Triple-s Management (GTS) 10-Q 12 Nov 13 2013 Q3 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	9 Months Ended
	Sep. 30, 2013
Entity Information [Line Items]	'
Entity Registrant Name	'TRIPLE-S MANAGEMENT CORP
Entity Central Index Key	'0001171662
Current Fiscal Year End Date	'--12-31
Entity Well-known Seasoned Issuer	'No
Entity Voluntary Filers	'No
Entity Current Reporting Status	'Yes
Entity Filer Category	'Accelerated Filer
Document Fiscal Year Focus	'2013
Document Fiscal Period Focus	'Q3
Document Type	'10-Q
Amendment Flag	'false
Document Period End Date	30-Sep-13
Class A Common Stock [Member]	'
Entity Information [Line Items]	'
Entity Common Stock, Shares Outstanding	2,377,689
Class B Common Stock [Member]	'
Entity Information [Line Items]	'
Entity Common Stock, Shares Outstanding	25,090,375

Consolidated_Balance_Sheets_Un

Consolidated Balance Sheets (Unaudited) (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Securities available for sale, at fair value:	'	'
Fixed maturities	$1,034,054	$1,059,761
Equity securities	265,694	209,722
Securities held to maturity, at amortized cost:	'	'
Fixed maturities	4,880	5,000
Policy loans	6,370	6,161
Cash and cash equivalents	81,764	89,564
Total investments and cash	1,392,762	1,370,208
Premiums and other receivables, net	285,052	292,197
Deferred policy acquisition costs and value of business acquired	171,760	168,657
Property and equipment, net	90,087	92,423
Deferred tax asset	38,327	33,548
Goodwill	27,766	27,766
Other assets	69,768	74,545
Total assets	2,075,522	2,059,344
Liabilities and Stockholders' Equity	'	'
Claim liabilities	416,849	416,918
Liability for future policy benefits	293,310	276,570
Unearned premiums	90,256	95,860
Policyholder deposits	114,737	111,692
Liability to Federal Employees' Health Benefits Program (FEHBP)	10,337	21,353
Accounts payable and accrued liabilities	179,687	128,580
Deferred tax liability	23,172	32,934
Short-term borrowings	13,410	30,000
Long-term borrowings	89,796	101,271
Liability for pension benefits	78,701	82,019
Total liabilities	1,310,255	1,297,197
Triple-S Management Corporation stockholders' equity	'	'
Additional paid-in capital	129,669	144,677
Retained earnings	595,782	539,761
Accumulated other comprehensive income	12,264	49,104
Total Triple-S Management Corporation stockholders' equity	765,183	761,907
Non-controlling interest in consolidated subsidiary	84	240
Total stockholders' equity	765,267	762,147
Total liabilities and stockholders' equity	2,075,522	2,059,344
Class A Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock	2,378	9,043
Class B Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock	$25,090	$19,322

Consolidated_Balance_Sheets_Un1

Consolidated Balance Sheets (Unaudited) (Parenthetical) (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, except Per Share data, unless otherwise specified
Class A Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock, par value (in dollars per share)	$1	$1
Common stock, authorized (in shares)	100,000,000	100,000,000
Common stock, issued (in shares)	2,377,689	9,042,809
Common stock, outstanding (in shares)	2,377,689	9,042,809
Class B Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock, par value (in dollars per share)	$1	$1
Common stock, authorized (in shares)	100,000,000	100,000,000
Common stock, issued (in shares)	25,090,375	19,321,944
Common stock, outstanding (in shares)	25,090,375	19,321,944

Consolidated_Statements_of_Ear

Consolidated Statements of Earnings (Unaudited) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Revenues:	'	'	'	'
Premiums earned, net	$547,874	$565,607	$1,653,870	$1,695,157
Administrative service fees	22,450	27,181	78,103	82,473
Net investment income	11,363	11,595	34,749	34,349
Other operating revenues	1,239	1,206	3,638	3,358
Total operating revenues	582,926	605,589	1,770,360	1,815,337
Net realized investment gains (losses)	-144	21	3,405	2,157
Other income, net	13,931	598	14,778	1,514
Total revenues	596,713	606,208	1,788,543	1,819,008
Benefits and expenses :	'	'	'	'
Claims incurred	456,432	485,495	1,369,250	1,457,388
Operating expenses	116,156	104,604	351,246	309,378
Total operating costs	572,588	590,099	1,720,496	1,766,766
Interest expense	2,379	2,956	7,189	8,181
Total benefits and expenses	574,967	593,055	1,727,685	1,774,947
Income before taxes	21,746	13,153	60,858	44,061
Income tax expense (benefit):	'	'	'	'
Current	5,636	1,344	14,867	8,116
Deferred	-2,494	126	-9,874	-254
Total income taxes	3,142	1,470	4,993	7,862
Net income	18,604	11,683	55,865	36,199
Less: Net loss attributable to non-controlling interest	37	32	156	65
Net income attributable to Triple-S Management Corporation	$18,641	$11,715	$56,021	$36,264
Earnings per share attributable to Triple-S Management Corporation	'	'	'	'
Basic net income per share (in dollars per share)	$0.68	$0.41	$2.01	$1.28
Diluted net income per share (in dollars per share)	$0.68	$0.41	$2.01	$1.27

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Income (Unaudited) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Consolidated Statements of Comprehensive Income (Unaudited) [Abstract]	'	'	'	'
Net income	$18,604	$11,683	$55,865	$36,199
Other comprehensive income (loss), net of tax:	'	'	'	'
Net unrealized change in fair value of available for sale securities, net of taxes	-5,386	14,838	-39,908	35,008
Defined benefit pension plan:	'	'	'	'
Actuarial loss, net	1,097	1,117	3,273	3,247
Prior service credit, net	-68	-82	-205	-238
Total other comprehensive income (loss), net of tax	-4,357	15,873	-36,840	38,017
Comprehensive income	14,247	27,556	19,025	74,216
Comprehensive loss attributable to non-controlling interest	37	32	156	65
Comprehensive income attributable to Triple-S Management Corporation	$14,284	$27,588	$19,181	$74,281

Consolidated_Statements_of_Sto

Consolidated Statements of Stockholders' Equity (Unaudited) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012
Increase (Decrease) in Stockholders' Equity [Roll Forward]	'	'
Balance at January 1	$761,907	$676,959
Share-based compensation	2,351	1,876
Stock issued upon the exercise of stock options	315	3,001
Repurchase and retirement of common stock	-18,571	-3,590
Net current period change in comprehensive income	19,181	74,281
Total Triple-S Management Corporation stockholders' equity	765,183	752,527
Non-controlling interest in consolidated subsidiary	84	307
Balance at September 30	$765,267	$752,834

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (Unaudited) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012
Cash flows from operating activities:	'	'
Net income	$55,865	$36,199
Adjustments to reconcile net income to net cash provided by operating activities:	'	'
Depreciation and amortization	17,804	17,989
Net amortization of investments	4,558	4,566
Provision for doubtful receivables, net	4,283	1,321
Deferred tax benefit	-9,874	-254
Net realized investment gain on sale of securities	-3,405	-2,157
Share-based compensation	2,351	1,876
(Increase) decrease in assets:	'	'
Premium and other receivables, net	2,862	5,272
Deferred policy acquisition costs and value of business acquired	-3,103	-8,340
Other deferred taxes	9	200
Other assets	-934	-4,364
Increase (decrease) in liabilities:	'	'
Claim liabilities	-69	36,930
Liability for future policy benefits	16,740	16,362
Unearned premiums	-5,604	-419
Policyholder deposits	2,412	1,507
Liability to FEHBP	-11,016	-2,097
Accounts payable and accrued liabilities	29,196	7,503
Net cash provided by operating activities	102,075	112,094
Securities available for sale:	'	'
Fixed maturities sold	81,330	67,943
Fixed maturities matured/called	85,496	115,649
Equity securities sold	93,504	50,016
Securities held to maturity:	'	'
Fixed maturities matured/called	1,127	11,080
Securities available for sale:	'	'
Fixed maturities	-205,373	-278,533
Equity securities	-132,109	-78,135
Securities held to maturity:	'	'
Fixed maturities	-1,011	-1,067
Other investments	-823	18
Net inflows (outflows) from policy loans	-209	84
Acquisition of business, net of cash acquired of $816 in the nine months ended September 30, 2012	0	-2,685
Net capital expenditures	-8,934	-8,756
Net cash used in investing activities	-87,002	-124,386
Cash flows from financing activities:	'	'
Change in outstanding checks in excess of bank balances	22,809	-3,332
Net change in short-term borrowings	-16,590	11,200
Repayments of long-term borrowings	-11,475	-26,464
Repurchase and retirement of common stock	-18,250	-637
Proceeds from exercise of stock options	0	316
Proceeds from policyholder deposits	8,112	32,946
Surrenders of policyholder deposits	-7,479	-4,821
Net cash (used in) provided by financing activities	-22,873	9,208
Net decrease in cash and cash equivalents	-7,800	-3,084
Cash and cash equivalents:	'	'
Beginning of period	89,564	71,834
End of period	$81,764	$68,750

Consolidated_Statements_of_Cas1

Consolidated Statements of Cash Flows (Unaudited) (Parenthetical) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2012
Cash flows from investing activities:	'
Acquisition of business, net cash acquired	$816

Basis_of_Presentation

Basis of Presentation	9 Months Ended
	Sep. 30, 2013
Basis of Presentation [Abstract]	'
Basis of Presentation	'
	-1	Basis of Presentation
	The accompanying consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited.  In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries.  The consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the U.S. (GAAP) for complete financial statements.  These consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2012.
	On May 16, 2013, the Corporation, in connection with a registered underwritten secondary public offering of its Class B common stock (the “Offering”), entered into an underwriting agreement (the “Underwriting Agreement”) with certain shareholders of the Corporation (the “Selling Shareholders”), pursuant to which the Selling Shareholders sold to the underwriters an aggregate of 6,210,423 shares (the “Shares”) of Class B common stock at a price of $18.25 per share.  The Shares included 810,055 shares of Class B common stock purchased pursuant to the over-allotment option granted to the Underwriters pursuant to the Underwriting Agreement. The Corporation purchased and retired 1,000,000 shares in the Offering at a price of $18.25 per share. The Corporation did not receive any proceeds from the sale of the Shares by the Selling Shareholders.
	In the opinion of management all adjustments necessary for a fair presentation of such consolidated interim financial statements have been included.  The results of operations for the three months and nine months ended September 30, 2013 are not necessarily indicative of the results for the full year ending December 31, 2013.

Recent_Accounting_Standards

Recent Accounting Standards	9 Months Ended
	Sep. 30, 2013
Recent Accounting Standards [Abstract]	'
Recent Accounting Standards	'
	-2	Recent Accounting Standards
	In July 2011, the FASB issued guidance to address questions about how health insurers should recognize and classify in their income statements fees mandated by the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act.  A health insurer’s portion of the annual fee becomes payable to the U.S. Treasury once the entity provides health insurance for any U.S. health risk for each applicable calendar year.  The amendments specify that the liability for the fee should be estimated and recorded in full once the entity provides qualifying health insurance in the applicable calendar year in which the fee is payable with a corresponding deferred cost that is amortized to expense using a straight-line method of allocation unless another method better allocates the fee over the calendar year that it is payable.  This guidance is effective for calendar years beginning after December 31, 2013, when the fee initially becomes effective.  We are currently evaluating the impact, if any, that the adoption of this guidance will have on our financial position or results of operations.
	In August 27, 2012 and October 1, 2012, the FASB issued guidance to make generally non-substantive technical corrections to certain codification topics, remove inconsistencies and outdated provisions, clarify the FASB’s intent and amend or delete various Securities and Exchange Commission (“SEC”) paragraphs.  In particular, the updates consist of:
		•	Technical corrections and amendments as part of the FASB’s standing agenda to review and improve the Accounting Standards Codification,
		•	Conforming amendments related to fair value measurements, in accordance with Topic 820,
		•	Reflect the issuance of the SEC’s Staff Accounting Bulletin No. 114, Revisions and Rescissions of Portions of the Interpretative Guidance Included in the Codification of Staff Accounting Bulletins, and
		•	Reflect the issuance of the SEC Final Rulemaking Release No. 33-9250, Technical Amendments to Commission Rules and Forms Related to the FASB's Accounting Standards Codification.
	The Corporation adopted this guidance in January 1, 2013; there was no significant impact on our financial position or results of operations as a result of the adoption.
	In February 5, 2013 the FASB issued guidance to improve the transparency of reporting reclassifications out of accumulated other comprehensive income.  In particular, the guidance requires an entity to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under GAAP to be reclassified in its entirety to net income.  For other amounts that are not required under GAAP to be reclassified in their entirety to net income in the same reporting period, an entity is required to cross-reference other disclosures required under GAAP that provide additional detail about those amounts.  This guidance applies to all entities that issue financial statements that are presented in conformity with GAAP and that report items of other comprehensive income.  The Corporation adopted this guidance in January 1, 2013; there was no significant impact on our financial position or results of operations as a result of the adoption.
	In July 18, 2013, the FASB issued guidance regarding the presentation in the statement of financial position of an unrecognized tax benefit when a net operating loss carry-forward or a tax credit carry-forward exists.  In particular, the guidance provides that an entity's unrecognized tax benefit, or a portion of its unrecognized tax benefit, should be presented in its financial statements as a reduction to a deferred tax asset for a net operating loss carry-forward, a similar tax loss, or a tax credit carry-forward, with one exception.  That exception states that, to the extent a net operating loss carry-forward, a similar tax loss, or a tax credit carry-forward is not available at the reporting date under the tax law of the applicable jurisdiction to settle any additional income taxes that would result from the disallowance of a tax position, or the tax law of the applicable jurisdiction does not require the entity to use, and the entity does not intend to use, the deferred tax asset for such purpose, the unrecognized tax benefit should be presented in the financial statements as a liability and should not be combined with deferred tax assets.  This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2013.  We are currently evaluating the impact, if any, the adoption of this guidance will have on the financial position or results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the nine months ended September 30, 2013 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Segment_Information

Segment Information	9 Months Ended
	Sep. 30, 2013
Segment Information [Abstract]	'
Segment Information	'
	-3	Segment Information
	The operations of the Corporation are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance.  The Corporation evaluates performance based primarily on the operating revenues and operating income of each segment.  Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments.  Operating costs include claims incurred and operating expenses.  The Corporation calculates operating income or loss as operating revenues less operating costs.
	The following tables summarize the operations by reportable segment for the three months and nine months ended September 30, 2013 and 2012:
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	491,046		$	508,152		$	1,483,456		$	1,531,703
	Administrative service fees			22,450			27,181			78,103			82,473
	Intersegment premiums /service fees			1,369			1,489			4,142			4,622
	Net investment income			3,975			3,999			12,009			11,783
	Total managed care			518,840			540,821			1,577,710			1,630,581
	Life Insurance:
	Premiums earned, net			32,279			31,654			95,991			92,190
	Intersegment premiums			88			107			304			302
	Net investment income			5,303			5,207			16,317			15,304
	Total life insurance			37,670			36,968			112,612			107,796
	Property and Casualty Insurance:
	Premiums earned, net			24,549			25,801			74,423			71,264
	Intersegment premiums			153			153			460			460
	Net investment income			2,041			2,210			6,077			6,707
	Total property and casualty insurance			26,743			28,164			80,960			78,431
	Other segments: *
	Intersegment service fees			1,981			3,634			7,211			10,887
	Operating revenues from external sources			1,240			1,207			3,640			3,361
	Total other segments			3,221			4,841			10,851			14,248
	Total business segments			586,474			610,794			1,782,133			1,831,056
	TSM operating revenues from external sources			43			143			300			447
	Elimination of intersegment premiums			(1,610	)		(1,749	)		(4,906	)		(5,384	)
	Elimination of intersegment service fees			(1,981	)		(3,634	)		(7,211	)		(10,887	)
	Other intersegment eliminations			-			35			44			105
	Consolidated operating revenues		$	582,926		$	605,589		$	1,770,360		$	1,815,337
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Operating income:
	Managed care		$	7,274		$	7,329		$	41,165		$	33,320
	Life insurance			3,795			4,065			11,512			12,480
	Property and casualty insurance			402			1,936			974			4,047
	Other segments *			(939	)		(349	)		(1,452	)		(188	)
	Total business segments			10,532			12,981			52,199			49,659
	TSM operating revenues from external sources			43			143			300			447
	TSM unallocated operating expenses			(2,673	)		(111	)		(9,440	)		(8,405	)
	Elimination of TSM intersegment charges			2,436			2,477			6,805			6,870
	Consolidated operating income			10,338			15,490			49,864			48,571
	Consolidated net realized investment gains			(144	)		21			3,405			2,157
	Consolidated interest expense			(2,379	)		(2,956	)		(7,189	)		(8,181	)
	Consolidated other income, net			13,931			598			14,778			1,514
	Consolidated income before taxes		$	21,746		$	13,153		$	60,858		$	44,061
	Depreciation and amortization expense:
	Managed care		$	4,744		$	5,397		$	15,322		$	15,747
	Life insurance			257			219			672			547
	Property and casualty insurance			133			136			399			434
	Other segments*			240			221			764			622
	Total business segments			5,374			5,973			17,157			17,350
	TSM depreciation expense			216			215			647			639
	Consolidated depreciation and amortization expense		$	5,590		$	6,188		$	17,804		$	17,989
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			September 30,			December 31,
			2013			2012
	Assets:
Managed care		$	970,918		$	916,712
Life insurance			687,103			691,425
Property and casualty insurance			362,331			356,161
Other segments *			30,895			31,480
Total business segments			2,051,247			1,995,778
Unallocated amounts related to TSM:
Cash, cash equivalents, and investments			28,334			41,334
Property and equipment, net			20,783			21,430
Other assets			36,347			29,858
			85,464			92,622
Elimination entries-intersegment receivables and others			(61,189	)		(29,056	)
Consolidated total assets		$	2,075,522		$	2,059,344
*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Investment_in_Securities

Investment in Securities	9 Months Ended
	Sep. 30, 2013
Investment in Securities [Abstract]	'
Investment in Securities	'
	-4	Investment in Securities
	The amortized cost for debt securities and cost for equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security at September 30, 2013 and December 31, 2012, were as follows:
			30-Sep-13
						Gross			Gross
			Amortized			unrealized			unrealized			Estimated
			cost			gains			losses			fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	69,220		$	2,084		$	(82	)	$	71,222
	U.S. Treasury securities and obligations of U.S. government instrumentalities			39,096			1,376			-			40,472
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			47,005			257			(5,290	)		41,972
	Municipal securities			598,332			26,795			(4,892	)		620,235
	Corporate bonds			135,587			11,208			(699	)		146,096
	Residential mortgage-backed securities			11,213			348			(19	)		11,542
	Collateralized mortgage obligations			99,397			3,290			(172	)		102,515
	Total fixed maturities			999,850			45,358			(11,154	)		1,034,054
	Equity securities
	Mutual funds			226,237			41,661			(2,204	)		265,694
	Total equity securities			226,237			41,661			(2,204	)		265,694
	Total		$	1,226,087		$	87,019		$	(13,358	)	$	1,299,748
			31-Dec-12
						Gross			Gross
			Amortized			unrealized			unrealized			Estimated
			cost			gains			losses			fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government sponsored enterprises		$	56,758		$	4,876		$	-		$	61,634
	U.S. Treasury securities and obligations of U.S. government instrumentalities			39,365			1,848			-			41,213
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			63,470			2,277			(2	)		65,745
	Municipal securities			529,822			59,106			(165	)		588,763
	Corporate bonds			106,968			22,899			-			129,867
	Residential mortgage-backed securities			20,009			551			(52	)		20,508
	Collateralized mortgage obligations			147,071			5,129			(169	)		152,031
	Total fixed maturities			963,463			96,686			(388	)		1,059,761
	Equity securities:
	Common stock			16			993			-			1,009
	Mutual funds			185,498			23,256			(41	)		208,713
	Total equity securities			185,514			24,249			(41	)		209,722
	Total		$	1,148,977		$	120,935		$	(429	)	$	1,269,483
			30-Sep-13
						Gross			Gross
			Amortized			unrealized			unrealized			Estimated
			cost			gains			losses			fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793		$	49		$	-		$	1,842
	U.S. Treasury securities and obligations of U.S. government instrumentalities			623			145			-			768
	Corporate bonds									-			-
	Residential mortgage-backed securities			345			24			-			369
	Certificates of deposit			2,119			-			-			2,119
	Total		$	4,880		$	218		$	-		$	5,098
			31-Dec-12
						Gross			Gross
			Amortized			unrealized			unrealized			Estimated
			cost			gains			losses			fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793		$	115		$	-		$	1,908
	U.S. Treasury securities and obligations of U.S. government instrumentalities			623			225			-			848
	Residential mortgage-backed securities			450			37			-			487
	Certificates of deposit			2,134			-			-			2,134
	Total		$	5,000		$	377		$	-		$	5,377
	Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of September 30, 2013 and December 31, 2012 were as follows:
			30-Sep-13
			Less than 12 months									12 months or longer								Total
					Gross									Gross							Gross
		Estimated			Unrealized			Number of			Estimated			Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value			Loss			Securities		Fair Value		Loss			Securities
Securites available for sale:
Fixed maturities:
Obligations of government- sponsored enterprises		$	11,968		$	(82	)		1		$	-		$	-			-	$	11,968	$	(82	)		1
Obligations of the Commonwealth of Puerto Rico and its instrumentalities			20,028			(5,290	)		5			-			-			-		20,028		(5,290	)		5
Municipal securities			177,445			(4,892	)		44			-			-			-		177,445		(4,892	)		44
Corporate bonds			33,686			(699	)		15			-			-			-		33,686		(699	)		15
Residential mortgage-backed securities			5,587			(19	)		4			-			-			-		5,587		(19	)		4
Collateralized mortgage obligations			7,692			(78	)		6			3,676			(94	)		1		11,368		(172	)		7
Total fixed maturities			256,406			(11,060	)		75			3,676			(94	)		1		260,082		(11,154	)		76
Equity securities:
Mutual funds			72,299			(2,204	)		13			-			-			-		72,299		(2,204	)		13
Total equity securities			72,299			(2,204	)		13			-			-			-		72,299		(2,204	)		13
Total for securities available for sale		$	328,705		$	(13,264	)		88		$	3,676		$	(94	)		1	$	332,381	$	(13,358	)		89
		31-Dec-12
		Less than 12 months									12 months or longer								Total
					Gross									Gross							Gross
		Estimated			Unrealized			Number of			Estimated			Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value			Loss			Securities		Fair Value		Loss			Securities
Securites available for sale:
Fixed maturities:
Obligations of government-
Commonwealth of Puerto
Rico and its instrumentalities		$	5,770		$	(2	)		1		$	-		$	-			-	$	5,770	$	(2	)		1
Municipal securities			27,426			(165	)		10			-			-			-		27,426		(165	)		10
Residential mortgage-backed securities			5,892			(52	)		2			-			-			-		5,892		(52	)		2
Collateralized mortgage obligations			20,894			(169	)		6			-			-			-		20,894		(169	)		6
Total fixed maturities			59,982			(388	)		19			-			-			-		59,982		(388	)		19
Equity securities:
Mutual funds			-			-			-			2,708			(41	)		1		2,708		(41	)		1
Total equity securities			-			-			-			2,708			(41	)		1		2,708		(41	)		1
Total for securities available for sale		$	59,982		$	(388	)		19		$	2,708		$	(41	)		1	$	62,690	$	(429	)		20
The Corporation regularly monitors and evaluates the difference between the cost and estimated fair value of investments.  For investments with a fair value below cost, the process includes evaluating: (1) the length of time and the extent to which the estimated fair value has been less than amortized cost for fixed maturity securities, or cost for equity securities, (2) the financial condition, near-term and long-term prospects for the issuer, including relevant industry conditions and trends, and implications of rating agency actions, (3) the Company’s intent to sell or the likelihood of a required sale prior to recovery, (4) the recoverability of principal and interest for fixed maturity securities, or cost for equity securities, and (5) other factors, as applicable.  This process is not exact and requires further consideration of risks such as credit and interest rate risks.  Consequently, if an investment’s cost exceeds its estimated fair value solely due to changes in interest rates, other-than temporary impairment may not be appropriate.  Due to the subjective nature of the Corporation’s analysis, along with the judgment that must be applied in the analysis, it is possible that the Corporation could reach a different conclusion whether or not to record an impairment to a security if it had access to additional information about the investee.  Additionally, it is possible that the investee’s ability to meet future contractual obligations may be different than what the Corporation determined during its analysis, which may lead to a different impairment conclusion in future periods.  If after monitoring and analyzing impaired securities, the Corporation determines that a decline in the estimated fair value of any available-for-sale or held-to-maturity security below cost is other-than-temporary, the carrying amount of the security is reduced to its fair value in accordance with current accounting guidance.  The new cost basis of an impaired security is not adjusted for subsequent increases in estimated fair value.  In periods subsequent to the recognition of an other-than-temporary impairment, the impaired security is accounted for as if it had been purchased on the measurement date of the impairment.  For debt securities, the discount (or reduced premium) based on the new cost basis may be accreted into net investment income in future periods based on prospective changes in cash flow estimates, to reflect adjustments to the effective yield.
The Corporation’s process for identifying and reviewing invested assets for other-than temporary impairments during any quarter includes the following:
•	Identification and evaluation of securities that have possible indications of other-than-temporary impairment, which includes an analysis of all investments with gross unrealized investment losses that represent 20% or more of their cost and all investments with an unrealized loss greater than $100.
•	Review and evaluation of any other security based on the investee’s current financial condition, liquidity, near-term recovery prospects, implications of rating agency actions, the outlook for the business sectors in which the investee operates and other factors.  This evaluation is in addition to the evaluation of those securities with a gross unrealized investment loss representing 20% or more of their cost.
•	Consideration of evidential matter, including an evaluation of factors or triggers that may or may not cause individual investments to qualify as having other-than-temporary impairments; and
•	Determination of the status of each analyzed security as other-than-temporary or not, with documentation of the rationale for the decision.
The Corporation continues to review the investment portfolios under the Corporation’s impairment review policy.  Given the current market conditions and the significant judgments involved, there is a continuing risk that further declines in fair value may occur and additional material other-than-temporary impairments may be recorded in future periods.  The Corporation from time to time may sell investments as part of its asset/liability management process or to reposition its investment portfolio based on current and expected market conditions.
Obligations of Government-Sponsored Enterprises, U.S. Treasury Securities and obligations of U.S. Government instrumentalities:  The unrealized losses on the Corporation’s investments in obligations of states of the United States and political subdivisions of the states were mainly caused by fluctuations in interest rates and general market conditions.  The contractual terms of these investments do not permit the issuer to settle the securities at a price less than the par value of the investment.  In addition, these investments have investment grade ratings. Because the decline in fair value is attributable to changes in interest rates and not credit quality; because the Corporation does not intend to sell the investments and it is not more likely than not that the Corporation will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Corporation expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.
Municipal Securities:  The unrealized losses on the Corporation’s investments in municipal securities were mainly caused by fluctuations in interest rates and general market conditions.  The contractual terms of these investments do not permit the issuer to settle the securities at a price less than the par value of the investment.  In addition, these investments have investment grade ratings. Because the decline in fair value is attributable to changes in interest rates and not credit quality; because the Corporation does not intend to sell the investments and it is not more likely than not that the Corporation will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Corporation expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.
Obligations of the Commonwealth of Puerto Rico and its Instrumentalities: Our holdings in Puerto Rico municipals can be divided in (1) escrowed bonds with a fair value of $21,944 and an unrealized gain of $257, and (2) Cofina bonds with a fair value of $20,028 and an unrealized loss of $5,290. Escrowed bonds are backed by U.S. Government securities and therefore have an implicit AA+/Aaa rating. Cofina bonds, issued by the Sales Tax Financing Corporation, are senior lien and are rated AA-/A2.
The sales tax bonds are secured by a 7% sales tax levied on the island, of which 1.5% goes to municipalities. Of the remaining 5.5%, the larger of 3.50% or a base amount is pledged to the sales tax bonds. The percentage pledged to the sales tax bonds was increased in October 2013 from 2.75% to 3.50%. Both senior lien and subordinate sales tax bonds are outstanding; our positions are senior lien bonds. In terms of flow of funds, the 5.5% remaining revenue is first used for debt service on the senior lien bonds, then for debt service on the subordinate bonds and the excess flows into the General Fund.
Cofina senior bonds are rated AA- by Standard & Poor’s. S&P revised its outlook from stable to negative on September 30, 2013, based on declining economic and population trends. S&P notes that debt service coverage remains strong in the short term, particularly after the recent legislated expansion of the sales tax base. However, growth in sales tax revenues is still needed to maintain high annual debt service coverage for first-lien bonds. This links the credit quality of the sales tax bonds to the financial and economic condition of the Commonwealth of Puerto Rico (“Commonwealth”) as a whole.
Moody’s downgraded Cofina senior bonds to A2 on October 3, 2013 and changed the outlook to negative. The downgrade reflects the weak economy of the Commonwealth and constrained growth in sales tax revenues. Moody’s notes that measures have been taken to stabilize the fiscal situation, but economic recovery prospects remain weak. The current four notch rating differential between General Obligation bonds (Baa3) and Cofina Senior bonds (A2) reflects Moody’s view of a strong legal separation between the two credits.
The Corporation does not consider these positions other-than-temporarily impaired because the Corporation does not have the intent to sell these investments, and it is not more likely than not that the Corporation will be required to sell the investments before recovery of its amortized cost bases (which may be maturity); because the positions have been at an unrealized loss for a short period of time (less than 3 months); because the unrealized loss is partially due to market conditions; because the positions continue with an investment grade rating; and because the Corporation expects to collect all contractual cash flows.
Corporate Bonds:  The unrealized losses of these bonds were principally caused by fluctuations in interest rates and general market conditions.  All corporate bonds included in this table have investment grade ratings and, except for one position, which has been with an unrealized loss for less than four months, have been in an unrealized position for less than three months.  Because the decline in estimated fair value is principally attributable to changes in interest rates; the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.
Residential mortgage-backed securities and Collateralized mortgage obligations:  The unrealized losses on investments in residential mortgage-backed securities and collateralized mortgage obligations (“CMOs”) were mostly caused by fluctuations in interest rates and credit spreads.  The contractual cash flows of these securities, other than private CMOs, are guaranteed by a U.S. government-sponsored enterprise.  Any loss in these securities is determined according to the seniority level of each tranche, with the least senior (or most junior), typically the unrated residual tranche, taking any initial loss. The investment grade credit rating of our securities reflects the seniority of the securities that the Corporation owns.  The Corporation does not consider these investments other-than-temporarily impaired because the decline in fair value is attributable to changes in interest rates and not credit quality; the Corporation does not intend to sell the investments and it is more likely than not that the Corporation will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Corporation expects to collect all contractual cash flows.
Mutual Funds:  All funds have been in an unrealized loss position for less than twelve months.  These positions are not considered other-than-temporarily impaired because the Company does not have the intent to sell these investments, and the Company has the ability to hold the investments until a market price recovery.
Maturities of investment securities classified as available for sale and held to maturity at September 30, 2013 were as follows:
		30-Sep-13
		Amortized			Estimated
		cost			fair value
Securities available for sale:
Due in one year or less		$	48,124		$	48,422
Due after one year through five years			229,711			235,519
Due after five years through ten years			146,846			154,002
Due after ten years			464,559			482,054
Residential mortgage-backed securities			11,213			11,542
Collateralized mortgage obligations			99,397			102,515
		$	999,850		$	1,034,054
Securities held to maturity:
Due in one year or less		$	2,119		$	2,119
Due after five years through ten years			1,793			1,842
Due after ten years			623			768
Residential mortgage-backed securities			345			369
		$	4,880		$	5,098
Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.
Information regarding realized and unrealized gains and losses from investments for the three months and nine months ended September 30, 2013 and 2012 is as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
Realized gains (losses):
Fixed maturity securities:
Securities available for sale:
Gross gains from sales		$	620		$	99		$	2,900		$	1,731
Gross losses from sales			(1,086	)		-			(1,613	)		(189	)
Total debt securities			(466	)		99			1,287			1,542
Equity securities:
Securities available for sale:
Gross gains from sales			814			388			3,445			1,850
Gross losses from sales			(492	)		(466	)		(1,327	)		(1,235	)
Total equity securities			322			(78	)		2,118			615
Net realized gains on securities		$	(144	)	$	21		$	3,405		$	2,157
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
Changes in net unrealized gains (losses):
Recognized in accumulated other comprehensive income:
Fixed maturities – available for sale		$	(14,052	)	$	8,493		$	(62,094	)		21,550
Equity securities – available for sale		$	7,719			8,964			15,249			18,491
		$	(6,333	)	$	17,457		$	(46,845	)	$	40,041
Not recognized in the consolidated financial statements:
Fixed maturities – held to maturity		$	(41	)	$	(6	)	$	(159	)	$	(157	)
The deferred tax asset (liability) on net unrealized gains change recognized in accumulated other comprehensive income during the nine months ended September 30, 2013 and 2012 was $6,937 and ($5,033), respectively.
As of September 30, 2013 and December 31, 2012, no individual investment in securities exceeded 10% of stockholders’ equity.
The components of net investment income were as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
Fixed maturities		$	9,307		$	9,481		$	27,533		$	28,828
Equity securities			1,717			1,760			6,236			4,453
Policy loans			119			117			351			348
Cash equivalents and interest-bearing deposits			16			34			61			88
Other			204			203			568			632
Total		$	11,363		$	11,595		$	34,749		$	34,349

Premiums_and_Other_Receivables

Premiums and Other Receivables, Net	9 Months Ended
	Sep. 30, 2013
Premiums and Other Receivables, Net [Abstract]	'
Premiums and Other Receivables, Net	'
	-5	Premiums and Other Receivables, Net
	Premiums and other receivables, net as of September 30, 2013 and December 31, 2012 were as follows:
			September 30,		December 31,
			2013		2012
	Premiums		$	95,596	$	113,537
	Self-funded group receivables			65,376		64,359
	FEHBP			11,518		11,707
	Agent balances			30,700		34,261
	Accrued interest			10,641		11,409
	Reinsurance recoverable			51,972		52,063
	Other			47,961		29,290
				313,764		316,626
	Less allowance for doubtful receivables:
	Premiums			17,686		14,416
	Other			11,026		10,013
				28,712		24,429
	Total premiums and other receivables, net		$	285,052	$	292,197

Claim_Liabilities

Claim Liabilities	9 Months Ended
	Sep. 30, 2013
Claim Liabilities [Abstract]	'
Claim Liabilities	'
	-6	Claim Liabilities
	The activity in the total claim liabilities for the three months and nine months ended September 30, 2013 and 2012 was as follows:
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Claim liabilities at beginning of period		$	413,271		$	421,894		$	416,918		$	391,259
	Reinsurance recoverable on claim liabilities			(36,521	)		(37,124	)		(39,051	)		(37,234	)
	Net claim liabilities at beginning of period			376,750			384,770			377,867			354,025
	Incurred claims and loss-adjustment expenses:
	Current period insured events			453,732			476,450			1,382,769			1,451,254
	Prior period insured events			(2,967	)		3,138			(30,521	)		(10,504	)
	Total			450,765			479,588			1,352,248			1,440,750
	Payments of losses and loss-adjustment expenses:
	Current period insured events			430,591			452,411			1,066,842			1,129,384
	Prior period insured events			16,329			21,068			282,678			274,512
	Total			446,920			473,479			1,349,520			1,403,896
	Net claim liabilities at end of period			380,595			390,879			380,595			390,879
	Reinsurance recoverable on claim liabilities			36,254			37,310			36,254			37,310
	Claim liabilities at end of period		$	416,849		$	428,189		$	416,849		$	428,189
	As a result of differences between actual amounts and estimates of insured events in prior periods, the amounts included as incurred claims for prior period insured events differ from anticipated claims incurred.
	The credit in the incurred claims and loss-adjustment expenses for prior period insured events for the three months ended September 30, 2013 and the nine months ended September 30, 2013 and 2012 is due primarily to better than expected cost and utilization trends.  The amount in the incurred claims and loss-adjustment expenses for prior period insured events for the three months ended September 30, 2012 is due primarily to higher than anticipated utilization trends.  Reinsurance recoverable on unpaid claims is reported within the premium and other receivables, net in the accompanying consolidated financial statements.
	The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $5,667 and $17,002 during the three and nine months ended September 30, 2013, respectively. The change in the liability for future policy benefits during the three and six months ended September 30, 2012 amounted to $5,907 and $16,638, respectively.

Fair_Value_Measurements

Fair Value Measurements	9 Months Ended
	Sep. 30, 2013
Fair Value Measurements [Abstract]	'
Fair Value Measurements	'
	-7	Fair Value Measurements
	Assets recorded at fair value in the consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure their fair value.  Level inputs, as defined by current accounting guidance for fair value measurements and disclosures, are as follows:
	Level Input:	Input Definition:
	Level 1	Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
	Level 2	Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date.
	Level 3	Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.
	The Corporation uses observable inputs when available. Fair value is based upon quoted market prices when available. The Corporation limits valuation adjustments to those deemed necessary to ensure that the security’s fair value adequately represents the price that would be received or paid in the marketplace. Valuation adjustments may include consideration of counterparty credit quality and liquidity as well as other criteria.  The estimated fair value amounts are subjective in nature and may involve uncertainties and matters of significant judgment for certain financial instruments.  Changes in the underlying assumptions used in estimating fair value could affect the results.  The fair value measurement levels are not indicative of risk of investment.
	The fair value of investment securities is estimated based on quoted market prices for those or similar investments.  Additional information pertinent to the estimated fair value of investment in securities is included in note 4.
	The following tables summarize fair value measurements by level at September 30, 2013 and December 31, 2012 for assets measured at fair value on a recurring basis:
			30-Sep-13
			Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-	$	71,222	$	-	$	71,222
	U.S. Treasury securities and obligations of U.S government instrumentalities			40,472		-		-		40,472
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-		41,972		-		41,972
	Municipal securities			-		620,235		-		620,235
	Corporate bonds			-		146,096		-		146,096
	Residential agency mortgage-backed securities			-		11,542		-		11,542
	Collateralized mortgage obligations			-		102,515		-		102,515
	Total fixed maturities			40,472		993,582		-		1,034,054
	Equity securities
	Mutual funds			152,576		96,326		16,792		265,694
	Total equity securities			152,576		96,326		16,792		265,694
	Total		$	193,048	$	1,089,908	$	16,792	$	1,299,748
			31-Dec-12
			Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-	$	61,634	$	-	$	61,634
	U.S. Treasury securities and obligations of U.S government instrumentalities			41,213		-		-		41,213
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-		65,745		-		65,745
	Municipal securities			-		588,763		-		588,763
	Corporate bonds			-		129,867		-		129,867
	Residential agency mortgage-backed securities			-		20,508		-		20,508
	Collateralized mortgage obligations			-		152,031		-		152,031
	Total fixed maturities			41,213		1,018,548		-		1,059,761
	Equity securities
	Common stock			1,009		-		-		1,009
	Mutual funds			134,398		61,493		12,822		208,713
	Total equity securities			135,407		61,493		12,822		209,722
	Total		$	176,620	$	1,080,041	$	12,822	$	1,269,483
	The fair value of fixed maturity and equity securities included in the Level 2 category were based on market values obtained from independent pricing services, which utilize pricing models that vary by asset class and incorporate available trade, bid and other market information and for structured securities, cash flow and when available loan performance data.  Because many fixed income securities do not trade on a daily basis, the models used by independent pricing service providers to prepare evaluations apply available information, such as benchmark curves, benchmarking of like securities, sector groupings, and matrix pricing.  For certain equity securities, quoted market prices for the identical security are not always available and the fair value is estimated by reference to similar securities for which quoted prices are available.  The independent pricing service providers monitor market indicators, industry and economic events, and for broker-quoted only securities, obtain quotes from market makers or broker-dealers that they recognize to be market participants.
	Transfers into or out of the Level 3 category occur when unobservable inputs, such as the Company’s best estimate of what a market participant would use to determine a current transaction price, become more or less significant to the fair value measurement.  Transfers between levels, if any, are recorded as of the actual date of the event or change in circumstance that caused the transfer.  There were no transfers between Levels 1 and 2 during the three months and nine months ended September 30, 2013 and 2012.
	A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months and nine months ended September 30, 2013 and 2012 is as follows:
			Three months ended
			30-Sep-13						30-Sep-12
			Fixed						Fixed
			Maturity		Equity				Maturity		Equity
			Securities		Securities		Total		Securities		Securities			Total
	Beginning balance		$	-	$	16,354	$	16,354	$	-	$	9,014		$	9,014
	Unrealized gain in other accumulated comprehensive income			-		193		193		-		473			473
	Purchases			-		245		245		-		2,000			2,000
	Ending balance		$	-	$	16,792	$	16,792	$	-	$	11,487		$	11,487
			Nine months ended
			30-Sep-13						30-Sep-12
			Fixed						Fixed
			Maturity		Equity				Maturity		Equity
			Securities		Securities		Total		Securities		Securities			Total
	Beginning balance		$	-	$	12,822	$	12,822	$	-	$	7,094		$	7,094
	Unrealized gain in other accumulated comprehensive income			-		2,217		2,217		-		884			884
	Purchases			-		1,753		1,753		-		4,579			4,579
	Transfers in and/or out of Level 3			-		-		-		-		(1,070	)		(1,070	)
Ending balance		$	-	$	16,792	$	16,792	$	-	$	11,487		$	11,487
In addition to the preceding disclosures on assets recorded at fair value in the consolidated balance sheets, FASB guidance also requires the disclosure of fair values for certain other financial instruments for which it is practicable to estimate fair value, whether or not such values are recognized in the consolidated balance sheets.
Non-financial instruments such as property and equipment, other assets, deferred income taxes and intangible assets, and certain financial instruments such as claim liabilities are excluded from the fair value disclosures. Therefore, the fair value amounts cannot be aggregated to determine our underlying economic value.
The carrying amounts reported in the consolidated balance sheets for cash and cash equivalents, receivables, accounts payable and accrued liabilities, and short-term borrowings approximate fair value because of the short term nature of these items.  These assets and liabilities are not listed in the table below.
The following methods, assumptions and inputs were used to estimate the fair value of each class of financial instrument:
(i)            Policy Loans
Policy loans have no stated maturity dates and are part of the related insurance contract. The carrying amount of policy loans approximates fair value because their interest rate is reset periodically in accordance with current market rates.
(ii)            Policyholder Deposits
The fair value of policyholder deposits is the amount payable on demand at the reporting date, and accordingly, the carrying value amount approximates fair value.
(iii)            Long-term Borrowings
The carrying amount of the loans payable to bank – variable approximates fair value due to its floating interest-rate structure.  The fair value of the loans payable to bank – fixed and senior unsecured notes payable was determined using broker quotations.
(iv)            Repurchase Agreement
The value of the repurchase agreement with a long term maturity is based on the discontinued value of the contractual cash flows using current estimated market discount rates for instruments with similar terms.
A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at September 30, 2013 and December 31, 2012 are as follows:
		30-Sep-13
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	6,370	$	-	$	6,370	$	-	$	6,370
Liabilities:
Policyholder deposits		$	114,737	$	-	$	114,737	$	-	$	114,737
Long-term borrowings:
Loans payable to bank - variable			16,517		-		16,517		-		16,517
Loans payable to bank - fixed			13,279		-		13,279		-		13,279
6.6% senior unsecured notes payable			35,000		-		34,213		-		34,213
Repurchase agreement			25,000		-		25,698		-		25,698
Total long-term borrowings			89,796		-		89,707		-		89,707
Total liabilities		$	204,533	$	-	$	204,444	$	-	$	204,444
		31-Dec-12
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	6,161	$	-	$	6,161	$	-	$	6,161
Liabilities:
Policyholder deposits		$	111,692	$	-	$	111,692	$	-	$	111,692
Long-term borrowings:
Loans payable to bank - variable			17,747		-		17,747		-		17,747
Loans payable to bank - fixed			13,524		-		13,524		-		13,524
6.6% senior unsecured notes payable			35,000		-		34,213		-		34,213
6.7% senior unsecured notes payable			10,000		-		9,950		-		9,950
Repurchase agreement			25,000		-		25,937		-		25,937
Total long-term borrowings			101,271		-		101,371		-		101,371
Total liabilities		$	212,963	$	-	$	213,063	$	-	$	213,063

ShareBased_Compensation

Share-Based Compensation	9 Months Ended
	Sep. 30, 2013
Share-Based Compensation [Abstract]	'
Share-Based Compensation	'
	-8	Share-Based Compensation
	Share-based compensation expense recorded during the three months and nine months ended September 30, 2013 was $1,188 and $2,351, respectively.  Share-based compensation expense recorded during the three months and nine months ended September 30, 2012 was $517 and $1,876, respectively.  During the nine months ended September 30, 2012 cash received from stock options exercised was $316.  The impact of these cash receipts is included within the cash flows from financing activities in the accompanying consolidated statement of cash flows.  There was no cash received from stock option exercises during the nine months ended September 30, 2013.  During the nine months ended September 30, 2013 and 2012, 14,095 and 140,666 shares, respectively, were repurchased and retired as a result of non-cash exercises of stock options.

Comprehensive_Income

Comprehensive Income	9 Months Ended
	Sep. 30, 2013
Comprehensive Income [Abstract]	'
Comprehensive Income	'
	-9	Comprehensive Income
	The accumulated balances for each classification of other comprehensive income (loss), net of tax, are as follows:
									Accumulated
			Net unrealized			Liability for			other
			gain on			pension			comprehensive
			securities			benefits			income (loss)
	Balance at January 1, 2013		$	102,515		$	(53,411	)	$	49,104
	Other comprehensive loss before reclassifications			(37,014	)		-			(37,014	)
	Amounts reclassified from accumulated other comprehensive income (loss)			(2,894	)		3,068			174
	Net current period change			(39,908	)		3,068			(36,840	)
	Balance at September 30, 2013		$	62,607		$	(50,343	)	$	12,264
	Reclassifications out of accumulated other comprehensive income (loss) related to the net unrealized gain on securities affected the net realized investment gains line item in the accompanying consolidated statements of earnings.   Also, reclassifications out of accumulated other comprehensive income (loss) related to the liability for pension benefits affected the liability for pension benefits line item in the accompanying consolidated balance sheets.

Income_Taxes

Income Taxes	9 Months Ended
	Sep. 30, 2013
Income Taxes [Abstract]	'
Income Taxes	'
	-10	Income Taxes
	Under Puerto Rico income tax law, the Corporation is not allowed to file consolidated tax returns with its subsidiaries.  The Corporation and its subsidiaries are subject to Puerto Rico income taxes.  The Corporation’s insurance subsidiaries are also subject to U.S. federal income taxes on foreign source dividend income.  As of September 30, 2013, tax years 2009 through 2012 of the Company and its subsidiaries are open for examination by Puerto Rico taxing authorities.
	Managed Care and Property and Casualty corporations are taxed essentially the same as other corporations, with taxable income primarily determined on the basis of the statutory annual statements filed with the insurance regulatory authorities.  Also, operations are subject to an alternative minimum income tax, which is calculated based on the formula established by existing tax laws. Any alternative minimum income tax paid may be used as a credit against the excess, if any, of regular income tax over the alternative minimum income tax in future years.
	The Life Insurance corporation operates as a qualified domestic life insurance company and is subject to the alternative minimum tax and taxes on its capital gains.
	All other corporations within the group are subject to Puerto Rico income taxes as a regular corporation, as defined in the P.R. Internal Revenue Code, as amended.  The holding company within the American Health (“AH”) group of companies is a U.S.-based corporation and is subject to U.S. federal income taxes.  This U.S-based corporation within our group has not provided U.S. deferred taxes on an outside basis difference created as a result of the business combination of AH and cumulative earnings of its Puerto Rico-based subsidiaries that are considered to be indefinitely reinvested.  The total outside basis difference at December 31, 2012 is estimated at $48,000.  We do not intend to repatriate earnings to fund U.S. and Puerto Rico operations nor do any transaction that would cause a reversal of that outside basis difference.  Because of the availability of U.S. foreign tax credits, it is not practicable to determine the U.S. federal income tax liability if such outside basis difference was reversed.
	On June 30, 2013 the Governor of Puerto Rico signed into law Puerto Rico’s Act No. 40 and other Acts, which among other things, increased the maximum corporate income tax rate from 30% to 39%.  This tax rate applies to fiscal years starting after December 31, 2012.  These new laws also include some amendments to the computations of the corporate alternative minimum tax, including the consideration of an additional tax on gross receipts.  In addition, the law established premium tax of 1% on premiums earned after June 30, 2013, except for annuities, premiums derived from Medicare Advantage, Medicaid, or the government of Puerto Rico’s MI SALUD program.
	Income taxes are accounted for under the asset and liability method.  Deferred tax assets and liabilities are recognized for future tax consequences attributable to differences between the financial statements carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carry-forwards.  Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled.  The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the consolidated statements of earnings in the period that includes the enactment date.  Quarterly income taxes are calculated using the effective tax rate determined based on the income forecasted for the full fiscal year.
	As a result of the recently enacted amendments to the income tax law in Puerto Rico mentioned above, the Corporation adjusted the value of its deferred taxes, resulting in a benefit of approximately $7,700 during the three months ended June 30, 2013.

Pension_Plan

Pension Plan	9 Months Ended
	Sep. 30, 2013
Pension Plan [Abstract]	'
Pension Plan	'
	-11	Pension Plan
	The components of net periodic benefit cost for the three months and nine months ended September 30, 2013 and 2012 were as follows:
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Components of net periodic benefit cost:
	Service cost		$	1,047		$	1,438		$	3,093		$	4,184
	Interest cost			1,947			1,963			5,851			5,688
	Expected return on assets			(1,662	)		(1,639	)		(5,054	)		(4,712	)
	Amortization of prior service benefit			(111	)		(117	)		(337	)		(340	)
	Amortization of actuarial loss			1,798			1,597			5,366			4,639
	Net periodic benefit cost		$	3,019		$	3,242		$	8,919		$	9,459
	Employer contributions: As of September 30, 2013, the Corporation has contributed $7,500 to the pension program.

Net_Income_Available_to_Stockh

Net Income Available to Stockholders and Net Income per Share	9 Months Ended
	Sep. 30, 2013
Net Income Available to Stockholders and Net Income per Share [Abstract]	'
Net Income Available to Stockholders and Net Income per Share	'
	-12	Net Income Available to Stockholders and Net Income per Share
	The following table sets forth the computation of basic and diluted earnings per share for the three months and nine months ended September 30, 2013 and 2012:
			Three months ended				Nine months ended
			September 30,				September 30,
			2013		2012		2013		2012
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders		$	18,641	$	11,715	$	56,021	$	36,264
	Denominator for basic earnings per share:
	Weighted average of common shares			27,336,724		28,348,097		27,812,521		28,343,550
	Effect of dilutive securities			102,370		105,946		103,179		129,193
	Denominator for diluted earnings per share			27,439,094		28,454,043		27,915,700		28,472,743
	Basic net income per share attributable to TSM		$	0.68	$	0.41	$	2.01	$	1.28
	Diluted net income per share attributable to TSM		$	0.68	$	0.41	$	2.01	$	1.27
	There were no anti-dilutive stock option shares excluded from the denominator for the diluted earnings per share computation during the three months and nine months ended September 30, 2013 and 2012.

Contingencies

Contingencies	9 Months Ended
	Sep. 30, 2013
Contingencies [Abstract]	'
Contingencies	'
	-13	Contingencies
	As of September 30, 2013, the Company is a defendant in various lawsuits arising in the ordinary course of business. We are also defendants in various other claims and proceedings, some of which are described below. Furthermore, the Commissioner of Insurance of Puerto Rico, as well as other Federal and Puerto Rico government authorities, regularly make inquiries and conduct audits concerning the Company's compliance with applicable insurance and other laws and regulations.
	Management believes that the aggregate liabilities, if any, arising from all such claims, assessments, audits and lawsuits will not have a material adverse effect on the consolidated financial position or results of operations of the Company. However, given the inherent unpredictability of these matters, it is possible that an adverse outcome in certain matters could have a material adverse effect on the financial condition, operating results and/or cash flows of the Company. Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution.
	Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have contractual rights to acquire shares of the Company on favorable terms ("Share Acquisition Agreements") or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.
	Hau et al Litigation (formerly known as Jordan et al)
	On April 24, 2002, Octavio Jordán, Agripino Lugo, Ramón Vidal, and others filed a suit against the Company, the Company's subsidiary Triple-S Salud, Inc. ("TSS") and others in the Court of First Instance for San Juan, Superior Section (the "Court of First Instance"), alleging, among other things, violations by the defendants of provisions of the Puerto Rico Insurance Code, antitrust violations, unfair business practices, RICO violations, breach of contract with providers, and damages in the amount of $12,000. Following years of complaint amendments, motions practice and interim appeals up to the level of the Puerto Rico Supreme Court, the plaintiffs amended their complaint on June 20, 2008 to allege with particularity the same claims initially asserted but on behalf of a more limited group of plaintiffs, and increase their claim for damages to approximately $207,000.  Plaintiffs amended their complaint for the third time in December 2010 and dropped all claims predicated on violations of the antitrust and RICO laws and the Puerto Rico Insurance Code. In addition, the plaintiffs voluntarily dismissed with prejudice any and all claims against officers of the Company and TSS. Two of the original plaintiffs were also eliminated from the Third Amended Complaint ("TAC"). The TAC alleges breach of six Share Acquisition Agreements, breach of the provider contract by way of discriminatory audits and improper payment of services rendered. Plaintiffs also allege a claim for libel and slander against a former president of the Company. In January 2011, we filed our response and a counterclaim for malicious prosecution and abuse of process. Discovery has been substantially completed. On April 13, 2012 the Company filed a motion to dismiss and for summary judgment, seeking the dismissal of the TAC, which the plaintiffs opposed. On March 25, 2013, the parties reached an agreement in open court that settles all claims and counterclaims involved in this case (which amount had already been reserved in our books).  The parties executed a written settlement agreement and general release and, on August 14, 2013, the court granted the parties’ joint petition to dismiss the complaint with prejudice and entered judgment dismissing the complaint.
	Dentists Association Litigation
	On February 11, 2009, the Puerto Rico Dentists Association (Colegio de Cirujanos Dentistas de Puerto Rico) filed a complaint in the Court of First Instance against 24 health plans operating in Puerto Rico that offer dental health coverage. The Company and two of its subsidiaries, TSS and Triple-C, Inc. ("TCI"), were included as defendants. This litigation purports to be a class action filed on behalf of Puerto Rico dentists who are similarly situated.
	The complaint alleges that the defendants, on their own and as part of a common scheme, systematically deny, delay and diminish the payments due to dentists so that they are not paid in a timely and complete manner for the covered medically necessary services they render. The complaint also alleges, among other things, violations to the Puerto Rico Insurance Code, antitrust laws, the Puerto Rico racketeering statute, unfair business practices, breach of contract with providers, and damages in the amount of $150,000. In addition, the complaint claims that the Puerto Rico Insurance Companies Association is the hub of an alleged conspiracy concocted by the member plans to defraud dentists. There are numerous available defenses to oppose both the request for class certification and the merits. The Company intends to vigorously defend this claim.
	Two codefendant plans, whose main operations are outside Puerto Rico, removed the case to federal court in Florida, which the plaintiffs and the other codefendants, including the Company, opposed. Following months of jurisdictional proceedings in the federal court system, the federal district court in Puerto Rico decided to retain jurisdiction on February 8, 2011. The defendants filed a joint motion to dismiss the case on the merits, because the complaint fails to state a claim upon which relief can be granted. On August 31, 2011, the District Court dismissed all of plaintiffs' claims except for its breach of contract claim, and ordered the parties to brief the issue of whether the court still has federal jurisdiction under the Class Action Fairness Act of 2005 (“CAFA”). Plaintiffs moved the court to reconsider its August 31, 2011 decision and the defendants did the same, arguing that the breach of contract claim failed to state a claim upon which relief can be granted. On May 2, 2012, the court denied the plaintiffs' motion. On May 31, 2012, plaintiffs appealed the District Court's dismissal of their complaint and the denial of plaintiffs' motion for reconsideration. The Court of Appeals for the First Circuit dismissed the appeal for lack of jurisdiction. On September 25, 2012 the District Court denied without prejudice the defendants' motion for reconsideration. On October 10, 2012 the parties filed their briefs with respect to class certification.  On March 13, 2013, the district court denied plaintiffs’ request for class certification and ordered the parties to brief the court on whether jurisdiction still exists under CAFA following such denial. On April 24, 2013, all parties briefed the court on this issue.  On September 6, 2013, the District Court dismissed the Dentist Association for lack of associational standing, leaving only the individual dentists as plaintiffs.  The court also granted plaintiffs’ leave to amend their complaint to address mediation or settlement negotiations and, to cure deficiencies pertaining to the breach-of-contract claims.  Originally the court granted plaintiffs until September 23 to comply with the order.  On plaintiffs’ motion, the Court extended the due date to December 23, 2013.
	Claims by Heirs of Former Shareholders
	The Company and TSS are defending six individual lawsuits, all filed in state court, from persons who claim to have inherited a total of 92 shares of the Company or one of its predecessors or affiliates (before giving effect to the 3,000-for-one stock split). While each case presents unique facts and allegations, the lawsuits generally allege that the redemption of the shares by the Company pursuant to transfer and ownership restrictions contained in the Company's (or its predecessors' or affiliates') articles of incorporation and bylaws was improper.
	In one of these cases, the plaintiffs argued that the redemption of shares was fraudulent and was not subject to the two-year statute of limitations contained in the local securities law. The Court of First Instance determined that the plaintiffs’ claims are time barred under the local securities law. The plaintiffs appealed, and in January 2012, the Puerto Rico Court of Appeals upheld the dismissal, holding that even if the plaintiffs could have survived the securities law's two-year statute of limitations, their complaint was time-barred under the Civil Code's four-year statute of limitations on claims of fraud. On March 28, 2012 the plaintiffs filed a petition for writ of certiorari before the Puerto Rico Supreme Court that was granted on May 31, 2012. We filed our respondent's brief on October 5, 2012. On October 1, 2013, the Supreme Court reversed the dismissal of the case, returning it to the Court of First Instance for the continuance of the case.
	In the second case, the Puerto Rico Court of First Instance granted the Company’s motion to dismiss on grounds that the complaint was time-barred under the two-year statute of limitations of the securities laws.  On appeal, the Court of Appeals affirmed the decision of the lower court. Plaintiffs filed a petition for certiorari before the Puerto Rico Supreme Court which was granted on January 20, 2012. On January 8, 2013, the Supreme Court ruled that the applicable statute of limitations is the fifteen-year period of the Puerto Rico Civil Code for collection of monies. On January 28, 2013, the Company filed a motion for reconsideration which was subsequently denied.  On March 26, 2013, Plaintiffs amended the complaint for the second time and the Company answered on April 16, 2013.  Discovery is ongoing.
	In the third case, the court of First Instance denied our motion for summary judgment based on its determination that there are material issues of fact in controversy. In response to our appeal, the Puerto Rico Court of Appeals confirmed the decision of the Court of First Instance. Our request for reconsideration was denied in December 2011. Trial is set to begin January 29, 2014.
	The fourth case was filed on November 29, 2011. The Company filed a motion to dismiss on the grounds that the claim is time barred under the local securities laws. While the motion to dismiss was pending, plaintiffs amended their complaint on October 15, 2012.  The Company filed a motion to dismiss the amended complaint.  On January 24, 2013, the court denied the motion to dismiss. The Company answered the complaint on March 8, 2013.  Subsequently, plaintiffs amended their complaint and the Company filed its response on June 13, 2013. Discovery is ongoing.
	The fifth case was filed on March 26, 2013, and the Company filed its response on May 16, 2013.  Discovery is ongoing.
	The sixth case was filed on April 16, 2013 and the Company filed its response on June 21, 2013.  On June 28, 2013, the court of First Instance ordered the plaintiff to reply to the Company’s response specifically on the matter of the statutes of limitations applicable to the complaint.  Plaintiff failed to timely respond and the Company moved to dismiss.  Plaintiff subsequently moved to amend the complaint.  Although the Company opposed it, the court granted leave.  The answer or other pleading to the complaint is due on November 14, 2013.
	Management believes the aforesaid claims are time barred under one or more statutes of limitations and will vigorously defend them on these grounds; however, as a result of the Supreme Court’s decision to deny the applicability of the statute of limitations contained in the local securities law, the claims will likely be litigated on their merits.
	Intrusions into Triple-C, Inc. Internet IPA Database
	On September 21, 2010, the Company learned from a competitor that a specific internet database managed by its subsidiary TCI containing information pertaining to individuals previously insured by TSS under the Government of Puerto Rico's Health Insurance Plan ("HIP") and to independent practice associations ("IPAs") that provided services to those individuals, had been accessed without authorization by certain of its competitor's employees from September 9 to September 15, 2010. TCI served as a third-party administrator for TSS in the administration of its HIP contracts until September 30, 2010.
	The Company conducted an investigation of these events with the assistance of external resources and identified the information that was accessed and downloaded into the competitor's network.
	The Company gave public notice of the intrusions and sent written notices to all identifiable beneficiaries potentially affected by the intrusions. It also established a toll-free call center to address inquiries and complaints from the individuals notified. The call center received approximately 1,530 inquiries. However, to date, the Company has not received complaints from potentially affected individuals.
	The Company reported these events to the appropriate Puerto Rico and federal government agencies. It then received and complied with requests for information from the Puerto Rico Health Insurance Administration ("ASES", by its acronym in Spanish) and the Office for Civil Rights ("OCR") of the U.S. Department of Health and Human Services, which entities are conducting reviews of these data breaches and TSS' and TCI's compliance with applicable security and privacy rules. ASES levied a fine of $100 on TSS in connection incidents, but following the Company's request for reconsideration, ASES withdrew the fine pending the outcome of the review by OCR. The Company at this time cannot reasonably assess the impact of these proceedings on the Company.
	The Company has conducted an assessment of its system-wide data and facility security and has taken measures to strengthen its systems' security and credential management procedures to prevent future intrusions.
	On February 11, 2011, the Company filed an action before the Puerto Rico Court of First Instance against certain individuals believed to have participated in the intrusions. The complaint was later amended to include additional defendants, including the Company's competitor. After being removed to the federal District Court for Puerto Rico, this case was remanded to state court and is in its initial pleadings stage.  On April 22, 2013, the state court denied all motions to dismiss filed in the case and ordered the defendants to answer the complaint.   After some of the defendants had answered, the Company reached a settlement agreement and executed a release regarding the intrusions referenced above.  A joint stipulation for dismissal with prejudice was executed and filed with the court on October 17, 2013.
	Joint Underwriting Association Litigations
	On August 19, 2011, plaintiffs, purportedly a class of motor vehicle owners, filed an action in the United States District Court for the District of Puerto Rico against the Puerto Rico Joint Underwriting Association ("JUA") and 18 other defendants, including Triple-S Propiedad, Inc. ("TSP"), alleging violations under the Puerto Rico Insurance Code, the Puerto Rico Civil Code, the Racketeer Influenced and Corrupt Organizations Act ("RICO") and the local statute against organized crime and money laundering. JUA is a private association created by law to administer a compulsory public liability insurance program for motor vehicles in Puerto Rico ("CLI"). As required by its enabling act, JUA is composed of all the insurers that underwrite private motor vehicle insurance in Puerto Rico and exceed the minimum underwriting percentage established in such act. TSP is a member of JUA.
	In this lawsuit, entitled Noemí Torres Ronda, et al v. Joint Underwriting Association, et al., plaintiffs allege that the defendants illegally charged and misappropriated a portion of the CLI premiums paid by motor vehicle owners in violation of the Puerto Rico Insurance Code. Specifically, they claim that because the defendants did not incur acquisition or administration costs allegedly totaling 12% of the premium dollar, charging for such costs constitutes the illegal traffic of premiums. Plaintiffs also claim that the defendants, as members of JUA, violated RICO through various inappropriate actions designed to defraud motor vehicle owners located in Puerto Rico and embezzle a portion of the CLI premiums for their benefit.
	Plaintiffs seek the reimbursement of funds for the class amounting to $406,600, treble damages under RICO, and equitable relief, including a permanent injunction and declaratory judgment barring defendants from their alleged conduct and practices, along with costs and attorneys' fees.
	On December 30, 2011, TSP and other insurance companies filed a joint motion to dismiss, arguing that plaintiffs' claims are barred by the filed rate doctrine, inasmuch a suit cannot be brought, even under RICO, to amend the compulsory liability insurance rates that were approved by the Puerto Rico Legislature and the Commissioner of Insurance of Puerto Rico. The motion also argues that since RICO is not a federal statute that specifically relates to the business of insurance, and its application in the claims at issue would frustrate state policy and interfere with Puerto Rico's insurance administrative regime, the McCarran-Ferguson Act precludes plaintiffs' claims. Finally, TSP argued that plaintiffs failed to allege the necessary elements of an actionable RICO claim, or, in the alternative, their damages claim is time barred.
	On February 17, 2012, plaintiffs filed their opposition. On April 4, 2012, TSP filed a reply in support of our motion to dismiss, which was denied by the court. On October 2, 2012, the court issued an order certifying the class. On October 12, 2012, several defendants, including TSP, filed an appeal before the U.S. Court of Appeals for the First District, requesting the court to vacate the District Court's certification order. The First Circuit denied the authorization to file the writ of appeals. The case is again before the court, pending further proceedings.
	Given the early stage of this case, the Company cannot assess the probability of an adverse outcome, or the reasonable financial impact that the outcome may have on the Company. The Company intends to vigorously defend this lawsuit.
	In re Blue Cross Blue Shield Antitrust Litigation
	TSS is a co-defendant with multiple Blue Plans and the BCBSA in a multi-district class action litigation that alleges that the exclusive service area (ESA) requirements of the Primary License Agreements with Plans violate antitrust law, and the plaintiffs in these suits seek monetary awards and in some instances, injunctive relief barring ESAs. Those cases have been centralized in the United States District Court for the Northern District of Alabama. Prior to centralization, motions have been filed to dismiss some of the cases and are pending the court’s decision.  Discovery has not yet commenced. The Company has joined BCBSA in vigorously contesting these claims.
	Claims Relating to the Provision of Health Care Services
	TSS is a defendant in a lawsuit filed in 2007 by Centro Médico del Turabo, Inc. ("CMT") in state court originally claiming approximately $3,700 for collection of monies due to unpaid invoices for emergency services rendered to TSS-insured patients pursuant to the Puerto Rico Patients' Bill of Rights.  In February 2012, CMT amended the complaint to increase the claimed amount to $9,800.  Discovery began in November 2012.  After careful review of invoices provided by CMT during discovery, TSS determined in April 2013 that a number of these invoices are valid, but believes the amount due to CMT is substantially below the amount claimed.  TSS is vigorously defending this lawsuit.
	Several other claims for collection of monies have been filed against TSS in connection with the provision of health care services.  Among them are individual complaints filed before the Puerto Rico Health Insurance Administration by six community health centers that contain similar breach of contract allegations and claim an aggregate of $9,597.  Discovery has not yet commenced in these complaints, and given their early stage, the Company cannot assess the probability of an adverse outcome or the reasonable financial impact that any such outcome may have on the Company.  However, we believe these complaints are time-barred and intend to vigorously defend them on these and other grounds.

Business_Combination

Business Combination	9 Months Ended
	Sep. 30, 2013
Business Combination [Abstract]	'
Business Combination	'
	-14	Business Combination
	On January 18, 2012, TSM completed the acquisition of 90.8% of the outstanding capital stock of a health clinic in Puerto Rico.  The cost of this acquisition was approximately $3,501, funded with unrestricted cash.  The following table summarizes the net assets acquired as a result of this acquisition:
	Cash		$	816
	Accounts receivable			1,466
	Property and equipment			12,289
	Intangible asset			2,730
	Other assets			296
	Accounts payable and accrued liabilities			(2,233	)
	Loans payable			(13,838	)
	Total net assets			1,526
	Fair value of noncontrolling interest			(372	)
	Total net assets		$	1,154
	The acquisition is being accounted for under the purchase method of accounting and the health clinic is included in the Company's consolidated financial statements from the January 18, 2012 acquisition date. The allocation of purchase price to the fair value of the acquired assets less the liabilities assumed indicated goodwill of approximately $2,300.  Goodwill will not be deductible for tax purposes and is attributable to synergies and economies of scale expected from the acquisition.

Subsequent_Events

Subsequent Events	9 Months Ended
	Sep. 30, 2013
Subsequent Events [Abstract]	'
Subsequent Events	'
	-15	Subsequent Events
	The Company evaluated subsequent events through the date that these consolidated interim financial statements were issued.
	On November 7, 2013, one of the Corporation’s subsidiaries, Triple-S Vida (“TSV”) completed the acquisition of 100% of the outstanding shares of capital stock of Atlantic Southern Insurance Company (“ASICO”) for an aggregate purchase price of approximately $10 million.  As a result of this acquisition, TSV expects to strengthen its leadership position in Puerto Rico’s life insurance industry, and the Company, together with its health business units, will expand its managed care business footprint into Costa Rica and the English-speaking Caribbean.  ASICO’s results from operations are not reflected in the accompanying consolidated financial statements since the effective date of the transaction is November 7, 2013.  The Company is in the process of obtaining third-party valuations of certain assets; thus, as of this date it is not possible to determine the allocation of the purchase price to the net assets acquired.
	No other events have occurred that require disclosure or adjustments.

Recent_Accounting_Standards_Po

Recent Accounting Standards (Policies)	9 Months Ended
	Sep. 30, 2013
Recent Accounting Standards [Abstract]	'
Recent Accounting Standards	'
	In July 2011, the FASB issued guidance to address questions about how health insurers should recognize and classify in their income statements fees mandated by the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act.  A health insurer’s portion of the annual fee becomes payable to the U.S. Treasury once the entity provides health insurance for any U.S. health risk for each applicable calendar year.  The amendments specify that the liability for the fee should be estimated and recorded in full once the entity provides qualifying health insurance in the applicable calendar year in which the fee is payable with a corresponding deferred cost that is amortized to expense using a straight-line method of allocation unless another method better allocates the fee over the calendar year that it is payable.  This guidance is effective for calendar years beginning after December 31, 2013, when the fee initially becomes effective.  We are currently evaluating the impact, if any, that the adoption of this guidance will have on our financial position or results of operations.
	In August 27, 2012 and October 1, 2012, the FASB issued guidance to make generally non-substantive technical corrections to certain codification topics, remove inconsistencies and outdated provisions, clarify the FASB’s intent and amend or delete various Securities and Exchange Commission (“SEC”) paragraphs.  In particular, the updates consist of:
		•	Technical corrections and amendments as part of the FASB’s standing agenda to review and improve the Accounting Standards Codification,
		•	Conforming amendments related to fair value measurements, in accordance with Topic 820,
		•	Reflect the issuance of the SEC’s Staff Accounting Bulletin No. 114, Revisions and Rescissions of Portions of the Interpretative Guidance Included in the Codification of Staff Accounting Bulletins, and
		•	Reflect the issuance of the SEC Final Rulemaking Release No. 33-9250, Technical Amendments to Commission Rules and Forms Related to the FASB's Accounting Standards Codification.
	The Corporation adopted this guidance in January 1, 2013; there was no significant impact on our financial position or results of operations as a result of the adoption.
	In February 5, 2013 the FASB issued guidance to improve the transparency of reporting reclassifications out of accumulated other comprehensive income.  In particular, the guidance requires an entity to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under GAAP to be reclassified in its entirety to net income.  For other amounts that are not required under GAAP to be reclassified in their entirety to net income in the same reporting period, an entity is required to cross-reference other disclosures required under GAAP that provide additional detail about those amounts.  This guidance applies to all entities that issue financial statements that are presented in conformity with GAAP and that report items of other comprehensive income.  The Corporation adopted this guidance in January 1, 2013; there was no significant impact on our financial position or results of operations as a result of the adoption.
	In July 18, 2013, the FASB issued guidance regarding the presentation in the statement of financial position of an unrecognized tax benefit when a net operating loss carry-forward or a tax credit carry-forward exists.  In particular, the guidance provides that an entity's unrecognized tax benefit, or a portion of its unrecognized tax benefit, should be presented in its financial statements as a reduction to a deferred tax asset for a net operating loss carry-forward, a similar tax loss, or a tax credit carry-forward, with one exception.  That exception states that, to the extent a net operating loss carry-forward, a similar tax loss, or a tax credit carry-forward is not available at the reporting date under the tax law of the applicable jurisdiction to settle any additional income taxes that would result from the disallowance of a tax position, or the tax law of the applicable jurisdiction does not require the entity to use, and the entity does not intend to use, the deferred tax asset for such purpose, the unrecognized tax benefit should be presented in the financial statements as a liability and should not be combined with deferred tax assets.  This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2013.  We are currently evaluating the impact, if any, the adoption of this guidance will have on the financial position or results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the nine months ended September 30, 2013 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Segment_Information_Tables

Segment Information (Tables)	9 Months Ended
	Sep. 30, 2013
Segment Information [Abstract]	'
Operations by major operating segment	'
	The following tables summarize the operations by reportable segment for the three months and nine months ended September 30, 2013 and 2012:
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	491,046		$	508,152		$	1,483,456		$	1,531,703
	Administrative service fees			22,450			27,181			78,103			82,473
	Intersegment premiums /service fees			1,369			1,489			4,142			4,622
	Net investment income			3,975			3,999			12,009			11,783
	Total managed care			518,840			540,821			1,577,710			1,630,581
	Life Insurance:
	Premiums earned, net			32,279			31,654			95,991			92,190
	Intersegment premiums			88			107			304			302
	Net investment income			5,303			5,207			16,317			15,304
	Total life insurance			37,670			36,968			112,612			107,796
	Property and Casualty Insurance:
	Premiums earned, net			24,549			25,801			74,423			71,264
	Intersegment premiums			153			153			460			460
	Net investment income			2,041			2,210			6,077			6,707
	Total property and casualty insurance			26,743			28,164			80,960			78,431
	Other segments: *
	Intersegment service fees			1,981			3,634			7,211			10,887
	Operating revenues from external sources			1,240			1,207			3,640			3,361
	Total other segments			3,221			4,841			10,851			14,248
	Total business segments			586,474			610,794			1,782,133			1,831,056
	TSM operating revenues from external sources			43			143			300			447
	Elimination of intersegment premiums			(1,610	)		(1,749	)		(4,906	)		(5,384	)
	Elimination of intersegment service fees			(1,981	)		(3,634	)		(7,211	)		(10,887	)
	Other intersegment eliminations			-			35			44			105
	Consolidated operating revenues		$	582,926		$	605,589		$	1,770,360		$	1,815,337
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Operating income (loss)	'
			Three months ended						Nine months ended
			September 30,						September 30,
			2013			2012			2013			2012
	Operating income:
	Managed care		$	7,274		$	7,329		$	41,165		$	33,320
	Life insurance			3,795			4,065			11,512			12,480
	Property and casualty insurance			402			1,936			974			4,047
	Other segments *			(939	)		(349	)		(1,452	)		(188	)
	Total business segments			10,532			12,981			52,199			49,659
	TSM operating revenues from external sources			43			143			300			447
	TSM unallocated operating expenses			(2,673	)		(111	)		(9,440	)		(8,405	)
	Elimination of TSM intersegment charges			2,436			2,477			6,805			6,870
	Consolidated operating income			10,338			15,490			49,864			48,571
	Consolidated net realized investment gains			(144	)		21			3,405			2,157
	Consolidated interest expense			(2,379	)		(2,956	)		(7,189	)		(8,181	)
	Consolidated other income, net			13,931			598			14,778			1,514
	Consolidated income before taxes		$	21,746		$	13,153		$	60,858		$	44,061
	Depreciation and amortization expense:
	Managed care		$	4,744		$	5,397		$	15,322		$	15,747
	Life insurance			257			219			672			547
	Property and casualty insurance			133			136			399			434
	Other segments*			240			221			764			622
	Total business segments			5,374			5,973			17,157			17,350
	TSM depreciation expense			216			215			647			639
	Consolidated depreciation and amortization expense		$	5,590		$	6,188		$	17,804		$	17,989
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets	'
			September 30,			December 31,
			2013			2012
	Assets:
	Managed care		$	970,918		$	916,712
	Life insurance			687,103			691,425
	Property and casualty insurance			362,331			356,161
	Other segments *			30,895			31,480
	Total business segments			2,051,247			1,995,778
	Unallocated amounts related to TSM:
	Cash, cash equivalents, and investments			28,334			41,334
	Property and equipment, net			20,783			21,430
	Other assets			36,347			29,858
				85,464			92,622
	Elimination entries-intersegment receivables and others			(61,189	)		(29,056	)
	Consolidated total assets		$	2,075,522		$	2,059,344
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Investment_in_Securities_Table

Investment in Securities (Tables)	9 Months Ended
	Sep. 30, 2013
Investment in Securities [Abstract]	'
Amortized cost and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security	'
	The amortized cost for debt securities and cost for equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security at September 30, 2013 and December 31, 2012, were as follows:
		30-Sep-13
					Gross			Gross
		Amortized			unrealized			unrealized			Estimated
		cost			gains			losses			fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises	$	69,220		$	2,084		$	(82	)	$	71,222
	U.S. Treasury securities and obligations of U.S. government instrumentalities		39,096			1,376			-			40,472
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		47,005			257			(5,290	)		41,972
	Municipal securities		598,332			26,795			(4,892	)		620,235
	Corporate bonds		135,587			11,208			(699	)		146,096
	Residential mortgage-backed securities		11,213			348			(19	)		11,542
	Collateralized mortgage obligations		99,397			3,290			(172	)		102,515
	Total fixed maturities		999,850			45,358			(11,154	)		1,034,054
	Equity securities
	Mutual funds		226,237			41,661			(2,204	)		265,694
	Total equity securities		226,237			41,661			(2,204	)		265,694
	Total	$	1,226,087		$	87,019		$	(13,358	)	$	1,299,748
		31-Dec-12
					Gross			Gross
		Amortized			unrealized			unrealized			Estimated
		cost			gains			losses			fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government sponsored enterprises	$	56,758		$	4,876		$	-		$	61,634
	U.S. Treasury securities and obligations of U.S. government instrumentalities		39,365			1,848			-			41,213
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		63,470			2,277			(2	)		65,745
	Municipal securities		529,822			59,106			(165	)		588,763
	Corporate bonds		106,968			22,899			-			129,867
	Residential mortgage-backed securities		20,009			551			(52	)		20,508
	Collateralized mortgage obligations		147,071			5,129			(169	)		152,031
	Total fixed maturities		963,463			96,686			(388	)		1,059,761
	Equity securities:
	Common stock		16			993			-			1,009
	Mutual funds		185,498			23,256			(41	)		208,713
	Total equity securities		185,514			24,249			(41	)		209,722
	Total	$	1,148,977		$	120,935		$	(429	)	$	1,269,483
		30-Sep-13
					Gross			Gross
		Amortized			unrealized			unrealized			Estimated
		cost			gains			losses			fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises	$	1,793		$	49		$	-		$	1,842
	U.S. Treasury securities and obligations of U.S. government instrumentalities		623			145			-			768
	Corporate bonds								-			-
	Residential mortgage-backed securities		345			24			-			369
	Certificates of deposit		2,119			-			-			2,119
	Total	$	4,880		$	218		$	-		$	5,098
		31-Dec-12
					Gross			Gross
		Amortized			unrealized			unrealized			Estimated
		cost			gains			losses			fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises	$	1,793		$	115		$	-		$	1,908
	U.S. Treasury securities and obligations of U.S. government instrumentalities		623			225			-			848
	Residential mortgage-backed securities		450			37			-			487
	Certificates of deposit		2,134			-			-			2,134
	Total	$	5,000		$	377		$	-		$	5,377
Securities in continuous unrealized loss position	'
	Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of September 30, 2013 and December 31, 2012 were as follows:
		30-Sep-13
		Less than 12 months									12 months or longer								Total
					Gross									Gross							Gross
		Estimated			Unrealized			Number of			Estimated			Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value			Loss			Securities		Fair Value		Loss			Securities
	Securites available for sale:
	Fixed maturities:
	Obligations of government- sponsored enterprises	$	11,968		$	(82	)		1		$	-		$	-			-	$	11,968	$	(82	)		1
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		20,028			(5,290	)		5			-			-			-		20,028		(5,290	)		5
	Municipal securities		177,445			(4,892	)		44			-			-			-		177,445		(4,892	)		44
	Corporate bonds		33,686			(699	)		15			-			-			-		33,686		(699	)		15
	Residential mortgage-backed securities		5,587			(19	)		4			-			-			-		5,587		(19	)		4
	Collateralized mortgage obligations		7,692			(78	)		6			3,676			(94	)		1		11,368		(172	)		7
	Total fixed maturities		256,406			(11,060	)		75			3,676			(94	)		1		260,082		(11,154	)		76
	Equity securities:
	Mutual funds		72,299			(2,204	)		13			-			-			-		72,299		(2,204	)		13
	Total equity securities		72,299			(2,204	)		13			-			-			-		72,299		(2,204	)		13
	Total for securities available for sale	$	328,705		$	(13,264	)		88		$	3,676		$	(94	)		1	$	332,381	$	(13,358	)		89
		31-Dec-12
		Less than 12 months									12 months or longer								Total
					Gross									Gross							Gross
		Estimated			Unrealized			Number of			Estimated			Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value			Loss			Securities		Fair Value		Loss			Securities
	Securites available for sale:
	Fixed maturities:
	Obligations of government-
	Commonwealth of Puerto
	Rico and its instrumentalities	$	5,770		$	(2	)		1		$	-		$	-			-	$	5,770	$	(2	)		1
	Municipal securities		27,426			(165	)		10			-			-			-		27,426		(165	)		10
	Residential mortgage-backed securities		5,892			(52	)		2			-			-			-		5,892		(52	)		2
	Collateralized mortgage obligations		20,894			(169	)		6			-			-			-		20,894		(169	)		6
	Total fixed maturities		59,982			(388	)		19			-			-			-		59,982		(388	)		19
	Equity securities:
	Mutual funds		-			-			-			2,708			(41	)		1		2,708		(41	)		1
	Total equity securities		-			-			-			2,708			(41	)		1		2,708		(41	)		1
	Total for securities available for sale	$	59,982		$	(388	)		19		$	2,708		$	(41	)		1	$	62,690	$	(429	)		20
Maturities of investment securities classified as available for sale and held to maturity	'
	Maturities of investment securities classified as available for sale and held to maturity at September 30, 2013 were as follows:
		30-Sep-13
		Amortized			Estimated
		cost			fair value
	Securities available for sale:
	Due in one year or less	$	48,124		$	48,422
	Due after one year through five years		229,711			235,519
	Due after five years through ten years		146,846			154,002
	Due after ten years		464,559			482,054
	Residential mortgage-backed securities		11,213			11,542
	Collateralized mortgage obligations		99,397			102,515
		$	999,850		$	1,034,054
	Securities held to maturity:
	Due in one year or less	$	2,119		$	2,119
	Due after five years through ten years		1,793			1,842
	Due after ten years		623			768
	Residential mortgage-backed securities		345			369
		$	4,880		$	5,098
Realized gains and losses from investments	'
	Information regarding realized and unrealized gains and losses from investments for the three months and nine months ended September 30, 2013 and 2012 is as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
	Realized gains (losses):
	Fixed maturity securities:
	Securities available for sale:
	Gross gains from sales	$	620		$	99		$	2,900		$	1,731
	Gross losses from sales		(1,086	)		-			(1,613	)		(189	)
	Total debt securities		(466	)		99			1,287			1,542
	Equity securities:
	Securities available for sale:
	Gross gains from sales		814			388			3,445			1,850
	Gross losses from sales		(492	)		(466	)		(1,327	)		(1,235	)
	Total equity securities		322			(78	)		2,118			615
	Net realized gains on securities	$	(144	)	$	21		$	3,405		$	2,157
Changes in net unrealized gains (losses)	'
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
	Changes in net unrealized gains (losses):
	Recognized in accumulated other comprehensive income:
	Fixed maturities – available for sale	$	(14,052	)	$	8,493		$	(62,094	)		21,550
	Equity securities – available for sale	$	7,719			8,964			15,249			18,491
		$	(6,333	)	$	17,457		$	(46,845	)	$	40,041
	Not recognized in the consolidated financial statements:
	Fixed maturities – held to maturity	$	(41	)	$	(6	)	$	(159	)	$	(157	)
Components of net investment income	'
	The components of net investment income were as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
	Fixed maturities	$	9,307		$	9,481		$	27,533		$	28,828
	Equity securities		1,717			1,760			6,236			4,453
	Policy loans		119			117			351			348
	Cash equivalents and interest-bearing deposits		16			34			61			88
	Other		204			203			568			632
	Total	$	11,363		$	11,595		$	34,749		$	34,349

Premiums_and_Other_Receivables1

Premiums and Other Receivables, Net (Tables)	9 Months Ended
	Sep. 30, 2013
Premiums and Other Receivables, Net [Abstract]	'
Premiums and other receivables, net	'
	Premiums and other receivables, net as of September 30, 2013 and December 31, 2012 were as follows:
		September 30,		December 31,
		2013		2012
	Premiums	$	95,596	$	113,537
	Self-funded group receivables		65,376		64,359
	FEHBP		11,518		11,707
	Agent balances		30,700		34,261
	Accrued interest		10,641		11,409
	Reinsurance recoverable		51,972		52,063
	Other		47,961		29,290
			313,764		316,626
	Less allowance for doubtful receivables:
	Premiums		17,686		14,416
	Other		11,026		10,013
			28,712		24,429
	Total premiums and other receivables, net	$	285,052	$	292,197

Claim_Liabilities_Tables

Claim Liabilities (Tables)	9 Months Ended
	Sep. 30, 2013
Claim Liabilities [Abstract]	'
Activity in total claim liabilities	'
	The activity in the total claim liabilities for the three months and nine months ended September 30, 2013 and 2012 was as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
	Claim liabilities at beginning of period	$	413,271		$	421,894		$	416,918		$	391,259
	Reinsurance recoverable on claim liabilities		(36,521	)		(37,124	)		(39,051	)		(37,234	)
	Net claim liabilities at beginning of period		376,750			384,770			377,867			354,025
	Incurred claims and loss-adjustment expenses:
	Current period insured events		453,732			476,450			1,382,769			1,451,254
	Prior period insured events		(2,967	)		3,138			(30,521	)		(10,504	)
	Total		450,765			479,588			1,352,248			1,440,750
	Payments of losses and loss-adjustment expenses:
	Current period insured events		430,591			452,411			1,066,842			1,129,384
	Prior period insured events		16,329			21,068			282,678			274,512
	Total		446,920			473,479			1,349,520			1,403,896
	Net claim liabilities at end of period		380,595			390,879			380,595			390,879
	Reinsurance recoverable on claim liabilities		36,254			37,310			36,254			37,310
	Claim liabilities at end of period	$	416,849		$	428,189		$	416,849		$	428,189

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	9 Months Ended
	Sep. 30, 2013
Fair Value Measurements [Abstract]	'
Fair value measurements by level	'
	The following tables summarize fair value measurements by level at September 30, 2013 and December 31, 2012 for assets measured at fair value on a recurring basis:
		30-Sep-13
		Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-	$	71,222	$	-	$	71,222
	U.S. Treasury securities and obligations of U.S government instrumentalities		40,472		-		-		40,472
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		41,972		-		41,972
	Municipal securities		-		620,235		-		620,235
	Corporate bonds		-		146,096		-		146,096
	Residential agency mortgage-backed securities		-		11,542		-		11,542
	Collateralized mortgage obligations		-		102,515		-		102,515
	Total fixed maturities		40,472		993,582		-		1,034,054
	Equity securities
	Mutual funds		152,576		96,326		16,792		265,694
	Total equity securities		152,576		96,326		16,792		265,694
	Total	$	193,048	$	1,089,908	$	16,792	$	1,299,748
		31-Dec-12
		Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-	$	61,634	$	-	$	61,634
	U.S. Treasury securities and obligations of U.S government instrumentalities		41,213		-		-		41,213
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		65,745		-		65,745
	Municipal securities		-		588,763		-		588,763
	Corporate bonds		-		129,867		-		129,867
	Residential agency mortgage-backed securities		-		20,508		-		20,508
	Collateralized mortgage obligations		-		152,031		-		152,031
	Total fixed maturities		41,213		1,018,548		-		1,059,761
	Equity securities
	Common stock		1,009		-		-		1,009
	Mutual funds		134,398		61,493		12,822		208,713
	Total equity securities		135,407		61,493		12,822		209,722
	Total	$	176,620	$	1,080,041	$	12,822	$	1,269,483
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3)	'
	A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months and nine months ended September 30, 2013 and 2012 is as follows:
		Three months ended
		30-Sep-13						30-Sep-12
		Fixed						Fixed
		Maturity		Equity				Maturity		Equity
		Securities		Securities		Total		Securities		Securities			Total
	Beginning balance	$	-	$	16,354	$	16,354	$	-	$	9,014		$	9,014
	Unrealized gain in other accumulated comprehensive income		-		193		193		-		473			473
	Purchases		-		245		245		-		2,000			2,000
	Ending balance	$	-	$	16,792	$	16,792	$	-	$	11,487		$	11,487
		Nine months ended
		30-Sep-13						30-Sep-12
		Fixed						Fixed
		Maturity		Equity				Maturity		Equity
		Securities		Securities		Total		Securities		Securities			Total
	Beginning balance	$	-	$	12,822	$	12,822	$	-	$	7,094		$	7,094
	Unrealized gain in other accumulated comprehensive income		-		2,217		2,217		-		884			884
	Purchases		-		1,753		1,753		-		4,579			4,579
	Transfers in and/or out of Level 3		-		-		-		-		(1,070	)		(1,070	)
	Ending balance	$	-	$	16,792	$	16,792	$	-	$	11,487		$	11,487
Carrying value and fair value by level of financial instruments not recorded at fair value on consolidated balance sheet	'
	A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at September 30, 2013 and December 31, 2012 are as follows:
		30-Sep-13
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	6,370	$	-	$	6,370	$	-	$	6,370
	Liabilities:
	Policyholder deposits	$	114,737	$	-	$	114,737	$	-	$	114,737
	Long-term borrowings:
	Loans payable to bank - variable		16,517		-		16,517		-		16,517
	Loans payable to bank - fixed		13,279		-		13,279		-		13,279
	6.6% senior unsecured notes payable		35,000		-		34,213		-		34,213
	Repurchase agreement		25,000		-		25,698		-		25,698
	Total long-term borrowings		89,796		-		89,707		-		89,707
	Total liabilities	$	204,533	$	-	$	204,444	$	-	$	204,444
		31-Dec-12
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	6,161	$	-	$	6,161	$	-	$	6,161
	Liabilities:
	Policyholder deposits	$	111,692	$	-	$	111,692	$	-	$	111,692
	Long-term borrowings:
	Loans payable to bank - variable		17,747		-		17,747		-		17,747
	Loans payable to bank - fixed		13,524		-		13,524		-		13,524
	6.6% senior unsecured notes payable		35,000		-		34,213		-		34,213
	6.7% senior unsecured notes payable		10,000		-		9,950		-		9,950
	Repurchase agreement		25,000		-		25,937		-		25,937
	Total long-term borrowings		101,271		-		101,371		-		101,371
	Total liabilities	$	212,963	$	-	$	213,063	$	-	$	213,063

Comprehensive_Income_Tables

Comprehensive Income (Tables)	9 Months Ended
	Sep. 30, 2013
Comprehensive Income [Abstract]	'
Accumulated balances of other comprehensive income, net of tax	'
	The accumulated balances for each classification of other comprehensive income (loss), net of tax, are as follows:
								Accumulated
		Net unrealized			Liability for			other
		gain on			pension			comprehensive
		securities			benefits			income (loss)
	Balance at January 1, 2013	$	102,515		$	(53,411	)	$	49,104
	Other comprehensive loss before reclassifications		(37,014	)		-			(37,014	)
	Amounts reclassified from accumulated other comprehensive income (loss)		(2,894	)		3,068			174
	Net current period change		(39,908	)		3,068			(36,840	)
	Balance at September 30, 2013	$	62,607		$	(50,343	)	$	12,264

Pension_Plan_Tables

Pension Plan (Tables)	9 Months Ended
	Sep. 30, 2013
Pension Plan [Abstract]	'
Components of net periodic benefit cost	'
	The components of net periodic benefit cost for the three months and nine months ended September 30, 2013 and 2012 were as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2013			2012			2013			2012
	Components of net periodic benefit cost:
	Service cost	$	1,047		$	1,438		$	3,093		$	4,184
	Interest cost		1,947			1,963			5,851			5,688
	Expected return on assets		(1,662	)		(1,639	)		(5,054	)		(4,712	)
	Amortization of prior service benefit		(111	)		(117	)		(337	)		(340	)
	Amortization of actuarial loss		1,798			1,597			5,366			4,639
	Net periodic benefit cost	$	3,019		$	3,242		$	8,919		$	9,459

Net_Income_Available_to_Stockh1

Net Income Available to Stockholders and Net Income per Share (Tables)	9 Months Ended
	Sep. 30, 2013
Net Income Available to Stockholders and Net Income per Share [Abstract]	'
Computation of basic and diluted earnings per share	'
	The following table sets forth the computation of basic and diluted earnings per share for the three months and nine months ended September 30, 2013 and 2012:
		Three months ended				Nine months ended
		September 30,				September 30,
		2013		2012		2013		2012
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders	$	18,641	$	11,715	$	56,021	$	36,264
	Denominator for basic earnings per share:
	Weighted average of common shares		27,336,724		28,348,097		27,812,521		28,343,550
	Effect of dilutive securities		102,370		105,946		103,179		129,193
	Denominator for diluted earnings per share		27,439,094		28,454,043		27,915,700		28,472,743
	Basic net income per share attributable to TSM	$	0.68	$	0.41	$	2.01	$	1.28
	Diluted net income per share attributable to TSM	$	0.68	$	0.41	$	2.01	$	1.27

Business_Combination_Tables

Business Combination (Tables)	9 Months Ended
	Sep. 30, 2013
Business Combination [Abstract]	'
Consideration transferred to acquire 90.8% of health clinic	'
	The following table summarizes the net assets acquired as a result of this acquisition:
	Cash	$	816
	Accounts receivable		1,466
	Property and equipment		12,289
	Intangible asset		2,730
	Other assets		296
	Accounts payable and accrued liabilities		(2,233	)
	Loans payable		(13,838	)
	Total net assets		1,526
	Fair value of noncontrolling interest		(372	)
	Total net assets	$	1,154

Basis_of_Presentation_Details

Basis of Presentation (Details) (Class B Common Stock [Member], USD $)	3 Months Ended
	Sep. 30, 2013	16-May-13
Class B Common Stock [Member]	'	'
New stock offering [Line Items]	'	'
Shares of stock sold by selling shareholders to underwriters (in shares)	'	6,210,423
Sale of stock by selling shareholders to underwriter price per share (in dollars per share)	'	$18.25
Shares of stock purchased by underwriter pursuant to over allotment option (in shares)	'	810,055
Stock repurchased and retired by Company during period (in shares)	1,000,000	'
Stock repurchase and retired by Company, price per share (in dollars per share)	$18.25	'

Segment_Information_Details

Segment Information (Details) (USD $)	3 Months Ended				9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013		Sep. 30, 2012		Sep. 30, 2013		Sep. 30, 2012		Dec. 31, 2012
					Segment
Segment Information [Abstract]	'		'		'		'		'
Number of operating segments	'		'		3		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	$547,874		$565,607		$1,653,870		$1,695,157		'
Net investment income	11,363		11,595		34,749		34,349		'
Operating revenues from external sources	596,713		606,208		1,788,543		1,819,008		'
Elimination of intersegment premiums	-1,610		-1,749		-4,906		-5,384		'
Elimination of intersegment service fees	-1,981		-3,634		-7,211		-10,887		'
Other intersegment eliminations	0		35		44		105		'
Total operating revenues	582,926		605,589		1,770,360		1,815,337		'
Operating income [Abstract]	'		'		'		'		'
Elimination of TSM intersegment charges	2,436		2,477		6,805		6,870		'
Consolidated operating income	10,338		15,490		49,864		48,571		'
Consolidated net realized investment gains	-144		21		3,405		2,157		'
Consolidated interest expense	-2,379		-2,956		-7,189		-8,181		'
Consolidated other income, net	13,931		598		14,778		1,514		'
Consolidated income before taxes	21,746		13,153		60,858		44,061		'
Depreciation and amortization expense: [Abstract]	'		'		'		'		'
Depreciation and amortization expense	5,374		5,973		17,157		17,350		'
TSM depreciation expense	216		215		647		639		'
Consolidated depreciation and amortization expense	5,590		6,188		17,804		17,989		'
Assets: [Abstract]	'		'		'		'		'
Assets	2,075,522		'		2,075,522		'		2,059,344
Unallocated amounts related to TSM: [Abstract]	'		'		'		'		'
Unallocated amount related to TSM	85,464		'		85,464		'		92,622
Elimination entries-intersegment receivables and others	-61,189		'		-61,189		'		-29,056
Managed Care [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	491,046		508,152		1,483,456		1,531,703		'
Administrator service fees	22,450		27,181		78,103		82,473		'
Intersegment premiums/services fees	1,369		1,489		4,142		4,622		'
Net investment income	3,975		3,999		12,009		11,783		'
Total Reportable Segment	518,840		540,821		1,577,710		1,630,581		'
Operating income [Abstract]	'		'		'		'		'
Operating income:	7,274		7,329		41,165		33,320		'
Depreciation and amortization expense: [Abstract]	'		'		'		'		'
Depreciation and amortization expense	4,744		5,397		15,322		15,747		'
Assets: [Abstract]	'		'		'		'		'
Assets	970,918		'		970,918		'		916,712
Life Insurance [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	32,279		31,654		95,991		92,190		'
Intersegment premiums/services fees	88		107		304		302		'
Net investment income	5,303		5,207		16,317		15,304		'
Total Reportable Segment	37,670		36,968		112,612		107,796		'
Operating income [Abstract]	'		'		'		'		'
Operating income:	3,795		4,065		11,512		12,480		'
Depreciation and amortization expense: [Abstract]	'		'		'		'		'
Depreciation and amortization expense	257		219		672		547		'
Assets: [Abstract]	'		'		'		'		'
Assets	687,103		'		687,103		'		691,425
Property and Casualty Insurance [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	24,549		25,801		74,423		71,264		'
Intersegment premiums/services fees	153		153		460		460		'
Net investment income	2,041		2,210		6,077		6,707		'
Total Reportable Segment	26,743		28,164		80,960		78,431		'
Operating income [Abstract]	'		'		'		'		'
Operating income:	402		1,936		974		4,047		'
Depreciation and amortization expense: [Abstract]	'		'		'		'		'
Depreciation and amortization expense	133		136		399		434		'
Assets: [Abstract]	'		'		'		'		'
Assets	362,331		'		362,331		'		356,161
Operating Segments [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Intersegment premiums/services fees	1,981	[1]	3,634	[1]	7,211	[1]	10,887	[1]	'
Operating revenues from external sources	1,240	[1]	1,207	[1]	3,640	[1]	3,361	[1]	'
Total Reportable Segment	3,221	[1]	4,841	[1]	10,851	[1]	14,248	[1]	'
Unallocated Amount to Segment [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
TSM operating revenue from external sources	43		143		300		447		'
Operating income [Abstract]	'		'		'		'		'
TSM operating revenues from external sources	43		143		300		447		'
TSM unallocated operating expenses	-2,673		-111		-9,440		-8,405		'
Unallocated amounts related to TSM: [Abstract]	'		'		'		'		'
Cash, cash equivalents, and investments	28,334		'		28,334		'		41,334
Property and equipment, net	20,783		'		20,783		'		21,430
Other assets	36,347		'		36,347		'		29,858
Reportable Segment [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Total business segments	586,474		610,794		1,782,133		1,831,056		'
Operating income [Abstract]	'		'		'		'		'
Operating income:	10,532		12,981		52,199		49,659		'
Assets: [Abstract]	'		'		'		'		'
Assets	2,051,247		'		2,051,247		'		1,995,778
All Other Segments [Member]	'		'		'		'		'
Operating income [Abstract]	'		'		'		'		'
Operating income:	-939	[1]	-349	[1]	-1,452	[1]	-188	[1]	'
Depreciation and amortization expense: [Abstract]	'		'		'		'		'
Depreciation and amortization expense	240	[1]	221	[1]	764	[1]	622	[1]	'
Assets: [Abstract]	'		'		'		'		'
Assets	$30,895	[1]	'		$30,895	[1]	'		$31,480	[1]
[1]	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Investment_in_Securities_Detai

Investment in Securities (Details) (USD $)

3 Months Ended

9 Months Ended

12 Months Ended

1 Months Ended

3 Months Ended

9 Months Ended

3 Months Ended

9 Months Ended

In Thousands, unless otherwise specified

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Oct. 31, 2013

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2013

Security

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Subsequent Event [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Equity Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Fixed Maturities Securities [Member]

Obligation Government-sponsored Enterprises [Member]

Obligation Government-sponsored Enterprises [Member]

Obligation Government-sponsored Enterprises [Member]

Obligation Government-sponsored Enterprises [Member]

U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]

U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]

Municipal Securities [Member]

Municipal Securities [Member]

Municipal Securities [Member]

Municipal Securities [Member]

Municipal Securities [Member]

Municipal Securities [Member]

Corporate Bonds [Member]

Corporate Bonds [Member]

Corporate Bonds [Member]

Corporate Bonds [Member]

Residential Agency Mortgage-backed Securities [Member]

Residential Agency Mortgage-backed Securities [Member]

Residential Agency Mortgage-backed Securities [Member]

Residential Agency Mortgage-backed Securities [Member]

Residential Agency Mortgage-backed Securities [Member]

Residential Agency Mortgage-backed Securities [Member]

Collateralized Mortgage Obligations [Member]

Collateralized Mortgage Obligations [Member]

Collateralized Mortgage Obligations [Member]

Collateralized Mortgage Obligations [Member]

Collateralized Mortgage Obligations [Member]

Collateralized Mortgage Obligations [Member]

Certificates of Deposit [Member]

Certificates of Deposit [Member]

Common Stocks [Member]

Mutual Funds [Member]

Mutual Funds [Member]

Mutual Funds [Member]

Mutual Funds [Member]

Mutual Funds [Member]

Mutual Funds [Member]

Escrow Bonds [Member]

Cofina Bonds [Member]

Security

Security

Security

Security

Security

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Less Than 12 Months [Member]

12 Months or Longer [Member]

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Less Than 12 Months [Member]

12 Months or Longer [Member]

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Security

Less Than 12 Months [Member]

Less Than 12 Months [Member]

12 Months or Longer [Member]

12 Months or Longer [Member]

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Security

Securities available for Sale, Amortized cost [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Fixed maturities, Amortized cost

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$999,850

'

$999,850

'

$963,463

'

'

'

'

$69,220

$56,758

'

'

$39,096

$39,365

$47,005

$63,470

'

'

'

'

$598,332

$529,822

'

'

'

'

$135,587

$106,968

'

'

$11,213

$20,009

'

'

'

'

$99,397

$147,071

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Equity securities, Amortized cost

'

'

'

'

'

'

'

'

'

'

226,237

'

226,237

'

185,514

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

16

226,237

185,498

'

'

'

'

'

'

Total

1,226,087

'

1,226,087

'

1,148,977

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gross unrealized gains

87,019

'

87,019

'

120,935

'

'

'

'

'

41,661

'

41,661

'

24,249

'

'

'

'

45,358

'

45,358

'

96,686

'

'

'

'

2,084

4,876

'

'

1,376

1,848

257

2,277

'

'

'

'

26,795

59,106

'

'

'

'

11,208

22,899

'

'

348

551

'

'

'

'

3,290

5,129

'

'

'

'

'

'

993

41,661

23,256

'

'

'

'

257

'

Gross unrealized losses

-13,358

'

-13,358

'

-429

'

'

'

'

'

-2,204

'

-2,204

'

-41

'

'

'

'

-11,154

'

-11,154

'

-388

'

'

'

'

-82

0

'

'

0

0

-5,290

-2

'

'

'

'

-4,892

-165

'

'

'

'

-699

0

'

'

-19

-52

'

'

'

'

-172

-169

'

'

'

'

'

'

0

-2,204

-41

'

'

'

'

'

5,290

Estimated fair value

1,299,748

'

1,299,748

'

1,269,483

'

'

'

'

'

265,694

'

265,694

'

209,722

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1,009

265,694

208,713

'

'

'

'

'

'

Securities held to maturity [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Amortized cost

4,880

'

4,880

'

5,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1,793

1,793

'

'

623

623

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

345

450

'

'

'

'

'

'

'

'

'

'

2,119

2,134

'

'

'

'

'

'

'

'

'

Gross unrealized gains

218

'

218

'

377

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

49

115

'

'

145

225

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

24

37

'

'

'

'

'

'

'

'

'

'

0

0

'

'

'

'

'

'

'

'

'

Gross unrealized losses

0

'

0

'

0

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

0

0

'

'

0

0

'

'

'

'

'

'

'

'

'

'

'

'

0

'

'

'

0

0

'

'

'

'

'

'

'

'

'

'

0

0

'

'

'

'

'

'

'

'

'

Estimated fair value

5,098

'

5,098

'

5,377

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1,842

1,908

'

'

768

848

'

'

'

'

'

'

'

'

'

'

'

'

0

'

'

'

369

487

'

'

'

'

'

'

'

'

'

'

2,119

2,134

'

'

'

'

'

'

'

'

'

Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Less than 12 months, Estimated Fair Value

328,705

'

328,705

'

59,982

'

'

'

'

'

72,299

'

72,299

'

0

'

'

'

'

256,406

'

256,406

'

59,982

'

'

'

'

11,968

'

'

'

'

'

20,028

5,770

'

'

'

'

177,445

27,426

'

'

'

'

33,686

'

'

'

5,587

5,892

'

'

'

'

7,692

20,894

'

'

'

'

'

'

'

72,299

0

'

'

'

'

'

'

12 months or longer, Estimated Fair Value

3,676

'

3,676

'

2,708

'

'

'

'

'

0

'

0

'

2,708

'

'

'

'

3,676

'

3,676

'

0

'

'

'

'

0

'

'

'

'

'

0

0

'

'

'

'

0

0

'

'

'

'

0

'

'

'

0

0

'

'

'

'

3,676

0

'

'

'

'

'

'

'

0

2,708

'

'

'

'

'

'

Estimated Fair Value, Total

332,381

'

332,381

'

62,690

'

'

'

'

'

72,299

'

72,299

'

2,708

'

'

'

'

260,082

'

260,082

'

59,982

'

'

'

'

11,968

'

'

'

'

'

20,028

5,770

'

'

'

'

177,445

27,426

'

'

'

'

33,686

'

'

'

5,587

5,892

'

'

'

'

11,368

20,894

'

'

'

'

'

'

'

72,299

2,708

'

'

'

'

'

'

Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Less than 12 months, Gross Unrealized Losses

-13,264

'

-13,264

'

-388

'

'

'

'

'

-2,204

'

-2,204

'

0

'

'

'

'

-11,060

'

-11,060

'

-388

'

'

'

'

-82

'

'

'

'

'

-5,290

-2

'

'

'

'

-4,892

-165

'

'

'

'

-699

'

'

'

-19

-52

'

'

'

'

-78

-169

'

'

'

'

'

'

'

-2,204

0

'

'

'

'

'

'

12 months or longer, Gross Unrealized Losses

-94

'

-94

'

-41

'

'

'

'

'

0

'

0

'

-41

'

'

'

'

-94

'

-94

'

0

'

'

'

'

0

'

'

'

'

'

0

0

'

'

'

'

0

0

'

'

'

'

0

'

'

'

0

0

'

'

'

'

-94

0

'

'

'

'

'

'

'

0

-41

'

'

'

'

'

'

Gross Unrealized Losses, Total

-13,358

'

-13,358

'

-429

'

'

'

'

'

-2,204

'

-2,204

'

-41

'

'

'

'

-11,154

'

-11,154

'

-388

'

'

'

'

-82

'

'

'

'

'

-5,290

-2

'

'

'

'

-4,892

-165

'

'

'

'

-699

'

'

'

-19

-52

'

'

'

'

-172

-169

'

'

'

'

'

'

'

-2,204

-41

'

'

'

'

'

'

Number of Securities

89

'

89

'

20

88

19

1

1

'

13

'

13

'

1

13

0

0

1

76

'

76

'

19

75

19

1

0

1

'

1

0

'

'

5

1

5

1

0

0

44

10

44

10

0

0

15

'

15

0

4

2

4

2

0

0

7

6

6

6

1

0

'

'

'

13

1

13

0

0

1

'

'

Minimum percentage of gross unrealized investment losses as cost (in hundredths)

'

'

20.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Minimum unrealized loss of investment as indicator of other-than-temporary impairment

'

'

100

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of sales tax levied on bonds (in hundredths)

'

'

7.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of portion on sales tax bonds belongs to municipalities (in hundredths)

'

'

1.50%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of remaining portion on sales tax bonds (in hundredths)

'

'

5.50%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Covenant percentage pledged on sales tax bond (in hundredths)

'

'

3.50%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of pledged amount on sales tax bond (in hundredths)

'

'

2.75%

'

'

'

'

'

'

3.50%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Securities available for sale, Amortized Cost [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due in one year or less, amortized cost

48,124

'

48,124

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after one year through five, amortized cost

229,711

'

229,711

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after five year through ten years, amortized cost

146,846

'

146,846

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after ten years, amortized cost

464,559

'

464,559

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Residential mortgage-backed securities, amortized Cost

11,213

'

11,213

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Collateralized mortgage obligations, amortized cost

99,397

'

99,397

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Amortized Cost, Total

999,850

'

999,850

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Securities available for sale, Estimated Fair Value [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due in one year or less, estimated fair value

48,422

'

48,422

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after one year through five, estimated fair value

235,519

'

235,519

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after five year through ten years, estimated fair value

154,002

'

154,002

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after ten years, estimated fair value

482,054

'

482,054

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Residential mortgage-backed securities, estimated fair value

11,542

'

11,542

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Collateralized mortgage obligations, estimated fair value

102,515

'

102,515

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Estimated fair value, Total

1,034,054

'

1,034,054

'

1,059,761

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1,034,054

'

1,034,054

'

1,059,761

'

'

'

'

71,222

61,634

'

'

40,472

41,213

41,972

65,745

'

'

'

'

620,235

588,763

'

'

'

'

146,096

129,867

'

'

11,542

20,508

'

'

'

'

102,515

152,031

'

'

'

'

'

'

'

'

'

'

'

'

'

21,944

20,028

Securities held to maturity, Amortized Cost [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due in one year or less, amortized Cost

2,119

'

2,119

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after five through ten years, amortized Cost

1,793

'

1,793

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after ten years, amortized cost

623

'

623

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Residential mortgage-backed securities, amortized cost

345

'

345

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Amortized cost, total

4,880

'

4,880

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Securities held to maturity, Estimated Fair Value [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due in one year or less, estimated fair value

2,119

'

2,119

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after five through ten years, estimated fair value

1,842

'

1,842

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Due after ten years, estimated fair value

768

'

768

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Residential mortgage-backed securities, estimated fair value

369

'

369

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Estimated fair value, total

5,098

'

5,098

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Securities available for sale [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gross gains from sales

814

388

3,445

1,850

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

620

99

2,900

1,731

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gross losses from sales

-492

-466

-1,327

-1,235

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

-1,086

0

-1,613

-189

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Total fixed maturity securities

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

-466

99

1,287

1,542

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Total equity securities

322

-78

2,118

615

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Net realized gain on securities

-144

21

3,405

2,157

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Recognized in accumulated other comprehensive income: [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Available-for-sale Securities

-6,333

17,457

-46,845

40,041

'

'

'

'

'

'

7,719

8,964

15,249

18,491

'

'

'

'

'

-14,052

8,493

-62,094

21,550

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Not recognized in the consolidated financial statements [Abstract]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Held-to-maturity Securities, Change in Unrecognized Holding Loss

-41

-6

-159

-157

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Deferred tax liability related to unrealized gains and losses

$6,937

($5,033)

$6,937

($5,033)

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of individual investment in securities to stockholders' equity (in hundredths)

'

'

10.00%

'

10.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Investment_in_Securities_Incom

Investment in Securities, Income By Category (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	$11,363	$11,595	$34,749	$34,349
Fixed Maturities [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	9,307	9,481	27,533	28,828
Equity Securities [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	1,717	1,760	6,236	4,453
Policy Loans [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	119	117	351	348
Cash Equivalents and Interest-Bearing Deposits [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	16	34	61	88
Other [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Investment Income, Net, Total	$204	$203	$568	$632

Premiums_and_Other_Receivables2

Premiums and Other Receivables, Net (Details) (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Premiums and Other Receivables, Net [Abstract]	'	'
Premiums	$95,596	$113,537
Self-funded group receivables	65,376	64,359
FEHBP	11,518	11,707
Agent balances	30,700	34,261
Accrued interest	10,641	11,409
Reinsurance recoverable	51,972	52,063
Other	47,961	29,290
Premiums and other receivables, total	313,764	316,626
Less allowance for doubtful receivables [Abstract]	'	'
Premiums	17,686	14,416
Other	11,026	10,013
Premiums and other receivables allowance	28,712	24,429
Total premiums and other receivables, net	$285,052	$292,197

Claim_Liabilities_Details

Claim Liabilities (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Claim liabilities [Roll Forward]	'	'	'	'
Claim liabilities at beginning of period	$413,271	$421,894	$416,918	$391,259
Reinsurance recoverable on claim liabilities	-36,521	-37,124	-39,051	-37,234
Net claim liabilities at beginning of period	376,750	384,770	377,867	354,025
Incurred claims and loss-adjustment expenses: [Abstract]	'	'	'	'
Current period insured events	453,732	476,450	1,382,769	1,451,254
Prior period insured events	-2,967	3,138	-30,521	-10,504
Total	450,765	479,588	1,352,248	1,440,750
Payments of losses and loss-adjustment expenses: [Abstract]	'	'	'	'
Current period insured events	430,591	452,411	1,066,842	1,129,384
Prior period insured events	16,329	21,068	282,678	274,512
Total	446,920	473,479	1,349,520	1,403,896
Net claim liabilities at end of period	380,595	390,879	380,595	390,879
Reinsurance recoverable on claim liabilities	36,254	37,310	36,254	37,310
Claim liabilities at end of period	416,849	428,189	416,849	428,189
Change in liability for future policy benefits, expense	$5,667	$5,907	$17,002	$16,638

Fair_Value_Measurements_Detail

Fair Value Measurements (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Dec. 31, 2012
6.6% Senior Unsecured Notes Payable [Member]	'	'	'	'	'
Long-term borrowings [Abstract]	'	'	'	'	'
Fixed rate of interest on notes payable (in hundredths)	6.60%	'	6.60%	'	6.60%
6.7% Senior Unsecured Notes Payable [Member]	'	'	'	'	'
Long-term borrowings [Abstract]	'	'	'	'	'
Fixed rate of interest on notes payable (in hundredths)	'	'	'	'	6.70%
Carrying Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	$6,370	'	$6,370	'	$6,161
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	114,737	'	114,737	'	111,692
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	16,517	'	16,517	'	17,747
Loans payable to bank - fixed	13,279	'	13,279	'	13,524
6.6% senior unsecured notes payable	35,000	'	35,000	'	35,000
6.7% senior unsecured notes payable	'	'	'	'	10,000
Repurchase agreement	25,000	'	25,000	'	25,000
Total long-term borrowings	89,796	'	89,796	'	101,271
Total liabilities	204,533	'	204,533	'	212,963
Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	6,370	'	6,370	'	6,161
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	114,737	'	114,737	'	111,692
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	16,517	'	16,517	'	17,747
Loans payable to bank - fixed	13,279	'	13,279	'	13,524
6.6% senior unsecured notes payable	34,213	'	34,213	'	34,213
6.7% senior unsecured notes payable	'	'	'	'	9,950
Repurchase agreement	25,698	'	25,698	'	25,937
Total long-term borrowings	89,707	'	89,707	'	101,371
Total liabilities	204,444	'	204,444	'	213,063
Level 1 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	0	'	0	'	0
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	0	'	0	'	0
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	0	'	0	'	0
Loans payable to bank - fixed	0	'	0	'	0
6.6% senior unsecured notes payable	0	'	0	'	0
6.7% senior unsecured notes payable	'	'	'	'	0
Repurchase agreement	0	'	0	'	0
Total long-term borrowings	0	'	0	'	0
Total liabilities	0	'	0	'	0
Level 2 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	6,370	'	6,370	'	6,161
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	114,737	'	114,737	'	111,692
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	16,517	'	16,517	'	17,747
Loans payable to bank - fixed	13,279	'	13,279	'	13,524
6.6% senior unsecured notes payable	34,213	'	34,213	'	34,213
6.7% senior unsecured notes payable	'	'	'	'	9,950
Repurchase agreement	25,698	'	25,698	'	25,937
Total long-term borrowings	89,707	'	89,707	'	101,371
Total liabilities	204,444	'	204,444	'	213,063
Level 3 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	0	'	0	'	0
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	0	'	0	'	0
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	0	'	0	'	0
Loans payable to bank - fixed	0	'	0	'	0
6.6% senior unsecured notes payable	0	'	0	'	0
6.7% senior unsecured notes payable	'	'	'	'	0
Repurchase agreement	0	'	0	'	0
Total long-term borrowings	0	'	0	'	0
Total liabilities	0	'	0	'	0
Fair Value, Measurements, Recurring [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	71,222	'	71,222	'	61,634
U.S. Treasury securities and obligations of U.S. government instrumentalities	40,472	'	40,472	'	41,213
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	41,972	'	41,972	'	65,745
Municipal securities	620,235	'	620,235	'	588,763
Corporate bonds	146,096	'	146,096	'	129,867
Residential agency mortgage-backed securities	11,542	'	11,542	'	20,508
Collateralized mortgage obligations	102,515	'	102,515	'	152,031
Total fixed maturities	1,034,054	'	1,034,054	'	1,059,761
Equity securities [Abstract]	'	'	'	'	'
Common stocks	'	'	'	'	1,009
Mutual funds	265,694	'	265,694	'	208,713
Total equity securities	265,694	'	265,694	'	209,722
Assets, fair value disclosure, Total	1,299,748	'	1,299,748	'	1,269,483
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	16,354	9,014	12,822	7,094	'
Unrealized gain in other accumulated comprehensive income	193	473	2,217	884	'
Purchases	245	2,000	1,753	4,579	'
Transfers in and/or out of Level 3	'	'	0	-1,070	'
Ending balance	16,792	11,487	16,792	11,487	'
Fair Value, Measurements, Recurring [Member] | Fixed Maturities Securities [Member]	'	'	'	'	'
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	0	0	0	0	'
Unrealized gain in other accumulated comprehensive income	0	0	0	0	'
Purchases	0	0	0	0	'
Transfers in and/or out of Level 3	'	'	0	0	'
Ending balance	0	0	0	0	'
Fair Value, Measurements, Recurring [Member] | Equity Securities [Member]	'	'	'	'	'
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	16,354	9,014	12,822	7,094	'
Unrealized gain in other accumulated comprehensive income	193	473	2,217	884	'
Purchases	245	2,000	1,753	4,579	'
Transfers in and/or out of Level 3	'	'	0	-1,070	'
Ending balance	16,792	11,487	16,792	11,487	'
Fair Value, Measurements, Recurring [Member] | Level 1 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	0	'	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	40,472	'	40,472	'	41,213
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0	'	0
Municipal securities	0	'	0	'	0
Corporate bonds	0	'	0	'	0
Residential agency mortgage-backed securities	0	'	0	'	0
Collateralized mortgage obligations	0	'	0	'	0
Total fixed maturities	40,472	'	40,472	'	41,213
Equity securities [Abstract]	'	'	'	'	'
Common stocks	'	'	'	'	1,009
Mutual funds	152,576	'	152,576	'	134,398
Total equity securities	152,576	'	152,576	'	135,407
Assets, fair value disclosure, Total	193,048	'	193,048	'	176,620
Fair Value, Measurements, Recurring [Member] | Level 2 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	71,222	'	71,222	'	61,634
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	41,972	'	41,972	'	65,745
Municipal securities	620,235	'	620,235	'	588,763
Corporate bonds	146,096	'	146,096	'	129,867
Residential agency mortgage-backed securities	11,542	'	11,542	'	20,508
Collateralized mortgage obligations	102,515	'	102,515	'	152,031
Total fixed maturities	993,582	'	993,582	'	1,018,548
Equity securities [Abstract]	'	'	'	'	'
Common stocks	'	'	'	'	0
Mutual funds	96,326	'	96,326	'	61,493
Total equity securities	96,326	'	96,326	'	61,493
Assets, fair value disclosure, Total	1,089,908	'	1,089,908	'	1,080,041
Fair Value, Measurements, Recurring [Member] | Level 3 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	0	'	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0	'	0
Municipal securities	0	'	0	'	0
Corporate bonds	0	'	0	'	0
Residential agency mortgage-backed securities	0	'	0	'	0
Collateralized mortgage obligations	0	'	0	'	0
Total fixed maturities	0	'	0	'	0
Equity securities [Abstract]	'	'	'	'	'
Common stocks	'	'	'	'	0
Mutual funds	16,792	'	16,792	'	12,822
Total equity securities	16,792	'	16,792	'	12,822
Assets, fair value disclosure, Total	$16,792	'	$16,792	'	$12,822

ShareBased_Compensation_Detail

Share-Based Compensation (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Share-Based Compensation [Abstract]	'	'	'	'
Compensation expense	$1,188	$517	$2,351	$1,876
Cash received from exercise of stock options	'	'	$0	$316
Stock option exercises during period (in shares)	'	'	14,095	140,666

Comprehensive_Income_Details

Comprehensive Income (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance at January 1, 2013	'	'	$49,104	'
Other comprehensive loss before reclassifications	'	'	-37,014	'
Amounts reclassified from accumulated other comprehensive income (loss)	'	'	174	'
Total other comprehensive income (loss), net of tax	-4,357	15,873	-36,840	38,017
Balance at September 30, 2013	12,264	'	12,264	'
Net Unrealized Gain on Securities [Member]	'	'	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance at January 1, 2013	'	'	102,515	'
Other comprehensive loss before reclassifications	'	'	-37,014	'
Amounts reclassified from accumulated other comprehensive income (loss)	'	'	-2,894	'
Total other comprehensive income (loss), net of tax	'	'	-39,908	'
Balance at September 30, 2013	62,607	'	62,607	'
Liability for Pension Benefits [Member]	'	'	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance at January 1, 2013	'	'	-53,411	'
Other comprehensive loss before reclassifications	'	'	0	'
Amounts reclassified from accumulated other comprehensive income (loss)	'	'	3,068	'
Total other comprehensive income (loss), net of tax	'	'	3,068	'
Balance at September 30, 2013	($50,343)	'	($50,343)	'

Income_Taxes_Details

Income Taxes (Details) (USD $)	Dec. 31, 2012	Sep. 30, 2013	Jun. 30, 2013	Sep. 30, 2013	Sep. 30, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified		Puerto Rico [Member]	Puerto Rico [Member]	Puerto Rico [Member]	Puerto Rico [Member]	Puerto Rico [Member]
					Minimum [Member]	Maximum [Member]
Income Tax Examination [Line Items]	'	'	'	'	'	'
Years subject to examination by taxing authority	'	'	'	'	'2009	'2012
Total outside basis difference	$48,000	'	'	'	'	'
Approved maximum corporate income tax rate (in hundredths)	'	'	'	'	30.00%	39.00%
Special premium charged against premiums collected by Company	'	'	'	1.00%	'	'
Deferred Taxes, net credit	'	'	-7,700	'	'	'
Current foreign tax expense (benefit)	'	12,800	'	'	'	'
Effective foreign income tax rate special distribution (in hundredths)	'	50.00%	'	'	'	'
Foreign entity special distribution property and casualty	'	$25,600	'	'	'	'

Pension_Plan_Details

Pension Plan (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Components of net periodic benefit cost [Abstract]	'	'	'	'
Service cost	$1,047	$1,438	$3,093	$4,184
Interest cost	1,947	1,963	5,851	5,688
Expected return on assets	-1,662	-1,639	-5,054	-4,712
Amortization of prior service benefit	-111	-117	-337	-340
Amortization of actuarial loss	1,798	1,597	5,366	4,639
Net periodic benefit cost	3,019	3,242	8,919	9,459
Expected employer future contributions	$7,500	'	$7,500	'

Net_Income_Available_to_Stockh2

Net Income Available to Stockholders and Net Income per Share (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Numerator for earnings per share: [Abstract]	'	'	'	'
Net income attributable to TSM available to stockholders	$18,570	$11,715	$55,950	$36,264
Denominator for basic earnings per share: [Abstract]	'	'	'	'
Weighted average of common shares (in shares)	27,336,724	28,348,097	27,812,521	28,343,550
Effect of dilutive securities (in shares)	102,370	105,946	103,179	129,193
Denominator for diluted earnings per share (in shares)	27,439,094	28,454,043	27,915,700	28,472,743
Basic net income per share attributable to TSM (in dollars per share)	$0.68	$0.41	$2.01	$1.28
Diluted net income per share attributable to TSM (in dollars per share)	$0.68	$0.41	$2.01	$1.27
Antidilutive stock options excluded from diluted EPS calculation	0	0	0	0

Contingencies_Details

Contingencies (Details) (USD $)	9 Months Ended							9 Months Ended
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2013	Sep. 30, 2013	Sep. 30, 2013	Sep. 30, 2013	Feb. 29, 2012	Dec. 31, 2007	Sep. 30, 2013
	Hau Et Al Litigation [Member]	Puerto Rico Dentists Association Litigation [Member]	Claims of Heirs of Former Shareholders [Member]	Intrusions Into Triple-C, Inc. Internet IPA Database [Member]	Joint Underwriting Association Litigations [Member]	Centro Medico del Turabo Inc Claim [Member]	Centro Medico del Turabo Inc Claim [Member]	Community Health Centers - Puerto Rico [Member]
		Plan	Lawsuit	Inquiry	Lawsuit			Lawsuit
Loss Contingencies [Line Items]	'	'	'	'	'	'	'	'
Lawsuit filing date	'April 24, 2002	'	'	'	'	'	'	'
Amount of claims for damages	$12,000	$150,000	'	'	$406,600	'	'	'
Increase in amount of claim for damages	207,000	'	'	'	'	'	'	'
Number of defending individual lawsuits	'	'	6	'	18	'	'	6
Number of shares claimed to have inherited (in shares)	'	'	92	'	'	'	'	'
Number of inquiries received	'	'	'	1,530	'	'	'	'
Number of health plans	'	24	'	'	'	'	'	'
Fine levied but reversed on breach of security breach	'	'	'	100	'	'	'	'
Percentage of premium amount charged as administrative cost (in hundredths)	'	'	'	'	12.00%	'	'	'
Claims Relating to the Provision of Health Care Services [Abstract]	'	'	'	'	'	'	'	'
Amount of claim for collection of unpaid invoices	'	'	'	'	'	$9,800	$3,700	$9,597

Business_Combination_Details

Business Combination (Details) (2012 Acquisition [Member], USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Jan. 18, 2012
2012 Acquisition [Member]	'	'
Business Acquisition [Line Items]	'	'
Date of business acquisition	18-Jan-12	'
Percentage of outstanding capital stock acquired (in hundredths)	'	90.80%
Cost of business acquisition	'	$3,501
Consideration transferred to acquire 90.8% stake in health clinic [Abstract]	'	'
Cash	'	816
Account receivable	'	1,466
Property, and equipment	'	12,289
Intangible asset	'	2,730
Other assets	'	296
Accounts payable and accrued liabilities	'	-2,233
Loans payable	'	-13,838
Total net assets	'	1,526
Fair value of noncontrolling interest	'	-372
Total net assets	'	1,154
Excess of net assets over consideration	'	$2,300

Subsequent_Events_Details

Subsequent Events (Details) (Subsequent Event [Member], Atlantic Southern Insurance Company [Member], USD $)	1 Months Ended
In Millions, unless otherwise specified	Nov. 07, 2013
Subsequent Event [Member] | Atlantic Southern Insurance Company [Member]	'
Subsequent Event [Line Items]	'
Acquisition of outstanding shares of capital stock, percentage (in hundredths)	100.00%
Acquisition of outstanding shares of capital stock, aggregate purchase price	$10
Acquisition of outstanding shares of capital stock, effective date of transaction	7-Nov-13