DCP Holding 10-Q 11 Aug 17 2017 Q2 Quarterly report Financial data

Document And Entity Information

Document And Entity Information	6 Months Ended
	Jun. 30, 2017shares
Document Information [Line Items]
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	Jun. 30, 2017
Document Fiscal Year Focus	2,017
Document Fiscal Period Focus	Q2
Amendment Flag	false
Class A Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	500
Class B Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	8,501
Class C Redeemable Common Shares [Member]
Document Information [Line Items]
Entity Common Stock, Shares Outstanding (in shares)	3,771

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets (Unaudited) - USD ($)	Jun. 30, 2017	Dec. 31, 2016
ASSETS
Fixed maturities, available for sale at fair value, amortized cost of $9,018,000 and $8,825,000 at June 30, 2017 and December 31, 2016, respectively	$ 9,084,939	$ 8,824,420
Short-term investments, available for sale at fair value, cost of $371,000 and $513,000 at June 30, 2017 and December 31, 2016, respectively	371,081	512,989
Total investments	9,456,020	9,337,409
CASH AND CASH EQUIVALENTS	9,846,825	11,221,951
ACCRUED INVESTMENT INCOME	75,972	78,662
ACCOUNTS RECEIVABLE, including billed premiums of $1,015,854 and $1,018,391, net of allowance of $26,437 and $41,092 at June 30, 2017 and December 31, 2016, respectively	54,014,593	46,705,170
DEFERRED ACQUISITION COSTS	3,617,718	3,109,117
PROPERTY AND EQUIPMENT, net of depreciation and amortization of $3,616,347 and $3,531,436 at June 30, 2017 and December 31, 2016, respectively	3,279,579	2,756,999
OTHER ASSETS	5,235,885	4,872,499
TOTAL ASSETS	85,526,592	78,081,807
LIABILITIES, REDEEMABLE SHARES AND SHAREHOLDERS’ EQUITY
CLAIMS PAYABLE	3,809,680	3,743,551
UNEARNED PREMIUM REVENUE	55,055,786	46,954,609
OTHER PAYABLES AND ACCRUALS	6,280,273	7,334,165
MORTGAGE LOAN PAYABLE	1,121,600	1,148,000
CAPITAL LEASE OBLIGATIONS	442,165	558,114
DEFERRED COMPENSATION	4,386,604	4,051,078
TOTAL LIABILITIES	71,096,108	63,789,517
COMMITMENTS AND CONTINGENCIES
REDEEMABLE PREFERRED AND COMMON SHARES:
Total redeemable preferred and common shares	14,430,484	14,292,290
SHAREHOLDERS’ EQUITY—Preferred Shares; no par value—authorized, 92,700 shares; issued, none outstanding	0	0
TOTAL LIABILITIES, REDEEMABLE SHARES AND SHAREHOLDERS’ EQUITY	85,526,592	78,081,807
Class A Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Redeemable shares	564,927	561,439
Class B Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Redeemable shares	9,604,881	9,546,686
Class C Redeemable Common Shares [Member]
REDEEMABLE PREFERRED AND COMMON SHARES:
Redeemable shares	$ 4,260,676	$ 4,184,165

Condensed Consolidated Balance3

Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($) $ / shares in Thousands	Jun. 30, 2017	Dec. 31, 2016
Fixed maturities, available for sale at fair value, amortized cost	$ 9,018,000	$ 8,825,000
Short-term investments, available for sale at fair value, amortized cost	371,000	513,000
Accounts receivable, uncollected premiums	1,015,854	1,018,391
Accounts receivable, allowance	26,437	41,092
Depreciation and amortization, property and equipment	$ 3,616,347	$ 3,531,436
Class A Redeemable Common Shares [Member]
Redeemable shares, outstanding (in shares)	500	506
Redeemable shares, par value (in dollars per share)	$ 0	$ 0
Redeemable shares, authorized (in shares)	7,500	7,500
Redeemable shares, issued (in shares)	500	506
Class B Redeemable Common Shares [Member]
Redeemable shares, outstanding (in shares)	8,501	8,604
Redeemable shares, par value (in dollars per share)	$ 0	$ 0
Redeemable shares, authorized (in shares)	120,000	120,000
Redeemable shares, issued (in shares)	8,501	8,604
Class C Redeemable Common Shares [Member]
Redeemable shares, outstanding (in shares)	3,771	3,771
Redeemable shares, par value (in dollars per share)	$ 0	$ 0
Redeemable shares, authorized (in shares)	80,000	80,000
Redeemable shares, issued (in shares)	3,771	3,771

Condensed Consolidated Statemen

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
REVENUES
Premium revenue	$ 26,789,418	$ 26,112,254	$ 53,887,072	$ 52,674,736
Investment income	58,289	70,308	123,614	138,468
Realized gains (losses) on investments, net	62,835	914	132,422	(51,325)
Other income		20,768		36,344
Total revenues	26,910,542	26,204,244	54,143,108	52,798,223
EXPENSES
Healthcare services expense	20,382,516	19,795,474	41,807,191	40,842,587
Insurance expense:
Salaries and benefits expense	2,276,259	2,199,327	4,588,319	4,455,211
Commission expenses and other acquisition costs	1,418,244	1,572,983	2,701,224	2,597,843
Other insurance expense	2,047,348	1,940,783	4,020,953	3,709,850
Total insurance expense	5,741,851	5,713,093	11,310,496	10,762,904
Total expenses	26,124,367	25,508,567	53,117,687	51,605,491
INCOME BEFORE INCOME TAX	786,175	695,677	1,025,421	1,192,732
INCOME TAX EXPENSE	279,949	301,234	365,348	516,803
NET INCOME	506,226	394,443	660,073	675,929
OTHER COMPREHENSIVE INCOME (LOSS)
Change in the fair value of interest rate swap, net of income (benefit) tax of ($1,428), ($4,582), $465 and ($15,813), respectively	(2,776)	(8,896)	902	(30,696)
Change in the fair value of investments, net of income tax $21,285, $41,969, $35,126 and $99,263, respectively	41,317	81,469	68,186	192,687
Reclassification adjustment for realized gains included in net income, net of income (benefit) tax of ($2,552), ($311), ($12,485) and $17,451, respectively	(4,955)	(603)	(24,237)	33,874
Total other comprehensive income	33,586	71,970	44,851	195,865
TOTAL COMPREHENSIVE INCOME	$ 539,812	$ 466,413	$ 704,924	$ 871,794

Condensed Consolidated Stateme5

Condensed Consolidated Statements of Comprehensive Income (Unaudited) (Parentheticals) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Interest rate swap, tax expense (benefit)	$ (1,428)	$ (4,582)	$ 465	$ (15,813)
Investments, tax expense (benefit)	21,285	41,969	35,126	99,263
Reclassification adjustment for gains included in net income, expense (benefit)	$ (2,552)	$ (311)	$ (12,485)	$ 17,451

Condensed Consolidated Stateme6

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 660,073	$ 675,929
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	241,570	245,673
Realized (gain) loss on investments, net	(132,422)	51,325
Increase (Decrease) in Deferred Compensation	453,139	299,877
Effects of changes in operating assets and liabilities:
Accrued investment income	2,690	(8,108)
Accounts receivable	(7,309,423)	(26,238,892)
Deferred acquisition costs	(508,601)	(1,733,488)
Other assets	(298,358)	(348,224)
Claims payable	66,129	323,623
Unearned premium revenue	8,101,177	26,144,782
Other payables and accruals	(1,065,508)	1,385,423
Net cash provided by operating activities	210,466	797,920
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of investments	(2,723,131)	(2,776,209)
Sales of investments	2,346,789	1,047,282
Maturities of investments	350,000	200,000
Acquisition of property and equipment	(745,541)	(42,098)
Net cash used in investing activities	(771,883)	(1,571,025)
CASH FLOWS FROM FINANCING ACTIVITIES:
Mortgage loan repayments	(26,400)	(25,200)
Payments on capital lease	(115,949)	(152,413)
Repurchase of redeemable common shares	(123,917)	(144,776)
Repurchase of redeemable preferred shares		(2,805,064)
Extinguishment cost of redeemable preferred shares		(118,812)
Redeemable shares issued		2,280,066
Issuance cost of redeemable shares		(116,833)
Dividends paid	(547,443)	(510,413)
Net cash used in financing activities	(813,709)	(1,593,445)
DECREASE IN CASH AND CASH EQUIVALENTS	(1,375,126)	(2,366,550)
CASH AND CASH EQUIVALENTS—Beginning of period	11,221,951	11,657,287
CASH AND CASH EQUIVALENTS—End of period	9,846,825	9,290,737
SUPPLEMENTAL CASH FLOW INFORMATION:
Cash paid for interest	31,000	36,000
Cash paid for income taxes	830,000	650,000
NON-CASH INVESTING AND FINANCING ACTIVITIES:
Redeemed common shares (in other payables and accruals)	38,426	36,095
Deferred restricted shares in lieu of cash dividend	114,672	101,840
Redeemed common shares in lieu of cash payment of deferred compensation	$ 117,613	$ 19,730

Note 1 - Basis of Presentation

Note 1 - Basis of Presentation	6 Months Ended
	Jun. 30, 2017
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 one 2016 10 December 31, 2016 March 24, 2017. may not three six June 30, 2017 not may December 31, 2017. The accounting policies of the Company conform to 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	6 Months Ended
	Jun. 30, 2017
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, 2016. Premium Revenue — Fully-Insured thirty $55,056,000 $46,955,000 June 30, 2017 December 31, 2016, $52,999,000 $45,687,000 June 30, 2017 December 31, 2016, not $2,057,000 $1,268,000 June 30, 2017 December 31, 2016, June 30, 2017 December 31, 2016, no Self-Insured no 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. ASO fees also include the administrative fees the Company earns relative to the dental indemnity and vision products that are underwritten by third Healthcare Services Expense Investments Deferred Acquisition Costs— not not $647,000 $537,000 $1,239,000 $1,185,000 three June 30, 2017 2016, $2,976,000 $4,094,000 $2,467,000 $2,361,000 six June 30, 2017 2016, Claims Payable— not may New Accounting Guidance May 2014, 2014 09, Revenue from Contracts with Customers 2014 09 not 2014 09 December 15, 2017. In January 2016, 2016 01, Financial Instruments – Overall (Subtopic 825 10 2016 01 2016 01 December 15, 2017. not not In February 2016, 2016 02, Leases (Topic 842 2016 02 12 2016 02 December 15, 2018. not may not In June 2016, 2016 13, Financial Instruments - Credit Losses (Topic 326 2016 13 2016 13 December 15, 2019. not not In March 2017, 2017 08, Receivables – Nonrefundable Fees and Other Costs (Subtopic 310 20 2017 08 2017 08 December 15, 2018. not not

Note 3 - Investments

Note 3 - Investments	6 Months Ended
	Jun. 30, 2017
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 $1,290,000 $1,090,000 June 30, 2017 December 31, 2016, $31,000 $223,000 June 30, 2017 December 31, 2016, $8,068,000 $8,025,000 June 30, 2017 December 31, 2016, The Company owned corporate bonds at June 30, 2017, June 30, 2017, $8,132,000, $7,462,000 $670,000 3.17% June 30, 2017. 5.25 June 30, 2017. At June 30, 2017 December 31, 2016, Available-for-Sale Amortized Fair % of Total June 30, 2017 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 340,000 $ 340,157 3.6 % Years 1-5 5,511,553 5,548,603 58.9 % Years 5-10 3,456,786 3,487,461 37.0 % Due after ten years 50,000 48,875 0.5 % Total $ 9,358,339 $ 9,425,096 100.0 % Available-for-Sale Amortized Fair % of Total December 31, 2016 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 290,000 $ 290,412 3.2 % Years 1-5 5,722,990 5,741,735 63.0 % Years 5-10 3,052,388 3,035,185 33.3 % Due after ten years 50,000 47,500 0.5 % Total $ 9,115,378 $ 9,114,832 100.0 % Investments classified at June 30, 2017 December 31, 2016 Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair June 30, 2017 Cost Gain Loss Value Money market fund $ 30,924 $ 30,924 Certificates of deposit, short term 340,000 $ 198 $ (41 ) 340,157 Certificates of deposit, fixed maturities 950,000 2,750 952,750 Corporate bonds, fixed maturities 8,068,338 106,674 (42,823 ) 8,132,189 Total investments $ 9,389,262 $ 109,622 $ (42,864 ) $ 9,456,020 Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair December 31, 2016 Cost Gain Loss Value Money market fund $ 222,577 $ 222,577 Certificates of deposit, short term 290,000 $ 412 290,412 Certificates of deposit, fixed maturities 800,000 4,728 $ (66 ) 804,662 Corporate bonds, fixed maturities 8,025,378 76,323 (81,943 ) 8,019,758 Total investments $ 9,337,955 $ 81,463 $ (82,009 ) $ 9,337,409 Unrealized losses on investments at June 30, 2017 December 31, 2016 not no one June 30, 2017 December 31, 2016.

Note 4 - Deferred Compensation

Note 4 - Deferred Compensation Plan	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Compensation Related Costs, General [Text Block]	4. DEFERRED COMPENSATION PLAN In accordance with the 2006 2017, 216 99 $313,000 $187,000 three June 30, 2017 2016, $13,000 $31,000 three June 30, 2017 2016, $421,000 $274,000 six June 30, 2017 2016, $32,000 six June 30, 2017 2016, In February 2017 2016, $42.50 $40.47 $115,000 $102,000 February 2017 February 2016, At June 30, 2017 December 31, 2016, $4,387,000 $4,051,000,

Note 5 - Liability for Claims P

Note 5 - Liability for Claims Payable	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Liability for Claims Payable [Text Block]	5. LIABILITY FOR CLAIMS PAYABLE Activity in the liability for claims payable for members is summarized as follows: Six months ended Six months ended June 30, 2017 June 30, 2016 Balance—January 1 $ 3,743,551 $ 3,253,346 Net incurred claims related to: Current year 29,248,270 28,201,154 Prior years (102,369 ) 16,122 Net incurred claims 29,145,901 28,217,276 Net paid claims related to: Current year 25,547,725 24,803,228 Prior years 3,532,047 3,090,425 Net paid claims 29,079,772 27,893,653 Balance—June 30 $ 3,809,680 $ 3,576,969

Note 6 - Federal Income Taxes

Note 6 - Federal Income Taxes	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Income Tax Disclosure [Text Block]	6. 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 six June 30, 2017 35.6% $280,000 $365,000, three six June 30, 2016 43.3% $301,000 $517,000, 2017 ax years subsequent to 2013 2012 no

Note 7 - Accumulated Other Comp

Note 7 - Accumulated Other Comprehensive Income	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Comprehensive Income (Loss) Note [Text Block]	7. 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 June 30, 2017 June 30, 2016 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized (loss) gains, net, on investments available for sale, beginning of period $ (1,881 ) $ (636 ) $ (1,245 ) $ 186,253 $ 63,330 $ 122,923 Other comprehensive income before reclassification 62,602 21,285 41,317 123,438 41,969 81,469 Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (7,507 ) (2,552 ) (4,955 ) (914 ) (311 ) (603 ) Effect on other comprehensive income 55,095 18,733 36,362 122,524 41,658 80,866 Accumulated unrealized income, net, on investments available for sale, end of period $ 53,214 $ 18,097 $ 35,117 $ 308,777 $ 104,988 $ 203,789 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (1,126 ) $ (384 ) $ (742 ) $ (51,047 ) $ (17,357 ) $ (33,690 ) Other comprehensive loss before reclassification (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Effect on other comprehensive losses (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (5,330 ) $ (1,812 ) $ (3,518 ) $ (64,525 ) $ (21,939 ) $ (42,586 ) Accumulated other comprehensive (loss) gain, beginning of period $ (3,007 ) $ (1,020 ) $ (1,987 ) $ 135,206 $ 45,973 $ 89,233 Change in unrealized gains, net, on investments available for sale 55,095 18,733 36,362 122,524 41,658 80,866 Change in unrealized losses, net, on interest rate swap (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Effect on other comprehensive income 50,891 17,305 33,586 109,046 37,076 71,970 Accumulated other comprehensive income, end of period $ 47,884 $ 16,285 $ 31,599 $ 244,252 $ 83,049 $ 161,203 Six months ended Six months ended June 30, 2017 June 30, 2016 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized loss, net, on investments available for sale, beginning of period $ (13,376 ) $ (4,544 ) $ (8,832 ) $ (34,498 ) $ (11,726 ) $ (22,772 ) Other comprehensive income before reclassification 103,312 35,126 68,186 291,950 99,263 192,687 Reclassification adjustment for realized investment (gains) losses, net, included in realized gains on investments, net (36,722 ) (12,485 ) (24,237 ) 51,325 17,451 33,874 Effect on other comprehensive income 66,590 22,641 43,949 343,275 116,714 226,561 Accumulated unrealized gains, net, on investments available for sale, end of period $ 53,214 $ 18,097 $ 35,117 $ 308,777 $ 104,988 $ 203,789 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (6,697 ) $ (2,277 ) $ (4,420 ) $ (18,016 ) $ (6,126 ) $ (11,890 ) Other comprehensive income (loss) before reclassification 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Effect on other comprehensive income (loss) 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (5,330 ) $ (1,812 ) $ (3,518 ) $ (64,525 ) $ (21,939 ) $ (42,586 ) Accumulated other comprehensive loss, beginning of period $ (20,073 ) $ (6,821 ) $ (13,252 ) $ (52,514 ) $ (17,852 ) $ (34,662 ) Change in unrealized gains, net, on investments available for sale 66,590 22,641 43,949 343,275 116,714 226,561 Change in unrealized gains (losses), net, on interest rate swap 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Effect on other comprehensive income 67,957 23,106 44,851 296,766 100,901 195,865 Accumulated other comprehensive income, end of period $ 47,884 $ 16,285 $ 31,599 $ 244,252 $ 83,049 $ 161,203

Note 8 - Segment Information

Note 8 - Segment Information	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Segment Reporting Disclosure [Text Block]	8. SEGMENT INFORMATION The Company manages its business with four third 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 not $6,407,000 $6,317,000 three June 30, 2017 2016, $12,080,000 $11,833,000 six June 30, 2017 2016, Listed below is financial information required for each reportable segment for the three six June 30, 2017 2016 Three Months Ended Three Months Ended June 30, 2017 June 30, 2016 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 12,896 $ 9,745 $ 3,151 $ 13,294 $ 9,898 $ 3,396 Fully-insured dental PPO 6,572 4,511 2,061 5,567 3,803 1,764 Self-insured dental 7,129 6,126 1,003 7,065 6,094 971 Corporate, all other 192 192 186 186 Total $ 26,789 $ 20,382 6,407 $ 26,112 $ 19,795 6,317 Investment income 58 70 Realized gains (loss) on investments, net 63 1 Other income 21 Insurance expense 5,742 5,713 Income before income tax $ 786 $ 696 Total assets-corporate $ 85,527 Six Months Ended Six Months Ended June 30, 2017 June 30, 2016 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 25,778 $ 20,023 $ 5,755 $ 26,542 $ 20,492 $ 6,050 Fully-insured dental PPO 13,030 9,123 3,907 11,145 7,725 3,420 Self-insured dental 14,681 12,661 2,020 14,616 12,625 1,991 Corporate, all other 398 398 372 372 Total $ 53,887 $ 41,807 12,080 $ 52,675 $ 40,842 11,833 Investment income 124 138 Realized gains (loss) on investments, net 132 (51 ) Other income 36 Insurance expense 11,311 10,763 Income before income tax $ 1,025 $ 1,193 Total assets-corporate $ 85,527 not three six June 30, 2017 2016.

Note 9 - Fair Value Measurement

Note 9 - Fair Value Measurements	6 Months Ended
	Jun. 30, 2017
Notes to Financial Statements
Fair Value Disclosures [Text Block]	9. 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 1 3 three ● Level 1 ● Level 2 1 not ● Level 3 not no The following table presents each of the fair value levels, the Company’s assets and liabilities that are measured at fair value on a recurring basis as of June 30, 2017 December 31, 2016 ( June 30, 2017 December 31, 2016 Level 1 Level 2 Total Balance Level 1 Level 2 Total Balance Assets Fixed maturities Federally-Insured certificates of deposit $ 953 $ 953 $ 805 $ 805 Investment grade corporate bonds 7,462 7,462 7,363 7,363 Non-investment grade corporate bonds 670 670 657 657 Short-term investments Money market funds $ 31 31 $ 223 223 Federally-Insured certificates of deposit 340 340 290 290 Deferred compensation investments (a) Equity mutual fund investments 1,091 1,091 729 729 State guarantee fund deposits (b) Government securities 1,772 1,772 1,775 1,775 Federally-Insured certificates of deposit 75 75 75 75 Total $ 2,894 $ 9,500 $ 12,394 $ 2,727 $ 9,190 $ 11,917 Liabilities Interest rate swap (c) - $ 5 $ 5 - $ 7 $ 7 Total - $ 5 $ 5 - $ 7 $ 7 (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 2 2 As of June 30, 2017 December 31, 2016, no not three six June 30, 2017 2016. June 30, 2017 December 31, 2016, not 3

Significant Accounting Policies

Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2017
Accounting Policies [Abstract]
Insurance Premiums Revenue Recognition, Policy [Policy Text Block]	Premium Revenue — Fully-Insured thirty $55,056,000 $46,955,000 June 30, 2017 December 31, 2016, $52,999,000 $45,687,000 June 30, 2017 December 31, 2016, not $2,057,000 $1,268,000 June 30, 2017 December 31, 2016, June 30, 2017 December 31, 2016, no Self-Insured no 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. ASO fees also include the administrative fees the Company earns relative to the dental indemnity and vision products that are underwritten by third
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— not not $647,000 $537,000 $1,239,000 $1,185,000 three June 30, 2017 2016, $2,976,000 $4,094,000 $2,467,000 $2,361,000 six June 30, 2017 2016,
Unpaid Policy Claims and Claims Adjustment Expense, Policy [Policy Text Block]	Claims Payable— not may
New Accounting Pronouncements, Policy [Policy Text Block]	New Accounting Guidance May 2014, 2014 09, Revenue from Contracts with Customers 2014 09 not 2014 09 December 15, 2017. In January 2016, 2016 01, Financial Instruments – Overall (Subtopic 825 10 2016 01 2016 01 December 15, 2017. not not In February 2016, 2016 02, Leases (Topic 842 2016 02 12 2016 02 December 15, 2018. not may not In June 2016, 2016 13, Financial Instruments - Credit Losses (Topic 326 2016 13 2016 13 December 15, 2019. not not In March 2017, 2017 08, Receivables – Nonrefundable Fees and Other Costs (Subtopic 310 20 2017 08 2017 08 December 15, 2018. not not

Note 3 - Investments (Tables)

Note 3 - Investments (Tables)	6 Months Ended
	Jun. 30, 2017
Notes Tables
Schedule of Maturity of Available for Sale Securities and Held to Maturity[Table Text Block]	Available-for-Sale Amortized Fair % of Total June 30, 2017 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 340,000 $ 340,157 3.6 % Years 1-5 5,511,553 5,548,603 58.9 % Years 5-10 3,456,786 3,487,461 37.0 % Due after ten years 50,000 48,875 0.5 % Total $ 9,358,339 $ 9,425,096 100.0 % Available-for-Sale Amortized Fair % of Total December 31, 2016 Cost Value Fair Value Maturity dates occurring: Less than 1 year $ 290,000 $ 290,412 3.2 % Years 1-5 5,722,990 5,741,735 63.0 % Years 5-10 3,052,388 3,035,185 33.3 % Due after ten years 50,000 47,500 0.5 % Total $ 9,115,378 $ 9,114,832 100.0 %
Schedule of Available for Sale Securities and Held to Maturity [Table Text Block]	Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair June 30, 2017 Cost Gain Loss Value Money market fund $ 30,924 $ 30,924 Certificates of deposit, short term 340,000 $ 198 $ (41 ) 340,157 Certificates of deposit, fixed maturities 950,000 2,750 952,750 Corporate bonds, fixed maturities 8,068,338 106,674 (42,823 ) 8,132,189 Total investments $ 9,389,262 $ 109,622 $ (42,864 ) $ 9,456,020 Available-for-Sale Cost or Gross Gross Amortized Unrealized Unrealized Fair December 31, 2016 Cost Gain Loss Value Money market fund $ 222,577 $ 222,577 Certificates of deposit, short term 290,000 $ 412 290,412 Certificates of deposit, fixed maturities 800,000 4,728 $ (66 ) 804,662 Corporate bonds, fixed maturities 8,025,378 76,323 (81,943 ) 8,019,758 Total investments $ 9,337,955 $ 81,463 $ (82,009 ) $ 9,337,409

Note 5 - Liability for Claims18

Note 5 - Liability for Claims Payable (Tables)	6 Months Ended
	Jun. 30, 2017
Notes Tables
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]	Six months ended Six months ended June 30, 2017 June 30, 2016 Balance—January 1 $ 3,743,551 $ 3,253,346 Net incurred claims related to: Current year 29,248,270 28,201,154 Prior years (102,369 ) 16,122 Net incurred claims 29,145,901 28,217,276 Net paid claims related to: Current year 25,547,725 24,803,228 Prior years 3,532,047 3,090,425 Net paid claims 29,079,772 27,893,653 Balance—June 30 $ 3,809,680 $ 3,576,969

Note 7 - Accumulated Other Co19

Note 7 - Accumulated Other Comprehensive Income (Tables)	6 Months Ended
	Jun. 30, 2017
Notes Tables
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]	Three months ended Three months ended June 30, 2017 June 30, 2016 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized (loss) gains, net, on investments available for sale, beginning of period $ (1,881 ) $ (636 ) $ (1,245 ) $ 186,253 $ 63,330 $ 122,923 Other comprehensive income before reclassification 62,602 21,285 41,317 123,438 41,969 81,469 Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net (7,507 ) (2,552 ) (4,955 ) (914 ) (311 ) (603 ) Effect on other comprehensive income 55,095 18,733 36,362 122,524 41,658 80,866 Accumulated unrealized income, net, on investments available for sale, end of period $ 53,214 $ 18,097 $ 35,117 $ 308,777 $ 104,988 $ 203,789 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (1,126 ) $ (384 ) $ (742 ) $ (51,047 ) $ (17,357 ) $ (33,690 ) Other comprehensive loss before reclassification (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Effect on other comprehensive losses (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (5,330 ) $ (1,812 ) $ (3,518 ) $ (64,525 ) $ (21,939 ) $ (42,586 ) Accumulated other comprehensive (loss) gain, beginning of period $ (3,007 ) $ (1,020 ) $ (1,987 ) $ 135,206 $ 45,973 $ 89,233 Change in unrealized gains, net, on investments available for sale 55,095 18,733 36,362 122,524 41,658 80,866 Change in unrealized losses, net, on interest rate swap (4,204 ) (1,428 ) (2,776 ) (13,478 ) (4,582 ) (8,896 ) Effect on other comprehensive income 50,891 17,305 33,586 109,046 37,076 71,970 Accumulated other comprehensive income, end of period $ 47,884 $ 16,285 $ 31,599 $ 244,252 $ 83,049 $ 161,203 Six months ended Six months ended June 30, 2017 June 30, 2016 Before Tax Income Tax Net Before Tax Income Tax Net Accumulated unrealized loss, net, on investments available for sale, beginning of period $ (13,376 ) $ (4,544 ) $ (8,832 ) $ (34,498 ) $ (11,726 ) $ (22,772 ) Other comprehensive income before reclassification 103,312 35,126 68,186 291,950 99,263 192,687 Reclassification adjustment for realized investment (gains) losses, net, included in realized gains on investments, net (36,722 ) (12,485 ) (24,237 ) 51,325 17,451 33,874 Effect on other comprehensive income 66,590 22,641 43,949 343,275 116,714 226,561 Accumulated unrealized gains, net, on investments available for sale, end of period $ 53,214 $ 18,097 $ 35,117 $ 308,777 $ 104,988 $ 203,789 Accumulated unrealized losses, net, on interest rate swap, beginning of period $ (6,697 ) $ (2,277 ) $ (4,420 ) $ (18,016 ) $ (6,126 ) $ (11,890 ) Other comprehensive income (loss) before reclassification 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Effect on other comprehensive income (loss) 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Accumulated unrealized losses, net, on interest rate swap, end of period $ (5,330 ) $ (1,812 ) $ (3,518 ) $ (64,525 ) $ (21,939 ) $ (42,586 ) Accumulated other comprehensive loss, beginning of period $ (20,073 ) $ (6,821 ) $ (13,252 ) $ (52,514 ) $ (17,852 ) $ (34,662 ) Change in unrealized gains, net, on investments available for sale 66,590 22,641 43,949 343,275 116,714 226,561 Change in unrealized gains (losses), net, on interest rate swap 1,367 465 902 (46,509 ) (15,813 ) (30,696 ) Effect on other comprehensive income 67,957 23,106 44,851 296,766 100,901 195,865 Accumulated other comprehensive income, end of period $ 47,884 $ 16,285 $ 31,599 $ 244,252 $ 83,049 $ 161,203

Note 8 - Segment Information (T

Note 8 - Segment Information (Tables)	6 Months Ended
	Jun. 30, 2017
Notes Tables
Schedule of Segment Reporting Information, by Segment [Table Text Block]	Three Months Ended Three Months Ended June 30, 2017 June 30, 2016 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 12,896 $ 9,745 $ 3,151 $ 13,294 $ 9,898 $ 3,396 Fully-insured dental PPO 6,572 4,511 2,061 5,567 3,803 1,764 Self-insured dental 7,129 6,126 1,003 7,065 6,094 971 Corporate, all other 192 192 186 186 Total $ 26,789 $ 20,382 6,407 $ 26,112 $ 19,795 6,317 Investment income 58 70 Realized gains (loss) on investments, net 63 1 Other income 21 Insurance expense 5,742 5,713 Income before income tax $ 786 $ 696 Total assets-corporate $ 85,527 Six Months Ended Six Months Ended June 30, 2017 June 30, 2016 Revenues- Healthcare Revenues- Healthcare External Services External Services Customers Expense Total Customers Expense Total Reportable segments: Fully-insured dental HMO/Indemnity $ 25,778 $ 20,023 $ 5,755 $ 26,542 $ 20,492 $ 6,050 Fully-insured dental PPO 13,030 9,123 3,907 11,145 7,725 3,420 Self-insured dental 14,681 12,661 2,020 14,616 12,625 1,991 Corporate, all other 398 398 372 372 Total $ 53,887 $ 41,807 12,080 $ 52,675 $ 40,842 11,833 Investment income 124 138 Realized gains (loss) on investments, net 132 (51 ) Other income 36 Insurance expense 11,311 10,763 Income before income tax $ 1,025 $ 1,193 Total assets-corporate $ 85,527

Note 9 - Fair Value Measureme21

Note 9 - Fair Value Measurements (Tables)	6 Months Ended
	Jun. 30, 2017
Notes Tables
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]	June 30, 2017 December 31, 2016 Level 1 Level 2 Total Balance Level 1 Level 2 Total Balance Assets Fixed maturities Federally-Insured certificates of deposit $ 953 $ 953 $ 805 $ 805 Investment grade corporate bonds 7,462 7,462 7,363 7,363 Non-investment grade corporate bonds 670 670 657 657 Short-term investments Money market funds $ 31 31 $ 223 223 Federally-Insured certificates of deposit 340 340 290 290 Deferred compensation investments (a) Equity mutual fund investments 1,091 1,091 729 729 State guarantee fund deposits (b) Government securities 1,772 1,772 1,775 1,775 Federally-Insured certificates of deposit 75 75 75 75 Total $ 2,894 $ 9,500 $ 12,394 $ 2,727 $ 9,190 $ 11,917 Liabilities Interest rate swap (c) - $ 5 $ 5 - $ 7 $ 7 Total - $ 5 $ 5 - $ 7 $ 7

Note 1 - Basis of Presentation

Note 1 - Basis of Presentation (Details Textual)	6 Months Ended
	Jun. 30, 2017
Number of Wholly Owned Subsidiaries	3

Note 2 - Summary of Significa23

Note 2 - Summary of Significant Accounting Policies (Details Textual) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Financial Guarantee Insurance Contracts, Unearned Premium Revenue	$ 55,056,000		$ 55,056,000		$ 46,955,000
Unbilled Contracts Receivable	52,999,000		52,999,000		45,687,000
Advance Premium Received	2,057,000		2,057,000		1,268,000
Premium Deficiency Reserve	0		0		$ 0
Deferred Policy Acquisition Costs, Additions	647,000	$ 537,000	2,976,000	$ 4,094,000
Deferred Policy Acquisition Costs, Amortization Expense	$ 1,239,000	$ 1,185,000	$ 2,467,000	$ 2,361,000

Note 3 - Investments (Details T

Note 3 - Investments (Details Textual) - USD ($)	6 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Available-for-sale Securities, Amortized Cost Basis	$ 9,018,000	$ 8,825,000
Available-for-sale Securities, Continuous Unrealized Loss Position, Twelve Months or Longer, Fair Value	0	0
Federally Insured Certificates of Deposit [Member]
Available-for-sale Securities, Amortized Cost Basis	1,290,000	1,090,000
Money Market Funds [Member]
Available-for-sale Securities	31,000	223,000
Investment Grade Corporate Bonds [Member]
Available-for-sale Securities, Amortized Cost Basis	8,068,000	$ 8,025,000
Investment Owned, at Fair Value	$ 8,132,000
Weighted Average Yield to Book Value of Investment Grade Corporate Bonds	3.17%
Weighted Average Maturity of Investment	5 years 91 days
Investment Grade Corporate Bonds [Member] | BBB- or Better [Member]
Investment Owned, at Fair Value	$ 7,462,000
Investment Grade Corporate Bonds [Member] | BB + or Lower [Member]
Investment Owned, at Fair Value	$ 670,000

Note 3 - Investments - Maturity

Note 3 - Investments - Maturity Dates for Fixed Maturities and Short-term Investments (Details) - USD ($)	Jun. 30, 2017	Dec. 31, 2016
Fixed maturities, available for sale at fair value, amortized cost	$ 9,018,000	$ 8,825,000
Certificates of Deposit [Member]
Years 1-5, percentage of total fair value	58.90%	63.00%
Years 5-10, amortized cost	$ 3,456,786	$ 3,052,388
Years 5-10, fair value	$ 3,487,461	$ 3,035,185
Years 5-10, percentage of total fair value	37.00%	33.30%
Due after ten years, amortized cost	$ 50,000	$ 50,000
Due after ten years, fair value	$ 48,875	$ 47,500
Due after ten years, percentage of total fair value	0.50%	0.50%
Fixed maturities, available for sale at fair value, amortized cost	$ 9,358,339	$ 9,115,378
Total, fair value	$ 9,425,096	$ 9,114,832
Total, percentage of total fair value	100.00%	100.00%
Less than 1 year, amortized cost	$ 340,000	$ 290,000
Less than 1 year, fair value	$ 340,157	$ 290,412
Less than 1 year, percentage of total fair value	3.60%	3.20%
Years 1-5, amortized cost	$ 5,511,553	$ 5,722,990
Years 1-5, fair value	$ 5,548,603	$ 5,741,735

Note 3 - Investments - Investme

Note 3 - Investments - Investments as Fixed Maturities and Short-term Investments (Details) - USD ($)	Jun. 30, 2017	Dec. 31, 2016
Available-for-sale securities, gross unrealized loss	$ (42,864)	$ (82,009)
Available-for-sale securities, fair value	9,456,020	9,337,409
Available-for-sale securities, cost or amortized cost	9,389,262	9,337,955
Available-for-sale securities, gross unrealized gain	109,622	81,463
Money Market Funds [Member]
Available-for-sale securities, gross unrealized loss	0	0
Available-for-sale securities, fair value	30,924	222,577
Available-for-sale securities, cost or amortized cost	30,924	222,577
Available-for-sale securities, gross unrealized gain	0	0
Certificates of Deposit Short Term [Member]
Available-for-sale securities, gross unrealized loss	(41)	0
Available-for-sale securities, fair value	340,157	290,412
Available-for-sale securities, cost or amortized cost	340,000	290,000
Available-for-sale securities, gross unrealized gain	198	412
Certificates of Deposit, Fixed Maturities [Member]
Available-for-sale securities, gross unrealized loss		(66)
Available-for-sale securities, fair value	952,750	804,662
Available-for-sale securities, cost or amortized cost	950,000	800,000
Available-for-sale securities, gross unrealized gain	2,750	4,728
Corporate Bonds, Fixed Maturities [Member]
Available-for-sale securities, gross unrealized loss	(42,823)	(81,943)
Available-for-sale securities, fair value	8,132,189	8,019,758
Available-for-sale securities, cost or amortized cost	8,068,338	8,025,378
Available-for-sale securities, gross unrealized gain	$ 106,674	$ 76,323

Note 4 - Deferred Compensatio27

Note 4 - Deferred Compensation Plan (Details Textual) - USD ($)	1 Months Ended		3 Months Ended		6 Months Ended
	Feb. 28, 2017	Feb. 29, 2016	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Increase (Decrease) in Deferred Compensation					$ 453,139	$ 299,877
Deferred Compensation Liability, Current and Noncurrent			$ 4,386,604		4,386,604		$ 4,051,078
Dividends Payable, Amount Per Share	$ 42.50	$ 40.47
Dividend Declared [Member]
Increase (Decrease) in Deferred Compensation	$ 115,000	$ 102,000
Deferred Share and Phantom Shares [Member]
Deferred Compensation Arrangement with Individual, Compensation Expense			313,000	$ 187,000	421,000	274,000
Directors and Employees [Member]
Deferred Compensation Arrangement with Individual, Compensation Expense			$ 13,000	$ 31,000	$ 32,000	$ 32,000
Non-employee [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period					216
Key Employees [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period					99

Note 5 - Liability for Claims28

Note 5 - Liability for Claims Payable - Activity in Liability for Claims Payable for Members (Details) - USD ($)	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Balance - January 1	$ 3,743,551	$ 3,253,346
Net incurred claims related to:
Current year	29,248,270	28,201,154
Prior years	(102,369)	16,122
Net incurred claims	29,145,901	28,217,276
Net paid claims related to:
Current year	25,547,725	24,803,228
Prior years	3,532,047	3,090,425
Net paid claims	29,079,772	27,893,653
Balance - December 31	$ 3,809,680	$ 3,576,969

Note 6 - Federal Income Taxes (

Note 6 - Federal Income Taxes (Details Textual) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Unrecognized Tax Benefits	$ 0		$ 0
Effective Income Tax Rate Reconciliation, Percent	35.60%	43.30%	35.60%	43.30%
Income Tax Expense (Benefit)	$ 279,949	$ 301,234	$ 365,348	$ 516,803
Domestic Tax Authority [Member] | Earliest Tax Year [Member]
Open Tax Year			2,013
State and Local Jurisdiction [Member]
Open Tax Year			2,012

Note 7 - Accumulated Other Co30

Note 7 - Accumulated Other Comprehensive Income - Change in Unrealized Gains and Losses on Available-for-sale Securities in AOCI (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Accumulated other comprehensive income, net, end of period	$ 31,599	$ 161,203	$ 31,599	$ 161,203
Accumulated other comprehensive income, before tax, beginning of period	(3,007)	135,206	(20,073)	(52,514)
Accumulated other comprehensive income, tax, beginning of period	(1,020)	45,973	(6,821)	(17,852)
Accumulated other comprehensive income, net of tax, beginning of period	(1,987)	89,233	(13,252)	(34,662)
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	4,955	603	24,237	(33,874)
Effect on other comprehensive income, net	33,586	71,970	44,851	195,865
Effect on other comprehensive income, before tax	50,891	109,046	67,957	296,766
Effect on other comprehensive income, tax	17,305	37,076	23,106	100,901
Accumulated other comprehensive income, tax, end of period	16,285	83,049	16,285	83,049
Accumulated other comprehensive income, before tax, end of period	47,884	244,252	47,884	244,252
Accumulated Unrealized Gains Net on Investments Available for Sale [Member]
Accumulated other comprehensive income, net, end of period	35,117	203,789	35,117	203,789
Accumulated other comprehensive income, before tax, beginning of period	(1,881)	186,253	(13,376)	(34,498)
Accumulated other comprehensive income, tax, beginning of period	(636)	63,330	(4,544)	(11,726)
Accumulated other comprehensive income, net of tax, beginning of period	(1,245)	122,923	(8,832)	(22,772)
Other comprehensive income before reclassification, before tax	62,602	123,438	103,312	291,950
Other comprehensive income tax reclassification, tax	21,285	41,969	35,126	99,263
Other comprehensive income before reclassification, net of tax	41,317	81,469	68,186	192,687
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, tax	(2,552)	(311)	(12,485)	17,451
Reclassification adjustment for realized investment gains, net, included in realized gains on investments, net	(4,955)	(603)	(24,237)	33,874
Reclassification adjustment for realized investment (gains) losses, net, included in realized gains on investments, before tax	(7,507)	(914)	(36,722)	51,325
Change in unrealized gains, net, on investments available for sale, before tax	55,095	122,524	66,590	343,275
Change in unrealized gains, net, on investments available for sale, tax	18,733	41,658	22,641	116,714
Change in unrealized gains, net, on investments available for sale, net of tax	36,362	80,866	43,949	226,561
Effect on other comprehensive income, net	36,362	80,866	43,949	226,561
Effect on other comprehensive income, before tax	55,095	122,524	66,590	343,275
Effect on other comprehensive income, tax	18,733	41,658	22,641	116,714
Accumulated other comprehensive income, tax, end of period	18,097	104,988	18,097	104,988
Accumulated other comprehensive income, before tax, end of period	53,214	308,777	53,214	308,777
Accumulated Unrealized Losses Net on Interest Rate Swaps [Member]
Accumulated other comprehensive income, net, end of period	(3,518)	(42,586)	(3,518)	(42,586)
Accumulated other comprehensive income, before tax, beginning of period	(1,126)	(51,047)	(6,697)	(18,016)
Accumulated other comprehensive income, tax, beginning of period	(384)	(17,357)	(2,277)	(6,126)
Accumulated other comprehensive income, net of tax, beginning of period	(742)	(33,690)	(4,420)	(11,890)
Other comprehensive income before reclassification, before tax	(4,204)	(13,478)	1,367	(46,509)
Other comprehensive income tax reclassification, tax	(1,428)	(4,582)	465	(15,813)
Other comprehensive income before reclassification, net of tax	(2,776)	(8,896)	902	(30,696)
Change in unrealized gains, net, on investments available for sale, before tax	(4,204)	(13,478)	1,367	(46,509)
Change in unrealized gains, net, on investments available for sale, tax	(1,428)	(4,582)	465	(15,813)
Change in unrealized gains, net, on investments available for sale, net of tax	(2,776)	(8,896)	902	(30,696)
Effect on other comprehensive income, net	(2,776)	(8,896)	902	(30,696)
Effect on other comprehensive income, before tax	(4,204)	(13,478)	1,367	(46,509)
Effect on other comprehensive income, tax	(1,428)	(4,582)	465	(15,813)
Accumulated other comprehensive income, tax, end of period	(1,812)	(21,939)	(1,812)	(21,939)
Accumulated other comprehensive income, before tax, end of period	$ (5,330)	$ (64,525)	$ (5,330)	$ (64,525)

Note 8 - Segment Information (D

Note 8 - Segment Information (Details Textual)	3 Months Ended		6 Months Ended
	Jun. 30, 2017USD ($)	Jun. 30, 2016USD ($)	Jun. 30, 2017USD ($)	Jun. 30, 2016USD ($)
Number of Reportable Segments			4
Gross Profit	$ 6,407,000	$ 6,317,000	$ 12,080,000	$ 11,833,000

Note 8 - Segment Information -

Note 8 - Segment Information - Reportable Segments (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Other income		$ 20,768		$ 36,344
Insurance expense	5,741,851	5,713,093	11,310,496	10,762,904
Income before income tax	786,175	695,677	1,025,421	1,192,732
Total assets-corporate	85,526,592		85,526,592		$ 78,081,807
Revenues - External Customers	26,789,418	26,112,254	53,887,072	52,674,736
Healthcare Services Expense	20,382,516	19,795,474	41,807,191	40,842,587
Total	6,407,000	6,317,000		11,833,000
Investment income	58,289	70,308	123,614	138,468
Realized gains (loss) on investments, net	62,835	914	$ 132,422	(51,325)
Fully Insured Dental HMO [Member]
Revenues - External Customers	12,896,000	13,294,000		26,542,000
Healthcare Services Expense	9,745,000	9,898,000		20,492,000
Total	3,151,000	3,396,000		6,050,000
Fully Insured Dental PPO [Member]
Revenues - External Customers	6,572,000	5,567,000		11,145,000
Healthcare Services Expense	4,511,000	3,803,000		7,725,000
Total	2,061,000	1,764,000		3,420,000
Self-insured Dental [Member]
Revenues - External Customers	7,129,000	7,065,000		14,616,000
Healthcare Services Expense	6,126,000	6,094,000		12,625,000
Total	1,003,000	971,000		1,991,000
Corporate and Other [Member]
Revenues - External Customers	192,000	186,000		372,000
Healthcare Services Expense
Total	$ 192,000	$ 186,000		$ 372,000

Note 9 - Fair Value Measureme33

Note 9 - Fair Value Measurements (Details Textual) - USD ($) $ in Thousands		Jun. 30, 2017	Dec. 31, 2016
Assets, Fair Value Disclosure	[1]	$ 12,394	$ 11,917
Assets, Fair Value Disclosure, Nonrecurring		0	0
Liabilities, Fair Value Disclosure, Nonrecurring		0	0
Fair Value, Inputs, Level 3 [Member]
Assets, Fair Value Disclosure		0	0
Financial Liabilities Fair Value Disclosure		$ 0	$ 0
[1]	Included in other assets

Note 9 - Fair Value Measureme34

Note 9 - Fair Value Measurements - Assets and Liabilities Measured at Fair Value on a Recurring Basis (Details) - USD ($) $ in Thousands		Jun. 30, 2017	Dec. 31, 2016
Assets, Fair Value Disclosure	[1]	$ 12,394	$ 11,917
Liabilities		5	7
Interest Rate Swap [Member]
Liabilities	[2]	5	7
Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure	[1]	9,500	9,190
Liabilities		5	7
Fair Value, Inputs, Level 2 [Member] | Interest Rate Swap [Member]
Liabilities	[2]	5	7
Fair Value, Inputs, Level 1 [Member]
Assets, Fair Value Disclosure	[1]	2,894	2,727
Fixed Maturities [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure		953	805
Fixed Maturities [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		953	805
Fixed Maturities [Member] | Investment Grade Corporate Bonds [Member]
Assets, Fair Value Disclosure		7,462	7,363
Fixed Maturities [Member] | Investment Grade Corporate Bonds [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		7,462	7,363
Fixed Maturities [Member] | Non-investment Grade Corporate Bonds [Member]
Assets, Fair Value Disclosure		670	657
Fixed Maturities [Member] | Non-investment Grade Corporate Bonds [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		670	657
Short-term Investments [Member] | Money Market Funds [Member]
Assets, Fair Value Disclosure		31	223
Short-term Investments [Member] | Fair Value, Inputs, Level 1 [Member] | Money Market Funds [Member]
Assets, Fair Value Disclosure		31	223
Short-term Investments [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure		340	290
Short-term Investments [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure		340	290
Deferred Compensation Investment [Member] | Equity Mutual Fund Investments [Member]
Assets, Fair Value Disclosure	[3]	1,091	729
Deferred Compensation Investment [Member] | Equity Mutual Fund Investments [Member] | Fair Value, Inputs, Level 1 [Member]
Assets, Fair Value Disclosure	[3]	1,091	729
State Guarantee Fund Deposits [Member] | US Government Agencies Debt Securities [Member]
Assets, Fair Value Disclosure	[1]	1,772	1,775
State Guarantee Fund Deposits [Member] | Fair Value, Inputs, Level 1 [Member] | US Government Agencies Debt Securities [Member]
Assets, Fair Value Disclosure	[1]	1,772	1,775
State Guarantee Fund Deposits [Member] | Federally Insured Certificates of Deposit [Member]
Assets, Fair Value Disclosure	[1]	75	75
State Guarantee Fund Deposits [Member] | Federally Insured Certificates of Deposit [Member] | Fair Value, Inputs, Level 2 [Member]
Assets, Fair Value Disclosure	[1]	$ 75	$ 75
[1]	Included in other assets
[2]	Included in other payables and accruals
[3]	Included as a trading security in other assets