unrealized gains (losses), net, on interest rate swap 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Effect on other comprehensive loss (60,606 ) (20,605 ) (40,001 ) (97,076 ) (33,007 ) (64,069 ) Accumulated other comprehensive income (loss), end of period $ 183,646 $ 62,443 $ 121,203 $ (16,231 ) $ (5,519 ) $ (10,712 ) Nine months ended Nine months ended September 30, 2016 September 30, 2015 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized (losses) gains, net, on investments available for sale, beginning of period $ (34,498 ) $ (11,725 ) $ (22,773 ) $ 155,814 $ 52,980 $ 102,834 Other comprehensive income (loss) before reclassification 283,306 96,324 186,982 (108,055 ) (36,742 ) (71,313 ) Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (9,976 ) (3,392 ) (6,584 ) (31,364 ) (10,664 ) (20,700 ) Effect on other comprehensive income (loss) 273,330 92,932 180,398 (139,419 ) (47,406 ) (92,013 ) Accumulated unrealized gains, net, on investments available for sale, end of period $ 238,832 $ 81,207 $ 157,625 $ 16,395 $ 5,574 $ 10,821 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (18,016 ) $ (6,126 ) $ (11,890 ) $ (4,854 ) $ (1,651 ) $ (3,203 ) Other comprehensive loss before reclassification (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Effect on other comprehensive loss (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (55,186 ) $ (18,764 ) $ (36,422 ) $ (32,626 ) $ (11,093 ) $ (21,533 ) Accumulated other comprehensive (loss) income, beginning of period $ (52,514 ) $ (17,851 ) $ (34,663 ) $ 150,960 $ 51,329 $ 99,631 Change in unrealized gains (losses), net, on investments available for sale 273,330 92,932 180,398 (139,419 ) (47,406 ) (92,013 ) Change in unrealized losses net, on interest rate swap (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Effect on other comprehensive income (loss) 236,160 80,294 155,866 (167,191 ) (56,848 ) (110,343 ) Accumulated other comprehensive income (loss), end of period $ 183,646 $ 62,443 $ 121,203 $ (16,231 ) $ (5,519 ) $ (10,712 )

Note 7 - Segment Information

Note 7 - Segment Information	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Segment Reporting Disclosure [Text Block]	7. SEGMENT INFORMATION The Company manages its business with four segments: fully-insured dental HMO and indemnity, fully-insured dental PPO, self-insured dental and corporate, all other. Self-insured dental consists of the self-insured dental HMO, self-insured dental PPO and self-insured dental indemnity products. Corporate, all other consists of revenue associated with the Company’s dental indemnity and vision products underwritten by third-party insurance carriers and certain other corporate activities. These segments are consistent with information used by the Chief Executive Officer (the chief operating decision maker) in managing the business. The results of the fully-insured dental HMO and indemnity, fully-insured dental PPO and self-insured dental segments are measured by gross profit. The Company does not allocate insurance expense, investment and other income, assets or liabilities to these segments because the Company does not use these measures to analyze the segments. These items are assigned to the remainder of the Company’s business, which it identifies as corporate, all other. The Company’s gross profit was approximately $6,422,000 and $5,597,000 for the three months ended September 30, 2016 and 2015, respectively. The Company’s gross profit was approximately $18,255,000 and $15,599,000 for the nine months ended September 30, 2016 and 2015, respectively. Listed below is financial information required for each reportable segment for the three and nine months ended September 30, 2016 and 2015 (amounts in thousands): Three Months Ended Three Months Ended September 30, 2016 September 30, 2015 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 13,373 $ 9,859 $ 3,514 $ 12,405 $ 9,312 $ 3,093 Fully-insured dental PPO 5,582 3,878 1,704 4,852 3,559 1,293 Self-insured dental 7,584 6,575 1,009 7,836 6,793 1,043 Corporate, all other 195 195 168 168 Total $ 26,734 $ 20,312 6,422 $ 25,261 $ 19,664 5,597 Investment income 69 68 Realized gains on investments, net 100 11 Other income 10 10 Insurance expense 5,444 5,054 Income before income tax $ 1,157 $ 632 Total assets-corporate $ 81,214 Nine Months Ended Nine Months Ended September 30, 2016 September 30, 2015 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 39,915 $ 30,351 $ 9,564 $ 36,999 $ 28,413 $ 8,586 Fully-insured dental PPO 16,727 11,603 5,124 14,221 10,726 3,495 Self-insured dental 22,200 19,200 3,000 21,996 18,988 3,008 Corporate, all other 567 567 510 510 Total $ 79,409 $ 61,154 18,255 $ 73,726 $ 58,127 15,599 Investment income 207 184 Realized (losses) gains on investments, net 48 31 Other income 47 47 Insurance expense 16,208 14,745 Income before income tax $ 2,349 $ 1,116 Total assets-corporate $ 81,214 Inter-segment revenues were not significant for the three and nine months ended September 30, 2016 and 2015.

Note 8 - Fair Value Measurement

Note 8 - Fair Value Measurements	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Fair Value Disclosures [Text Block]	8. FAIR VALUE MEASUREMENTS The Company classifies the assets and liabilities that require measurement of fair value based on the priority of the observable and market-based sources of data into a three-level fair value hierarchy. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). The three levels of the fair value hierarchy are as follows: ● Level 1 – Valuations based on quoted prices in active markets for identical assets or liabilities that the entity has the ability to access. ● Level 2 – Valuations based on significant other observable inputs other than those included in Level 1 such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable data for substantially the full term of the assets or liabilities. ● Level 3 – Valuations based on unobservable inputs such as when observable inputs are not available or inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. The following table presents for each of the fair value levels, the Company’s assets and liabilities that are measured at fair value on a recurring basis as of September 30, 2016 and December 31, 2015 (amounts in thousands): September 30, 2016 December 31, 2015 Level 1 Level 2 Total Balance Level 1 Level 2 Total Balance Assets Fixed maturities Federally-Insured certificates of deposit $ 810 $ 810 $ 887 $ 887 Investment grade corporate bonds 7,499 7,499 7,144 7,144 Non-investment grade corporate bonds 581 581 678 678 Short-term investments Money market funds $ 220 220 $ 249 249 Federally-Insured certificates of deposit 291 291 200 200 Deferred compensation investments (a) Equity mutual fund investments 716 716 645 645 State guarantee fund deposits (b) Government securities 1,794 1,794 251 251 Federally-Insured certificates of deposit 75 75 75 75 Total $ 2,730 $ 9,256 $ 11,986 $ 1,145 $ 8,984 $ 10,129 Liabilities Interest rate swap (c) $ 55 $ 55 $ 18 $ 18 Total $ 55 $ 55 $ 18 $ 18 (a) Included as a trading security in other assets (b) Included in other assets (c) Included in other payables and accruals The Company measures fair value using the following valuation methodologies. The Company uses quoted market prices to determine the fair value of the deferred compensation investments and certain state fund guarantee deposits; such items are classified as Level 1 of the fair value hierarchy. Examples include government securities and mutual fund equity securities. The Company primarily bases fair value for investments in fixed-maturity securities on quoted market prices or on prices from a pricing vendor, an outside resource that supplies independent securities pricing, dividend, corporate action and descriptive information to support fund pricing, securities operations, research and portfolio management. The Company obtains and reviews the pricing service’s valuation methodologies and validates these prices using various inputs including quotes from other independent regulatory sources. When deemed necessary, the Company validates prices by replicating a sample using a discounted cash flow model. Such items are classified as Level 2 of the fair value hierarchy. The Company obtains a price from an independent vendor to determine the fair value of the interest rate swap. The independent vendor uses a discounted cash flow method whereby the significant observable inputs include the replacement interest rates of similar swap instruments in the market and swap curves; such items are classified as Level 2 of the fair value hierarchy. As of September 30, 2016 and December 31, 2015, there were no assets or liabilities that were required to be measured at fair value on a non-recurring basis. The Company has a mortgage note with a bank. The carrying value of the mortgage note of approximately $1,160,000 at September 30, 2016 approximates fair value. The Company did not have any transfers between fair value hierarchy levels during the three or nine months ended September 30, 2016 or 2015. As of September 30, 2016 and December 31, 2015, the Company did not have any assets or liabilities classified as Level 3 of the fair value hierarchy.

Note 9 - Redeemable Common Shar

Note 9 - Redeemable Common Shares	9 Months Ended
	Sep. 30, 2016
Notes to Financial Statements
Stockholders' Equity Note Disclosure [Text Block]	9. REDEEMABLE COMMON SHARES On June 30, 2016, the Company delivered written notice to the holders of its (i) Redeemable Institutional Preferred Shares – 2010(A) Series, (ii) Redeemable Institutional Preferred Shares – 2012(A) Series, and (iii) Redeemable Institutional Preferred Shares – 2013(A) Series (collectively, the “Preferred Shares”), pursuant to which the Company exercised its right to redeem all of the Preferred Shares. The “Call Price” for each Preferred Share was 100% of the Adjusted Book Value per Preferred Share (as defined in the Company’s Articles of Incorporation), plus all accrued, but unpaid, dividends on each Preferred Share plus a 5% premium payable to holders of the 2012(A) Series and 2013(A) Series Preferred Shares. The holders of the Preferred Shares and the Company agreed to close the redemption on June 30, 2016, and on such date, the aggregate price paid for redemption of the Preferred Shares by the Company was $2,923,876.

Significant Accounting Policies

Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2016
Accounting Policies [Abstract]
Insurance Premiums Revenue Recognition, Policy [Policy Text Block]	Premium Revenue — Fully-Insured Self-Insured Third-party administration fee revenue (“ASO fees”) is recognized monthly when earned and is normally based on annual contracts with the self-insured groups. ASO fees are charged to self-insured employer groups monthly on a per subscriber per month basis and included in premium revenue in the accompanying condensed consolidated statements of comprehensive income. Corporate, All Other
Healthcare Services Expense [Policy Text Block]	Healthcare Services Expense
Investment, Policy [Policy Text Block]	Investments
Deferred Policy Acquisition Costs, Policy [Policy Text Block]	Deferred Acquisition Costs—
Unpaid Policy Claims and Claims Adjustment Expense, Policy [Policy Text Block]	Claims Payable—
New Accounting Pronouncements, Policy [Policy Text Block]	New Accounting Guidance Services-Insurance: Disclosures About Short-Duration Contracts. In January 2016, the FASB issued ASU 2016-01, Financial Instruments – Overall (Subtopic 825-10) – Recognition and Measurement of Financial Assets and Financial Liabilities In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326

Note 3 - Investments (Tables)

Note 3 - Investments (Tables)	9 Months Ended
	Sep. 30, 2016
Notes Tables
Schedule of Maturity of Available for Sale Securities and Held to Maturity[Table Text Block]	Available-for-Sale Amortized Fair % of Total September 30, 2016 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 290,000 $ 290,865 3.1 % Years 1-5 5,890,474 5,993,137 65.3 % Years 5-10 2,597,838 2,725,128 29.7 % Due after ten years 167,584 172,296 1.9 % Total $ 8,945,896 $ 9,181,426 100.0 % Available-for-Sale Amortized Fair % of Total December 31, 2015 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 200,000 $ 200,324 2.2 % Years 1-5 6,089,269 6,047,291 67.9 % Years 5-10 2,528,939 2,535,648 28.5 % Due after ten years 126,547 125,860 1.4 % Total $ 8,944,755 $ 8,909,123 100.0 %
Schedule of Available for Sale Securities and Held to Maturity [Table Text Block]	Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair September 30, 2016 Cost Gain Loss Value Money market fund $ 219,699 $ 219,699 Certificates of deposit, short term 290,000 $ 865 290,865 Certificates of deposit, fixed maturities 800,000 10,236 810,236 Corporate bonds, fixed maturities 7,855,896 238,216 (13,787 ) 8,080,325 Total investments $ 9,165,595 $ 249,317 $ (13,787 ) $ 9,401,125 Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair December 31, 2015 Cost Gain Loss Value Money market fund $ 249,133 $ 249,133 Certificates of deposit, short term 200,000 $ 324 200,324 Certificates of deposit, fixed maturities 890,000 302 $ (3,552 ) 886,750 Corporate bonds, fixed maturities 7,854,755 83,037 (115,743 ) 7,822,049 Total investments $ 9,193,888 $ 83,663 $ (119,295 ) $ 9,158,256

Note 6 - Accumulated Other Co18

Note 6 - Accumulated Other Comprehensive Income (Tables)	9 Months Ended
	Sep. 30, 2016
Notes Tables
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]	Three months ended Three months ended September 30, 2016 September 30, 2015 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized gains, net, on investments available for sale, beginning of period $ 308,777 $ 104,988 $ 203,789 $ 84,702 $ 28,799 $ 55,903 Other comprehensive loss before reclassification (8,644 ) (2,939 ) (5,705 ) (57,170 ) (19,439 ) (37,731 ) Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (61,301 ) (20,842 ) (40,459 ) (11,137 ) (3,786 ) (7,351 ) Effect on other comprehensive loss (69,945 ) (23,781 ) (46,164 ) (68,307 ) (23,225 ) (45,082 ) Accumulated unrealized gains, net, on investments available for sale, end of period $ 238,832 $ 81,207 $ 157,625 $ 16,395 $ 5,574 $ 10,821 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (64,525 ) $ (21,940 ) $ (42,585 ) $ (3,857 ) $ (1,311 ) $ (2,546 ) Other comprehensive income (loss) before reclassification 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Effect on other comprehensive income (loss) 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (55,186 ) $ (18,764 ) $ (36,422 ) $ (32,626 ) $ (11,093 ) $ (21,533 ) Accumulated other comprehensive income, beginning of period $ 244,252 $ 83,048 $ 161,204 $ 80,845 $ 27,488 $ 53,357 Change in unrealized losses, net, on investments available for sale (69,945 ) (23,781 ) (46,164 ) (68,307 ) (23,225 ) (45,082 ) Change in unrealized gains (losses), net, on interest rate swap 9,339 3,176 6,163 (28,769 ) (9,782 ) (18,987 ) Effect on other comprehensive loss (60,606 ) (20,605 ) (40,001 ) (97,076 ) (33,007 ) (64,069 ) Accumulated other comprehensive income (loss), end of period $ 183,646 $ 62,443 $ 121,203 $ (16,231 ) $ (5,519 ) $ (10,712 ) Nine months ended Nine months ended September 30, 2016 September 30, 2015 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized (losses) gains, net, on investments available for sale, beginning of period $ (34,498 ) $ (11,725 ) $ (22,773 ) $ 155,814 $ 52,980 $ 102,834 Other comprehensive income (loss) before reclassification 283,306 96,324 186,982 (108,055 ) (36,742 ) (71,313 ) Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (9,976 ) (3,392 ) (6,584 ) (31,364 ) (10,664 ) (20,700 ) Effect on other comprehensive income (loss) 273,330 92,932 180,398 (139,419 ) (47,406 ) (92,013 ) Accumulated unrealized gains, net, on investments available for sale, end of period $ 238,832 $ 81,207 $ 157,625 $ 16,395 $ 5,574 $ 10,821 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (18,016 ) $ (6,126 ) $ (11,890 ) $ (4,854 ) $ (1,651 ) $ (3,203 ) Other comprehensive loss before reclassification (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Effect on other comprehensive loss (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (55,186 ) $ (18,764 ) $ (36,422 ) $ (32,626 ) $ (11,093 ) $ (21,533 ) Accumulated other comprehensive (loss) income, beginning of period $ (52,514 ) $ (17,851 ) $ (34,663 ) $ 150,960 $ 51,329 $ 99,631 Change in unrealized gains (losses), net, on investments available for sale 273,330 92,932 180,398 (139,419 ) (47,406 ) (92,013 ) Change in unrealized losses net, on interest rate swap (37,170 ) (12,638 ) (24,532 ) (27,772 ) (9,442 ) (18,330 ) Effect on other comprehensive income (loss) 236,160 80,294 155,866 (167,191 ) (56,848 ) (110,343 ) Accumulated other comprehensive income (loss), end of period $ 183,646 $ 62,443 $ 121,203 $ (16,231 ) $ (5,519 ) $ (10,712 )

Note 7 - Segment Information (T

Note 7 - Segment Information (Tables)	9 Months Ended
	Sep. 30, 2016
Notes Tables
Schedule of Segment Reporting Information, by Segment [Table Text Block]	Three Months Ended Three Months Ended September 30, 2016 September 30, 2015 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 13,373 $ 9,859 $ 3,514 $ 12,405 $ 9,312 $ 3,093 Fully-insured dental PPO 5,582 3,878 1,704 4,852 3,559 1,293 Self-insured dental 7,584 6,575 1,009 7,836 6,793 1,043 Corporate, all other 195 195 168 168 Total $ 26,734 $ 20,312 6,422 $ 25,261 $ 19,664 5,597 Investment income 69 68 Realized gains on investments, net 100 11 Other income 10 10 Insurance expense 5,444 5,054 Income before income tax $ 1,157 $ 632 Total assets-corporate $ 81,214 Nine Months Ended Nine Months Ended September 30, 2016 September 30, 2015 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 39,915 $ 30,351 $ 9,564 $ 36,999 $ 28,413 $ 8,586 Fully-insured dental PPO 16,727 11,603 5,124 14,221 10,726 3,495 Self-insured dental 22,200 19,200 3,000 21,996 18,988 3,008 Corporate, all other 567 567 510 510 Total $ 79,409 $ 61,154 18,255 $ 73,726 $ 58,127 15,599 Investment income 207 184 Realized (losses) gains on investments, net 48 31 Other income 47 47 Insurance expense 16,208 14,745 Income before income tax $ 2,349 $ 1,116 Total assets-corporate $ 81,214

Note 8 - Fair Value Measureme20

Note 8 - Fair Value Measurements (Tables)	9 Months Ended
	Sep. 30, 2016
Notes Tables
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]	September 30, 2016 December 31, 2015 Level 1 Level 2 Total Balance Level 1 Level 2 Total Balance Assets Fixed maturities Federally-Insured certificates of deposit $ 810 $ 810 $ 887 $ 887 Investment grade corporate bonds 7,499 7,499 7,144 7,144 Non-investment grade corporate bonds 581 581 678 678 Short-term investments Money market funds $ 220 220 $ 249 249 Federally-Insured certificates of deposit 291 291 200 200 Deferred compensation investments (a) Equity mutual fund investments 716 716 645 645 State guarantee fund deposits (b) Government securities 1,794 1,794 251 251 Federally-Insured certificates of deposit 75 75 75 75 Total $ 2,730 $ 9,256 $ 11,986 $ 1,145 $ 8,984 $ 10,129 Liabilities Interest rate swap (c) $ 55 $ 55 $ 18 $ 18 Total $ 55 $ 55 $ 18 $ 18

Note 1 - Basis of Presentation

Note 1 - Basis of Presentation (Details Textual)	9 Months Ended
	Sep. 30, 2016
Number of Wholly Owned Subsidiaries	3

Note 2 - Summary of Significa22

Note 2 - Summary of Significant Accounting Policies (Details Textual) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015	Dec. 31, 2015
Premium Deficiency Reserve	$ 0		$ 0		$ 0
Membership Contract Cancellation Duration			30 days
Financial Guarantee Insurance Contracts, Unearned Premium Revenue	51,951,000		$ 51,951,000		32,631,000
Unbilled Contracts Receivable	50,257,000		50,257,000		30,955,000
Advance Premium Received	1,694,000		1,694,000		$ 1,676,000
Deferred Policy Acquisition Costs, Additions	753,000	$ 760,000	4,847,000	$ 3,698,000
Deferred Policy Acquisition Cost, Amortization Expense	$ 1,196,000	$ 1,104,000	$ 3,557,000	$ 3,278,000

Note 3 - Investments (Details T

Note 3 - Investments (Details Textual) - USD ($)	9 Months Ended
	Sep. 30, 2016	Dec. 31, 2015
Federally Insured Certificates of Deposit [Member]
Available-for-sale Securities, Amortized Cost Basis	$ 1,090,000	$ 1,090,000
Money Market Funds [Member]
Available-for-sale Securities, Amortized Cost Basis	220,000
Available-for-sale Securities		249,000
Investment Grade Corporate Bonds [Member] | BBB- or Better [Member]
Investment Owned, at Fair Value	7,499,000
Investment Grade Corporate Bonds [Member] | Between BB+ and CCC [Member]
Investment Owned, at Fair Value	581,000
Investment Grade Corporate Bonds [Member]
Available-for-sale Securities, Amortized Cost Basis	7,856,000	7,855,000
Investment Owned, at Fair Value	$ 8,080,000
Weighted Average Yield to Book Value of Investment Grade Corporate Bonds	3.10%
Weighted Average Maturity of Investment	5 years 25 days
Available-for-sale Securities, Amortized Cost Basis	$ 8,656,000	8,745,000
Available-for-sale Securities, Continuous Unrealized Loss Position, Twelve Months or Longer, Fair Value	$ 0	$ 0

Note 3 - Investments - Maturity

Note 3 - Investments - Maturity Dates for Fixed Maturities and Short-term Investments (Details) - USD ($)	Sep. 30, 2016	Dec. 31, 2015
Certificates of Deposit [Member]
Less than 1 year, amortized cost	$ 290,000	$ 200,000
Less than 1 year, fair value	$ 290,865	$ 200,324
Less than 1 year, percentage of total fair value	3.10%	2.20%
Years 1-5, amortized cost	$ 5,890,474	$ 6,089,269
Years 1-5, fair value	$ 5,993,137	$ 6,047,291
Years 1-5, percentage of total fair value	65.30%	67.90%
Years 5-10, amortized cost	$ 2,597,838	$ 2,528,939
Years 5-10, fair value	$ 2,725,128	$ 2,535,648
Years 5-10, percentage of total fair value	29.70%	28.50%
Due after ten years, amortized cost	$ 167,584	$ 126,547
Due after ten years, fair value	$ 172,296	$ 125,860
Due after ten years, percentage of total fair value	1.90%	1.40%
Available-for-sale Securities, Amortized Cost Basis	$ 8,945,896	$ 8,944,755
Available-for-sale Securities	$ 9,181,426	$ 8,909,123
Total percentage of fair value	100.00%	100.00%
Available-for-sale Securities, Amortized Cost Basis	$ 8,656,000	$ 8,745,000

Note 3 - Investments - Investme

Note 3 - Investments - Investments as Fixed Maturities and Short-term Investments (Details) - USD ($)	Sep. 30, 2016	Dec. 31, 2015
Money Market Funds [Member]
Available-for-sale securities, cost or amortized cost	$ 219,699	$ 249,133
Available-for-sale securities, gross unrealized gain	0	0
Available-for-sale securities, gross unrealized loss	0	0
Available-for-sale securities, fair value	219,699	249,133
Certificates of Deposit Short Term [Member]
Available-for-sale securities, cost or amortized cost	290,000	200,000
Available-for-sale securities, gross unrealized gain	865	324
Available-for-sale securities, gross unrealized loss	0	0
Available-for-sale securities, fair value	290,865	200,324
Certificates of Deposit, Fixed Maturities [Member]
Available-for-sale securities, cost or amortized cost	800,000	890,000
Available-for-sale securities, gross unrealized gain	10,236	302
Available-for-sale securities, gross unrealized loss	0	(3,552)
Available-for-sale securities, fair value	810,236	886,750
Corporate Bonds, Fixed Maturities [Member]
Available-for-sale securities, cost or amortized cost	7,855,896	7,854,755
Available-for-sale securities, gross unrealized gain	238,216	83,037
Available-for-sale securities, gross unrealized loss	(13,787)	(115,743)
Available-for-sale securities, fair value	8,080,325	7,822,049
Available-for-sale securities, cost or amortized cost	9,165,595	9,193,888
Available-for-sale securities, gross unrealized gain	249,317	83,663
Available-for-sale securities, gross unrealized loss	(13,787)	(119,295)
Available-for-sale securities, fair value	$ 9,401,125	$ 9,158,256

Note 4 - Deferred Compensatio26

Note 4 - Deferred Compensation Plan (Details Textual) - USD ($)	1 Months Ended	2 Months Ended	3 Months Ended		9 Months Ended
	Feb. 28, 2015	Feb. 29, 2016	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015	Dec. 31, 2015
Non-employee [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period					228
Key Employees [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period					89
Deferred Share and Phantom Shares [Member]
Deferred Compensation Arrangement with Individual, Compensation Expense			$ 125,000	$ 46,000	$ 399,000	$ 371,000
Director Fees and Employee Compensation [Member]
Deferred Compensation Arrangement with Individual, Compensation Expense			15,000	$ 26,000	40,000	112,000
Dividend Declared [Member]
Increase (Decrease) in Deferred Compensation	$ 65,000	$ 102,000
Dividends Payable, Amount Per Share	$ 39.86	$ 40.47
Increase (Decrease) in Deferred Compensation					434,409	$ 407,607
Deferred Compensation Liability, Current and Noncurrent			$ 3,548,453		$ 3,548,453		$ 3,287,065

Note 5 - Federal Income Taxes (

Note 5 - Federal Income Taxes (Details Textual) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Earliest Tax Year [Member] | Domestic Tax Authority [Member]
Open Tax Year			2,012
State and Local Jurisdiction [Member]
Open Tax Year			2,011
Effective Income Tax Rate Reconciliation, Percent	43.30%	43.30%	43.30%	43.30%
Income Tax Expense (Benefit)	$ 501,616	$ 273,566	$ 1,018,419	$ 483,005

Note 6 - Accumulated Other Co28

Note 6 - Accumulated Other Comprehensive Income - Federal Income Taxes - Change in Unrealized Gains and Losses on Available-for-sale Securities in AOCI (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Accumulated Unrealized Gains Net on Investments Available for Sale [Member]
Accumulated unrealized gains, net, on investments available for sale, beginning of period	$ 308,777	$ 84,702	$ (34,498)	$ 155,814
Accumulated unrealized gains, net, on investments available for sale, beginning of period	104,988	28,799	(11,725)	52,980
Accumulated unrealized gains, net, on investments available for sale, beginning of period	203,789	55,903	(22,773)	102,834
Other comprehensive loss before reclassification	(8,644)	(57,170)	283,306	(108,055)
Other comprehensive loss before reclassification	(2,939)	(19,439)	96,324	(36,742)
Other comprehensive loss before reclassification	(5,705)	(37,731)	186,982	(71,313)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	(61,301)	(11,137)	(9,976)	(31,364)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	(20,842)	(3,786)	(3,392)	(10,664)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	(40,459)	(7,351)	(6,584)	(20,700)
Effect on other comprehensive loss	(69,945)	(68,307)	273,330	(139,419)
Effect on other comprehensive loss	(23,781)	(23,225)	92,932	(47,406)
Effect on other comprehensive loss	(46,164)	(45,082)	180,398	(92,013)
Accumulated unrealized gains, net, on investments available for sale, end of period	238,832	16,395	238,832	16,395
Accumulated unrealized gains, net, on investments available for sale, end of period	81,207	5,574	81,207	5,574
Accumulated unrealized gains, net, on investments available for sale, end of period	157,625	10,821	157,625	10,821
Other comprehensive income (loss) before reclassification	(69,945)	(68,307)	273,330	(139,419)
Change in unrealized losses, net, on investments available for sale	(23,781)	(23,225)	92,932	(47,406)
Change in unrealized losses, net, on investments available for sale	(46,164)	(45,082)	180,398	(92,013)
Accumulated Unrealized Losses Net on Interest Rate Swaps [Member]
Accumulated unrealized gains, net, on investments available for sale, beginning of period	(64,525)	(3,857)	(18,016)	(4,854)
Accumulated unrealized gains, net, on investments available for sale, beginning of period	(21,940)	(1,311)	(6,126)	(1,651)
Accumulated unrealized gains, net, on investments available for sale, beginning of period	(42,585)	(2,546)	(11,890)	(3,203)
Other comprehensive loss before reclassification			(37,170)	(27,772)
Other comprehensive loss before reclassification	3,176	(9,782)	(12,638)	(9,442)
Other comprehensive loss before reclassification	6,163	(18,987)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net			(24,532)	(18,330)
Effect on other comprehensive loss	9,339	(28,769)	(37,170)	(27,772)
Effect on other comprehensive loss	3,176	(9,782)	(12,638)	(9,442)
Effect on other comprehensive loss	6,163	(18,987)	(24,532)	(18,330)
Accumulated unrealized gains, net, on investments available for sale, end of period	(55,186)	(32,626)	(55,186)	(32,626)
Accumulated unrealized gains, net, on investments available for sale, end of period	(18,764)	(11,093)	(18,764)	(11,093)
Accumulated unrealized gains, net, on investments available for sale, end of period	(36,422)	(21,533)	(36,422)	(21,533)
Other comprehensive income (loss) before reclassification	9,339	(28,769)	(37,170)	(27,772)
Change in unrealized losses, net, on investments available for sale	3,176	(9,782)	(12,638)	(9,442)
Change in unrealized losses, net, on investments available for sale	6,163	(18,987)	(24,532)	(18,330)
Accumulated unrealized gains, net, on investments available for sale, beginning of period	244,252	80,845	(52,514)	150,960
Accumulated unrealized gains, net, on investments available for sale, beginning of period	83,048	27,488	(17,851)	51,329
Accumulated unrealized gains, net, on investments available for sale, beginning of period	161,204	53,357	(34,663)	99,631
Other comprehensive loss before reclassification	(40,001)	(64,069)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	40,459	7,351	6,584	20,700
Effect on other comprehensive loss			236,160	(167,191)
Effect on other comprehensive loss	(20,605)	(33,007)	80,294	(56,848)
Effect on other comprehensive loss	(40,001)	(64,069)	155,866	(110,343)
Accumulated unrealized gains, net, on investments available for sale, end of period	183,646	(16,231)	183,646	(16,231)
Accumulated unrealized gains, net, on investments available for sale, end of period	62,443	(5,519)	62,443	(5,519)
Accumulated unrealized gains, net, on investments available for sale, end of period	121,203	(10,712)	$ 121,203	$ (10,712)
Other comprehensive income (loss) before reclassification	$ (60,606)	$ (97,076)

Note 7 - Segment Information (D

Note 7 - Segment Information (Details Textual)	3 Months Ended		9 Months Ended
	Sep. 30, 2016USD ($)	Sep. 30, 2015USD ($)	Sep. 30, 2016USD ($)	Sep. 30, 2015USD ($)
Number of Reportable Segments			4
Gross Profit	$ 6,422,000	$ 5,597,000	$ 18,255,000	$ 15,599,000

Note 7 - Segment Information -

Note 7 - Segment Information - Reportable Segment (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015	Dec. 31, 2015
Fully Insured Dental HMO [Member]
Revenues from external customers	$ 13,373,000	$ 12,405,000	$ 39,915,000	$ 36,999,000
Healthcare services expense	9,859,000	9,312,000	30,351,000	28,413,000
Total	3,514,000	3,093,000	9,564,000	8,586,000
Premium revenue	13,373,000	12,405,000	39,915,000	36,999,000
Healthcare services expense	9,859,000	9,312,000	30,351,000	28,413,000
Total	3,514,000	3,093,000	9,564,000	8,586,000
Fully Insured Dental PPO [Member]
Revenues from external customers	5,582,000	4,852,000	16,727,000	14,221,000
Healthcare services expense	3,878,000	3,559,000	11,603,000	10,726,000
Total	1,704,000	1,293,000	5,124,000	3,495,000
Premium revenue	5,582,000	4,852,000	16,727,000	14,221,000
Healthcare services expense	3,878,000	3,559,000	11,603,000	10,726,000
Total	1,704,000	1,293,000	5,124,000	3,495,000
Self-insured Dental [Member]
Revenues from external customers	7,584,000	7,836,000	22,200,000	21,996,000
Healthcare services expense	6,575,000	6,793,000	19,200,000	18,988,000
Total	1,009,000	1,043,000	3,000,000	3,008,000
Premium revenue	7,584,000	7,836,000	22,200,000	21,996,000
Healthcare services expense	6,575,000	6,793,000	19,200,000	18,988,000
Total	1,009,000	1,043,000	3,000,000	3,008,000
Corporate and Other [Member]
Revenues from external customers	195,000	168,000
Healthcare services expense
Total	195,000	168,000
Premium revenue	195,000	168,000
Healthcare services expense
Total	195,000	168,000
Corporate Segment [Member]
Revenues from external customers			567,000	510,000
Healthcare services expense
Total			567,000	510,000
Premium revenue			567,000	510,000
Healthcare services expense
Total			567,000	510,000
Revenues from external customers	26,734,505	25,261,384	79,409,241	73,725,845
Healthcare services expense	20,311,592	19,663,702	61,154,178	58,126,663
Total	6,422,000	5,597,000	18,255,000	15,599,000
Investment income	68,498	67,875	206,966	183,877
Realized gains on investments, net	99,558	11,137	48,233	31,364
Other income	10,384	10,384	46,728	46,728
Insurance expense	5,444,758	5,054,846	16,207,664	14,744,858
Income before income tax	1,156,595	632,232	2,349,326	1,116,293
Total assets-corporate	81,214,475		81,214,475		$ 60,343,552
Premium revenue	26,734,505	25,261,384	79,409,241	73,725,845
Healthcare services expense	20,311,592	19,663,702	61,154,178	58,126,663
Total	6,422,000	5,597,000	18,255,000	15,599,000
Investment income	68,498	67,875	206,966	183,877
Realized gains on investments, net	99,558	11,137	48,233	31,364
Other income	10,384	10,384	46,728	46,728
Insurance expense	5,444,758	5,054,846	16,207,664	14,744,858
Income before income tax	1,156,595	632,232	2,349,326	1,116,293
Total assets-corporate	$ 81,214,475		$ 81,214,475		$ 60,343,552

Note 8 - Fair Value Measureme31

Note 8 - Fair Value Measurements (Details Textual) - USD ($)		Sep. 30, 2016	Dec. 31, 2015
Fair Value, Inputs, Level 3 [Member]
Assets, Fair Value Disclosure		$ 0	$ 0
Financial and Nonfinancial Liabilities, Fair Value Disclosure		0	0
Assets, Fair Value Disclosure, Nonrecurring		0	0
Liabilities, Fair Value Disclosure, Nonrecurring		0	0
Assets, Fair Value Disclosure	[1]	11,986,000	10,129,000
Financial and Nonfinancial Liabilities, Fair Value Disclosure		55,000	18,000
Secured Debt		$ 1,160,600	$ 1,198,400
[1]	Included in other assets

Note 8 - Fair Value Measureme32

Note 8 - Fair Value Measurements - Assets and Liabilities Measured at Fair Value on a Recurring Basis (Details) - USD ($) $ in Thousands		Sep. 30, 2016	Dec. 31, 2015
Fixed Maturities [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		$ 810	$ 887
Fixed Maturities [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure		810	887
Fixed Maturities [Member] | Investment Grade Corporate Bonds [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		7,499	7,144
Fixed Maturities [Member] | Investment Grade Corporate Bonds [Member]
Assets, Fair Value Disclosure		7,499	7,144
Fixed Maturities [Member] | Non-investment Grade Corporate Bonds [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		581	678
Fixed Maturities [Member] | Non-investment Grade Corporate Bonds [Member]
Assets, Fair Value Disclosure		581	678
Short-term Investments [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		291	200
Short-term Investments [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure		291	200
Short-term Investments [Member] | Fair Value, Inputs, Level 1 [Member] | Money Market Funds [Member]
Assets, Fair Value Disclosure		220	249
Short-term Investments [Member] | Money Market Funds [Member]
Assets, Fair Value Disclosure		220	249
Deferred Compensation Investment [Member] | Equity Mutual Fund Investments [Member] | Fair Value, Inputs, Level 1 [Member]
Assets, Fair Value Disclosure	[1]	716	645
Deferred Compensation Investment [Member] | Equity Mutual Fund Investments [Member]
Assets, Fair Value Disclosure	[1]	716	645
State Guarantee Fund Deposits [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure	[2]	75	75
State Guarantee Fund Deposits [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure	[2]	75	75
State Guarantee Fund Deposits [Member] | Fair Value, Inputs, Level 1 [Member] | US Government Agencies Debt Securities [Member]
Assets, Fair Value Disclosure	[2]	1,794	251
State Guarantee Fund Deposits [Member] | US Government Agencies Debt Securities [Member]
Assets, Fair Value Disclosure	[2]	1,794	251
Fair Value, Inputs, Level 2 [Member] | Interest Rate Swap [Member]
Financial and Nonfinancial Liabilities, Fair Value Disclosure	[3]	55	18
Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure	[2]	9,256	8,984
Financial and Nonfinancial Liabilities, Fair Value Disclosure		55	18
Fair Value, Inputs, Level 1 [Member]
Assets, Fair Value Disclosure	[2]	2,730	1,145
Interest Rate Swap [Member]
Financial and Nonfinancial Liabilities, Fair Value Disclosure	[3]	55	18
Assets, Fair Value Disclosure	[2]	11,986	10,129
Financial and Nonfinancial Liabilities, Fair Value Disclosure		$ 55	$ 18
[1]	Included as a trading security in other assets
[2]	Included in other assets
[3]	Included in other payables and accruals

Note 9 - Redeemable Common Sh33

Note 9 - Redeemable Common Shares (Details Textual) - The 2010 A Series, 2012 A Series and 2013 A Series Redeemable Preferred Shares[Member]	Jun. 30, 2016USD ($)
Call price, Percent of Adjusted Book Value Per Preferred Share	100.00%
Percentage of Premium Payable, as a Part of the Call Price	5.00%
Preferred Stock, Redemption Amount	$ 2,923,876