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Segment Information (Gross Premiums Earned by Product and Reconciliation to Net Premiums) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Segment Reporting Information [Line Items]        
Net premiums earned $ 223,591 $ 180,353 $ 410,750 $ 363,256
Specialty P&C        
Segment Reporting Information [Line Items]        
Ceded premiums earned (17,749) (21,683) (35,169) (40,407)
Net premiums earned 143,847 109,005 260,125 222,063
Specialty P&C | Healthcare professional liability        
Segment Reporting Information [Line Items]        
Gross premiums earned 146,208 115,781 264,892 232,832
Specialty P&C | Legal professional liability        
Segment Reporting Information [Line Items]        
Gross premiums earned 6,489 6,417 12,880 12,734
Specialty P&C | Medical technology liability        
Segment Reporting Information [Line Items]        
Gross premiums earned 8,780 8,389 17,292 16,701
Specialty P&C | Other        
Segment Reporting Information [Line Items]        
Gross premiums earned 119 101 230 203
Workers' Compensation        
Segment Reporting Information [Line Items]        
Ceded premiums earned (7,026) (5,856) (14,031) (11,787)
Net premiums earned 62,254 56,854 120,660 112,137
Workers' Compensation | Traditional business        
Segment Reporting Information [Line Items]        
Gross premiums earned 48,632 42,501 94,662 84,269
Workers' Compensation | Alternative market business        
Segment Reporting Information [Line Items]        
Gross premiums earned 20,648 20,209 40,029 39,655
Lloyd's Syndicates        
Segment Reporting Information [Line Items]        
Ceded premiums earned (1,783) (2,466) (7,275) (5,089)
Net premiums earned 17,490 14,494 29,965 29,056
Premiums assumed under Quota Share Agreement 1,400 3,100 3,300 6,600
Lloyd's Syndicates | Property and casualty        
Segment Reporting Information [Line Items]        
Gross premiums earned $ 19,273 $ 16,960 $ 37,240 $ 34,145