Triple-s Management (GTS) 10-Q 6 May 14 2014 Q1 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	3 Months Ended
	Mar. 31, 2014
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	'2014
Document Fiscal Period Focus	'Q1
Document Type	'10-Q
Amendment Flag	'false
Document Period End Date	31-Mar-14
Common Class A [Member]	'
Entity Information [Line Items]	'
Entity Common Stock, Shares Outstanding	2,377,689
Common Class B [Member]	'
Entity Information [Line Items]	'
Entity Common Stock, Shares Outstanding	24,907,272

Consolidated_Balance_Sheets_Un

Consolidated Balance Sheets (Unaudited) (USD $)	Mar. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Securities available for sale, at fair value:	'	'
Fixed maturities	$1,089,479	$1,055,874
Equity securities	232,728	239,933
Securities held to maturity, at amortized cost:	'	'
Fixed maturities	6,261	6,139
Policy loans	6,734	6,705
Cash and cash equivalents	84,728	74,356
Total investments and cash	1,419,930	1,383,007
Premiums and other receivables, net	304,252	274,939
Deferred policy acquisition costs and value of business acquired	177,066	177,289
Property and equipment, net	87,340	89,086
Deferred tax asset	31,836	33,519
Goodwill	25,397	25,397
Other assets	78,552	64,387
Total assets	2,124,373	2,047,624
Liabilities and Stockholders' Equity	'	'
Claim liabilities	446,710	420,421
Liability for future policy benefits	311,338	304,363
Unearned premiums	78,730	87,362
Policyholder deposits	115,561	115,923
Liability to Federal Employees' Health Benefits Program (FEHBP)	5,021	8,148
Accounts payable and accrued liabilities	186,426	161,422
Deferred tax liability	23,045	20,783
Long-term borrowings	88,804	89,302
Liability for pension benefits	56,046	54,697
Total liabilities	1,311,681	1,262,421
Triple-S Management Corporation stockholders' equity	'	'
Additional paid-in capital	127,909	130,098
Retained earnings	602,640	595,685
Accumulated other comprehensive income	55,062	32,129
Total Triple-S Management Corporation stockholders' equity	812,896	785,381
Non-controlling interest in consolidated subsidiary	-204	-178
Total stockholders' equity	812,692	785,203
Total liabilities and stockholders' equity	2,124,373	2,047,624
Class A Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock	2,378	2,378
Class B Common Stock [Member]	'	'
Triple-S Management Corporation stockholders' equity	'	'
Common stock	$24,907	$25,091

Consolidated_Balance_Sheets_Un1

Consolidated Balance Sheets (Unaudited) (Parenthetical) (USD $)	Mar. 31, 2014	Dec. 31, 2013
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	2,377,689
Common stock, outstanding (in shares)	2,377,689	2,377,689
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)	24,907,272	25,091,277
Common stock, outstanding (in shares)	24,907,272	25,091,277

Consolidated_Statements_of_Ear

Consolidated Statements of Earnings (Unaudited) (USD $)	3 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Revenues:	'	'
Premiums earned, net	$541,852	$549,961
Administrative service fees	29,750	27,110
Net investment income	11,351	11,367
Other operating revenues	1,494	1,187
Total operating revenues	584,447	589,625
Net realized investment gains	126	1,888
Other income, net	246	481
Total revenues	584,819	591,994
Benefits and expenses :	'	'
Claims incurred	449,107	452,000
Operating expenses	125,367	114,865
Total operating costs	574,474	566,865
Interest expense	2,305	2,384
Total benefits and expenses	576,779	569,249
Income before taxes	8,040	22,745
Income tax expense (benefit):	'	'
Current	1,527	5,463
Deferred	-416	99
Total income taxes	1,111	5,562
Net income	6,929	17,183
Less: Net loss attributable to non-controlling interest	26	55
Net income attributable to Triple-S Management Corporation	$6,955	$17,238
Earnings per share attributable to Triple-S Management Corporation	'	'
Basic net income per share (in dollars per share)	$0.26	$0.61
Diluted net income per share (in dollars per share)	$0.25	$0.61

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Income (Unaudited) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Consolidated Statements of Comprehensive Income (Unaudited) [Abstract]	'	'
Net income	$6,929	$17,183
Other comprehensive income (loss), net of tax:	'	'
Net unrealized change in fair value of available for sale securities, net of taxes	22,302	6,642
Defined benefit pension plan:	'	'
Actuarial loss, net	705	1,249
Prior service credit, net	-74	-79
Total other comprehensive income, net of tax	22,933	7,812
Comprehensive income	29,862	24,995
Comprehensive income attributable to non-controlling interest	26	55
Comprehensive income attributable to Triple-S Management Corporation	$29,888	$25,050

Consolidated_Statements_of_Sto

Consolidated Statements of Stockholders' Equity (Unaudited) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Increase (Decrease) in Stockholders' Equity [Roll Forward]	'	'
Balance at January 1	$785,381	$761,907
Share-based compensation	625	678
Repurchase and retirement of common stock	-2,998	0
Net current period change in comprehensive income	29,888	25,050
Total Triple-S Management Corporation stockholders' equity	812,896	787,635
Non-controlling interest in consolidated subsidiary	-204	185
Balance at March 31	$812,692	$787,820

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (Unaudited) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Cash flows from operating activities:	'	'
Net income	$6,929	$17,183
Adjustments to reconcile net income to net cash provided by operating activities:	'	'
Depreciation and amortization	5,105	6,259
Net amortization of investments	1,429	1,467
Provision for doubtful receivables, net	1,830	2,772
Deferred tax expense (benefit)	-416	99
Net realized investment gain on sale of securities	-126	-1,888
Share-based compensation	625	678
(Increase) decrease in assets:	'	'
Premium and other receivables, net	-29,463	-2,578
Deferred policy acquisition costs and value of business acquired	223	874
Other deferred taxes	57	1
Other assets	-15,844	1,549
Increase (decrease) in liabilities:	'	'
Claim liabilities	26,289	-2,794
Liability for future policy benefits	6,975	4,928
Unearned premiums	-8,632	-9,538
Policyholder deposits	840	779
Liability to FEHBP	-3,127	-1,722
Accounts payable and accrued liabilities	28,775	13,096
Net cash provided by operating activities	21,469	31,165
Securities available for sale:	'	'
Fixed maturities sold	53,701	15,904
Fixed maturities matured/called	12,758	29,775
Equity securities sold	27,632	9,246
Securities held to maturity:	'	'
Fixed maturities matured/called	124	0
Securities available for sale:	'	'
Fixed maturities	-80,146	-31,023
Equity securities	-17,123	-76,095
Securities held to maturity:	'	'
Fixed maturities	-250	0
Other investments	-128	-106
Net outflows from policy loans	-29	-97
Net capital expenditures	-1,917	-6,130
Net cash used in investing activities	-5,378	-58,526
Cash flows from financing activities:	'	'
Change in outstanding checks in excess of bank balances	-1,021	20,521
Repayments of short-term borrowings	0	-21,500
Repayments of long-term borrowings	-498	-493
Repurchase and retirement of common stock	-2,998	0
Proceeds from policyholder deposits	1,344	3,020
Surrenders of policyholder deposits	-2,546	-1,156
Net cash (used in) provided by financing activities	-5,719	392
Net increase (decrease) in cash and cash equivalents	10,372	-26,969
Cash and cash equivalents:	'	'
Beginning of period	74,356	89,564
End of period	$84,728	$62,595

Basis_of_Presentation

Basis of Presentation	3 Months Ended
	Mar. 31, 2014
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, 2013.
	In the opinion of management, all adjustments, consisting of normal recurring adjustments necessary for a fair presentation of such consolidated interim financial statements have been included.  The results of operations for the three months ended March 31, 2014 are not necessarily indicative of the results for the full year ending December 31, 2014.

Recent_Accounting_Standards

Recent Accounting Standards	3 Months Ended
	Mar. 31, 2014
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. We adopted the provisions of this guidance on January 1, 2014 and recorded a liability in the consolidated accounts payable and accrued liabilities in the first quarter of 2014 of approximately $28,500 representing an estimate of the fee for 2014.  A corresponding deferred cost was recorded in the consolidated other assets.  The Corporation will update this estimate for any adjustment in subsequent quarters.  During the three months ended March 31, 2014, approximately $7,100 of the deferred cost was recognized within the consolidated operating expenses; the remainder will be recognized on a straight-line basis over the balance of 2014.  For federal income tax purposes, the fee is treated as an excise tax, for which no deduction is allowed under the Internal Revenue Code.
	On 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.  The Company adopted this guidance on January 1, 2014; there was no significant impact on our financial position or results of operations as a result of the adoption.
	On March 14, 2014, the FASB issued guidance that amended the Master Glossary of the Accounting Standards Codification (“ASC”), including technical corrections related to glossary links, glossary term deletions, and glossary term name changes.  In addition, this guidance included more substantive, limited-scope improvements to reduce instances of the same term appearing multiple times in the Master Glossary with similar, but not entirely identical, definitions.  These are items that represent narrow and incremental improvements to U.S. GAAP and are not purely technical corrections and affect a wide variety of Topics in the ASC.  The amendments in this guidance apply to all reporting entities within the scope of the affected accounting guidance and are effective upon issuance for both public entities and nonpublic entities.  The Company adopted this guidance upon issuance with no impact on our financial position and results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended March 31, 2014 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Segment_Information

Segment Information	3 Months Ended
	Mar. 31, 2014
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 ended March 31, 2014 and 2013:
			Three months ended
			March 31,
			2014			2013
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	483,686		$	493,468
	Administrative service fees			29,750			27,110
	Intersegment premiums/service fees			1,337			1,407
	Net investment income			3,704			3,921
	Total managed care			518,477			525,906
	Life Insurance:
	Premiums earned, net			34,864			31,727
	Intersegment premiums			105			112
	Net investment income			5,654			5,295
	Total life insurance			40,623			37,134
	Property and Casualty Insurance:
	Premiums earned, net			23,302			24,766
	Intersegment premiums			153			153
	Net investment income			1,924			1,975
	Total property and casualty insurance			25,379			26,894
	Other segments: *
	Intersegment service revenues			1,714			3,198
	Operating revenues from external sources			1,494			1,187
	Total other segments			3,208			4,385
	Total business segments			587,687			594,319
	TSM operating revenues from external sources			39			140
	Elimination of intersegment premiums/service fees			(1,595	)		(1,672	)
	Elimination of intersegment service revenues			(1,714	)		(3,198	)
	Other intersegment eliminations			30			36
	Consolidated operating revenues		$	584,447		$	589,625
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			Three months ended
			March 31,
			2014			2013
	Operating income:
	Managed care		$	4,122		$	20,495
	Life insurance			5,214			4,042
	Property and casualty insurance			697			384
	Other segments *			(365	)		(533	)
	Total business segments			9,668			24,388
	TSM operating revenues from external sources			39			140
	TSM unallocated operating expenses			(2,163	)		(3,967	)
	Elimination of TSM intersegment charges			2,429			2,199
	Consolidated operating income			9,973			22,760
	Consolidated net realized investment gains			126			1,888
	Consolidated interest expense			(2,305	)		(2,384	)
	Consolidated other income, net			246			481
	Consolidated income before taxes		$	8,040		$	22,745
	Depreciation and amortization expense:
	Managed care		$	4,285		$	5,439
	Life insurance			223			205
	Property and casualty insurance			123			136
	Other segments*			258			262
	Total business segments			4,889			6,042
	TSM depreciation expense			216			217
	Consolidated depreciation and amortization expense		$	5,105		$	6,259
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			March 31,			December 31,
			2014			2013
	Assets:
Managed care		$	985,450		$	934,467
Life insurance			718,240			698,650
Property and casualty insurance			348,091			346,212
Other segments *			27,389			28,407
Total business segments			2,079,170			2,007,736
Unallocated amounts related to TSM:
Cash, cash equivalents, and investments			28,347			28,316
Property and equipment, net			21,062			21,278
Other assets			26,026			26,406
			75,435			76,000
Elimination entries-intersegment receivables and others			(30,232	)		(36,112	)
Consolidated total assets		$	2,124,373		$	2,047,624
*	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	3 Months Ended
	Mar. 31, 2014
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 March 31, 2014 and December 31, 2013, were as follows:
			31-Mar-14
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	123,439			$	1,328			$	(303	)		$	124,464
	U.S. Treasury securities and obligations of U.S. government instrumentalities			38,047				946				-				38,993
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			48,686				563				(2,216	)			47,033
	Municipal securities			574,272				32,334				(1,001	)			605,605
	Corporate bonds			168,536				13,912				(631	)			181,817
	Residential mortgage-backed securities			6,766				346				-				7,112
	Collateralized mortgage obligations			81,584				2,979				(108	)			84,455
	Total fixed maturities			1,041,330				52,408				(4,259	)			1,089,479
	Equity securities-Mutual funds			177,496				55,282				(50	)			232,728
	Total		$	1,218,826			$	107,690			$	(4,309	)		$	1,322,207
			31-Dec-13
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	104,317			$	1,854			$	(380	)		$	105,791
	U.S. Treasury securities and obligations of U.S. government instrumentalities			38,131				1,068				-				39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			49,557				262				(4,814	)			45,005
	Municipal securities			597,297				19,328				(5,182	)			611,443
	Corporate bonds			146,936				9,883				(879	)			155,940
	Residential mortgage-backed securities			7,388				324				(9	)			7,703
	Collateralized mortgage obligations			87,854				3,072				(133	)			90,793
	Total fixed maturities			1,031,480				35,791				(11,397	)			1,055,874
	Equity securities-Mutual funds			187,356				53,013				(436	)			239,933
	Total		$	1,218,836			$	88,804			$	(11,833	)		$	1,295,807
			31-Mar-14
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793			$	8			$	-			$	1,801
	U.S. Treasury securities and obligations of U.S. government instrumentalities			622				145				-				767
	Residential mortgage-backed securities			217				19				-				236
	Certificates of deposit			3,629				-				-				3,629
	Total		$	6,261			$	172			$	-			$	6,433
			31-Dec-13
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793			$	26			$	-			$	1,819
	U.S. Treasury securities and obligations of U.S. government instrumentalities			622				117				-				739
	Residential mortgage-backed securities			346				27				-				373
	Certificates of deposit			3,378				-				-				3,378
	Total		$	6,139			$	170			$	-			$	6,309
	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 March 31, 2014 and December 31, 2013 were as follows:
		31-Mar-14
		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		$	69,932			$	(303	)			5			$	-		$	-			-		$	69,932		$	(303	)		5
Obligations of government-Commonwealth of Puerto Rico and its instrumentalities			17,219				(2,216	)			9				-			-			-			17,219			(2,216	)		9
Municipal securities			87,700				(1,001	)			21				-			-			-			87,700			(1,001	)		21
Corporate bonds			59,492				(497	)			18				5,810			(134	)		1			65,302			(631	)		19
Collateralized mortgage obligations			2,913				(4	)			1				8,784			(104	)		3			11,697			(108	)		4
Total fixed maturities			237,256				(4,021	)			54				14,594			(238	)		4			251,850			(4,259	)		58
Equity securities  ̶  Mutual funds			5,450				(50	)			1				-			-			-			5,450			(50	)		1
Total for securities available for sale		$	242,706			$	(4,071	)			55			$	14,594		$	(238	)		4		$	257,300		$	(4,309	)		59
	31-Dec-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		$	46,797			$	(380	)			4			$	-		$	-			-			46,797			(380	)		4
Obligations of government-Commonwealth of Puerto Rico and its instrumentalities			22,285				(4,814	)			13				-			-			-			22,285			(4,814	)		13
Municipal securities			234,594				(5,145	)			51				4,646			(37	)		1			239,240			(5,182	)		52
Corporate bonds			45,203				(879	)			19				-			-			-			45,203			(879	)		19
Residential mortgage-backed securities			24				(9	)			6				-			-			-			24			(9	)		6
Collateralized mortgage obligations			1,106				(6	)			3				9,469			(127	)		3			10,575			(133	)		6
Total fixed maturities			350,009				(11,233	)			96				14,115			(164	)		4			364,124			(11,397	)		100
Equity securities  ̶  Mutual funds			25,231				(436	)			7				-			-			-			25,231			(436	)		7
Total for securities available for sale		$	375,240			$	(11,669	)			103			$	14,115		$	(164	)		4		$	389,355		$	(11,833	)		107
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.
•	Equity securities are considered to be impaired when a position is in an unrealized loss for a period longer than 6 months.
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, 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.
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 $22,166 and an unrealized gain of $224, (2) Cofina bonds with a fair value of $22,251 and an unrealized gain and loss of $304 and $2,080, respectively, and (3) bonds of various other Puerto Rico issuers with a fair value of $2,616 and an unrealized gain and loss of $35 and $136, respectively.   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-/Baa1. Other Puerto Rico holdings with a total fair value of $1,804 are rated below investment grade.
The Cofina or 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 subordinated 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 subordinated 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 Baa1 on February 7, 2014 and maintained a negative outlook. The downgrade reflects the weak economy of the Commonwealth and limited 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 (Ba2) and Cofina Senior bonds (Baa1) reflects Moody’s view of a strong legal separation between the two credits.
The bonds of various other Puerto Rico issuers, which are mentioned above, consist of Cofina subordinated lien (A+ negative outlook, Baa2 negative outlook), General Obligation bonds insured by National Public Finance Guarantee (A stable outlook, Baa1 positive outlook), Government Development Bank notes (BB negative watch, Ba2 negative outlook) and PREPA notes (BBB negative outlook, Ba2 negative outlook).
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 6 months); because the unrealized loss is partially due to market conditions; because most positions have an investment grade rating; and because the Corporation expects to collect all contractual cash flows.
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.
Corporate Bonds:  The unrealized losses of these bonds were principally caused by fluctuations in interest rates and general market conditions.  All corporate bonds with an unrealized loss have investment grade ratings and, except for one position, which has been with an unrealized loss for over than twelve months, have been in an unrealized loss position for less than twelve 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.
Collateralized mortgage obligations:  The unrealized losses on investments in 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: As of March 31, 2014, investments in mutual funds with unrealized losses are not considered other-than-temporarily impaired because the funds have been in an unrealized loss position for less than six months.
Maturities of investment securities classified as available for sale and held to maturity at March 31, 2014 were as follows:
		31-Mar-14
		Amortized				Estimated
		cost				fair value
Securities available for sale:
Due in one year or less		$	57,470			$	58,066
Due after one year through five years			308,160				314,248
Due after five years through ten years			106,689				112,097
Due after ten years			480,661				513,501
Residential mortgage-backed securities			6,766				7,112
Collateralized mortgage obligations			81,584				84,455
		$	1,041,330			$	1,089,479
Securities held to maturity:
Due in one year or less		$	3,629			$	3,629
Due after five years through ten years			1,793				1,801
Due after ten years			622				767
Residential mortgage-backed securities			217				236
		$	6,261			$	6,433
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 ended March 31, 2014 and 2013 is as follows:
		Three months ended
		March 31,
		2014				2013
Realized gains (losses):
Fixed maturity securities:
Securities available for sale:
Gross gains from sales		$	1,323			$	994
Gross losses from sales			(1,845	)			(185	)
Total debt securities			(522	)			809
Securities available for sale:
Gross gains from sales			1,919				1,100
Gross losses from sales			(1,271	)			(21	)
Total equity securities			648				1,079
Net realized gains on securities		$	126			$	1,888
		Three months ended
		March 31,
		2014				2013
Changes in net unrealized gains (losses):
Recognized in accumulated other comprehensive income:
Fixed maturities – available for sale		$	23,755			$	(4,212	)
Equity securities – available for sale			2,655				12,024
		$	26,410			$	7,812
Not recognized in the consolidated financial statements:
Fixed maturities – held to maturity		$	2			$	(30	)
The deferred tax liability on unrealized gains change recognized in accumulated other comprehensive income during the three months ended March 31, 2014 and 2013 was $4,108 and $1,170, respectively.
As of March 31, 2014 and December 31, 2013, no individual investment in securities exceeded 10% of stockholders’ equity.
The components of net investment income were as follows:
		Three months ended
		March 31,
		2014				2013
Fixed maturities		$	9,670			$	9,319
Equity securities			1,346				1,718
Policy loans			125				114
Cash equivalents and interest-bearing deposits			12				28
Other			198				188
Total		$	11,351			$	11,367

Premiums_and_Other_Receivables

Premiums and Other Receivables, Net	3 Months Ended
	Mar. 31, 2014
Premiums and Other Receivables, Net [Abstract]	'
Premiums and Other Receivables, Net	'
	-5	Premiums and Other Receivables, Net
	Premiums and other receivables, net as of March 31, 2014 and December 31, 2013 were as follows:
			March 31,		December 31,
			2014		2013
	Premiums		$	123,999	$	108,963
	Self-funded group receivables			63,162		55,598
	FEHBP			12,486		11,804
	Agent balances			26,105		27,655
	Accrued interest			10,512		11,879
	Reinsurance recoverable			52,186		46,116
	Other			39,181		34,473
				327,631		296,488
	Less allowance for doubtful receivables:
	Premiums			16,265		14,403
	Other			7,114		7,146
				23,379		21,549
	Total premiums and other receivables, net		$	304,252	$	274,939

Claim_Liabilities

Claim Liabilities	3 Months Ended
	Mar. 31, 2014
Claim Liabilities [Abstract]	'
Claim Liabilities	'
	-6	Claim Liabilities
	The activity in the total claim liabilities for the three months ended March 31, 2014 and 2013 is as follows:
			Three months ended
			March 31,
			2014			2013
	Claim liabilities at beginning of period		$	420,421		$	416,918
	Reinsurance recoverable on claim liabilities			(37,557	)		(39,051	)
	Net claim liabilities at beginning of period			382,864			377,867
	Incurred claims and loss-adjustment expenses:
	Current period insured events			470,371			472,056
	Prior period insured events			(26,519	)		(25,061	)
	Total			443,852			446,995
	Payments of losses and loss-adjustment expenses:
	Current period insured events			241,871			217,818
	Prior period insured events			178,750			230,676
	Total			420,621			448,494
	Net claim liabilities at end of period			406,095			376,368
	Reinsurance recoverable on claim liabilities			40,615			37,756
	Claim liabilities at end of period		$	446,710		$	414,124
	As a result of differences between actual amounts and estimates of insured events in prior years, 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 March 31, 2014 and 2013 is due primarily to better than expected cost and 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 $5,255 and $5,005 during the three months ended March 31, 2014 and 2013, respectively.

Fair_Value_Measurements

Fair Value Measurements	3 Months Ended
	Mar. 31, 2014
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 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 March 31, 2014 and December 31, 2013 for assets measured at fair value on a recurring basis:
			31-Mar-14
			Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-	$	124,464	$	-	$	124,464
	U.S. Treasury securities and obligations of U.S government instrumentalities			38,993		-		-		38,993
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-		47,033		-		47,033
	Municipal securities			-		605,605		-		605,605
	Corporate bonds			-		181,817		-		181,817
	Residential agency mortgage-backed securities			-		7,112		-		7,112
	Collateralized mortgage obligations			-		84,455		-		84,455
	Total fixed maturities			38,993		1,050,486		-		1,089,479
	Equity securities
	Mutual funds			161,015		52,845		18,868		232,728
	Total equity securities			161,015		52,845		18,868		232,728
	Total		$	200,008	$	1,103,331	$	18,868	$	1,322,207
			31-Dec-13
			Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-	$	105,791	$	-	$	105,791
	U.S. Treasury securities and obligations of U.S government instrumentalities			39,199		-		-		39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-		45,005		-		45,005
	Municipal securities			-		611,443		-		611,443
	Corporate bonds			-		155,940		-		155,940
	Residential agency mortgage-backed securities			-		7,703		-		7,703
	Collateralized mortgage obligations			-		90,793		-		90,793
	Total fixed maturities			39,199		1,016,675		-		1,055,874
	Equity securities
	Mutual funds			158,281		63,742		17,910		239,933
	Total equity securities			158,281		63,742		17,910		239,933
	Total		$	197,480	$	1,080,417	$	17,910	$	1,295,807
	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 evaluated 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. The fair value of the mutual funds private equity included in the Level 3 category was based on the net asset value (NAV) which is affected by the changes in the fair market value of the investments held in the funds.
	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 in and/or out of Level 3 and between Levels 1 and 2 during the three months ended March 31, 2014 and 2013.
	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 ended March 31, 2014 and 2013 is as follows:
			Three months ended
			31-Mar-14						31-Mar-13
			Fixed						Fixed
			Maturity		Equity				Maturity		Equity
			Securities		Securities		Total		Securities		Securities		Total
	Beginning balance		$	-	$	17,910	$	17,910	$	-	$	12,822	$	12,822
	Unrealized gain in other accumulated comprehensive income			-		958		958		-		961		961
	Purchases			-		-		-		-		1,000		1,000
	Ending balance		$	-	$	18,868	$	18,868	$	-	$	14,783	$	14,783
	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 March 31, 2014 and December 31, 2013 are as follows:
		31-Mar-14
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	6,734	$	-	$	6,734	$	-	$	6,734
Liabilities:
Policyholder deposits		$	115,561	$	-	$	115,561	$	-	$	115,561
Long-term borrowings:
Loans payable to bank - variable			15,697		-		15,697		-		15,697
Loans payable to bank - fixed			13,107		-		13,107		-		13,107
6.6% senior unsecured notes payable			35,000		-		33,688		-		33,688
Repurchase agreement			25,000		-		25,575		-		25,575
Total long-term borrowings			88,804		-		88,067		-		88,067
Total liabilities		$	204,365	$	-	$	203,628	$	-	$	203,628
		31-Dec-13
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	6,705	$	-	$	6,705	$	-	$	6,705
Liabilities:
Policyholder deposits		$	115,923	$	-	$	115,923	$	-	$	115,923
Long-term borrowings:
Loans payable to bank - variable			16,107		-		16,107		-		16,107
Loans payable to bank - fixed			13,195		-		13,195		-		13,195
6.6% senior unsecured notes payable			35,000		-		33,775		-		33,775
Repurchase agreement			25,000		-		25,638		-		25,638
Total long-term borrowings			89,302		-		88,715		-		88,715
Total liabilities		$	205,225	$	-	$	204,638	$	-	$	204,638

ShareBased_Compensation

Share-Based Compensation	3 Months Ended
	Mar. 31, 2014
Share-Based Compensation [Abstract]	'
Share-Based Compensation	'
	-8	Share-Based Compensation
	Share-based compensation expense recorded during the three months ended March 31, 2014 and 2013 was $625 and $678, respectively.  There were no stock option exercises during the three months ended March 31, 2014 and 2013.  No non-cash exercises of stock options were done during the three months ended March 31, 2014 and 2013.

Comprehensive_Income

Comprehensive Income	3 Months Ended
	Mar. 31, 2014
Comprehensive Income [Abstract]	'
Comprehensive Income	'
	-9	Comprehensive Income
	The accumulated balances for each classification of other comprehensive income, net of tax, are as follows:
			Net unrealized			Liability for
			gain on			pension			Accumulated
			securities			benefits			other
									comprehensive
									income
	Balance at January 1, 2014		$	65,584		$	(33,455	)	$	32,129
	Other comprehensive income before reclassifications			22,409			-			22,409
	Amounts reclassified from accumulated other comprehensive income			(107	)		631			524
	Net current period change			22,302			631			22,933
	Balance at March 31, 2014		$	87,886		$	(32,824	)	$	55,062

Income_Taxes

Income Taxes	3 Months Ended
	Mar. 31, 2014
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 for foreign source dividend income.  As of March 31, 2014, tax years 2009 through 2013 of the Company and its subsidiaries are subject to 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 Corporation, through one of its Managed Care corporations, has a branch in the United States Virgin Islands that is subject to a 5% premium tax on policies underwritten therein. As a qualified foreign insurance company, the Company is subject to income taxes in the U.S. Virgin Islands, which has implemented a mirror tax law based on the U.S. Tax Code.  The operations of U.S. Virgin Islands had certain net operating losses for U.S. Virgin Islands tax purposes for which a valuation allowance has been recorded.
	Companies within our Life Insurance segment operate as qualified domestic life insurance companies and are 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, 2013 is estimated at $56,000.  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 January 31, 2011 the Government of Puerto Rico approved a reduction of the maximum corporate income tax rate from 40.95% to approximately 30%, including the elimination of a 5% additional special tax over the tax obligation imposed for corporations, as well as adding several tax credits and deductions, among other tax reliefs and changes.  One of the companies acquired in the AH transaction elected to continue filing its tax returns under the rules prescribed by the previous Puerto Rico tax code. This election can be revoked now, according the provisions of the newly enacted Puerto Rico tax code.
	On June 30, 2013 the Governor of Puerto Rico signed into law Puerto Rico’s Act No.40, known as the “Tax Burden Adjustment and Redistribution Act’’ 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 revenues. In addition, the law established a premium tax of 1% on premiums earned after June 30, 2013, except for annuity deposits, and premiums derived from Medicare Advantage and Medicaid programs.
	On October 14, 2013, the Governor of Puerto Rico signed into law Act No.117 providing additional changes and transitional provisions in connection with Act 40 and clarifies that gross income does not include dividends received from a 100% controlled domestic subsidiary and income attributable to a trade of business outside of Puerto Rico.
	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.

Pension_Plan

Pension Plan	3 Months Ended
	Mar. 31, 2014
Pension Plan [Abstract]	'
Pension Plan	'
	-11	Pension Plan
	The components of net periodic benefit cost for the three months ended March 31, 2014 and 2013 were as follows:
			Three months ended
			March 31,
			2014			2013
	Components of net periodic benefit cost:
	Service cost		$	1,027		$	1,023
	Interest cost			2,261			1,952
	Expected return on assets			(2,073	)		(1,696	)
	Amortization of prior service benefit			(121	)		(113	)
	Amortization of actuarial loss			1,156			1,784
	Net periodic benefit cost		$	2,250		$	2,950
	Employer contributions:   The Corporation disclosed in its audited consolidated financial statements for the year ended December 31, 2013 that it expected to contribute $8,000 to its pension program in 2014.  As of March 31, 2014, the Corporation has not made contributions to the pension program.

Net_Income_Available_to_Stockh

Net Income Available to Stockholders and Net Income per Share	3 Months Ended
	Mar. 31, 2014
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 ended March 31, 2014 and 2013:
			Three months ended
			March 31,
			2014		2013
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders		$	6,955	$	17,238
	Denominator for basic earnings per share:
	Weighted average of common shares			27,268,046		28,285,925
	Effect of dilutive securities			99,983		84,534
	Denominator for diluted earnings per share			27,368,029		28,370,459
	Basic net income per share attributable to TSM		$	0.26	$	0.61
	Diluted net income per share attributable to TSM		$	0.25	$	0.61

Contingencies

Contingencies	3 Months Ended
	Mar. 31, 2014
Contingencies [Abstract]	'
Contingencies	'
	-13	Contingencies
	Our business is subject to numerous laws and regulations promulgated by Federal and Puerto Rico governmental authorities.  Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time.  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 such laws and regulations.  Penalties associated with violations of these laws and regulations include significant fines and penalties, and exclusion from participating in certain publicly funded programs.
	As of March 31, 2014, we are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below.  Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. 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.  The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any. Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company.
	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 pursuant to (“Share Acquisition Agreements”) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.
	Claims by Heirs of Former Shareholders
	The Company and TSS are defending seven individual lawsuits, all filed in state court, from persons who claim to have inherited a total of 102 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, entitled Vera Sánchez, et al, v. Triple-S, 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, holding that the two-year statute of limitations contained in the local securities law did not apply based on the facts of this case and returning it to the Court of First Instance for the continuance of the case and pending further proceedings.
	In the second case, entitled Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al, 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, entitled Heirs of Dr. Juan Acevedo, et al, v. Triple-S Management Corporation, et al, 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 November 1, 2014.
	The fourth case, entitled Montilla López, et al, v. Seguros de Servicios de Salud, et al, 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, entitled Cebollero Santamaría v. Triple-S Salud, Inc., et al, was filed on March 26, 2013, and the Company filed its response on May 16, 2013.  On October 29, 2013, the Company filed a motion for summary judgment on the grounds that the claim is time barred under the fifteen-year period of the Puerto Rico Civil Code for collection of monies and, in the alternative, that plaintiff failed to state a claim for which relief can be granted. The court allowed plaintiff to conduct limited discovery in connection with plaintiff’s opposition to our motion for summary judgment, which is currently ongoing.
	The sixth case, entitled Irizarry Antonmattei, et al, v. Seguros de Servicios de Salud, et al, 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.  On November 5, 2013, the Company moved to dismiss the first amended complaint on the grounds that it is time barred under the fifteen-year period of the Puerto Rico Civil Code for collection of monies. On December 16, 2013, Plaintiffs filed an opposition thereto and the Company filed a reply on January 7, 2014.  The court has not ruled on these motions.
	The seventh case, entitled Allende Santos, et al, v. Triple-S Salud, et al, was filed on March 28, 2014.  The Company will file its response and intends to vigorously defend this claim.
	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, some of these claims will likely be litigated on their merits.
	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, among other things, 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.
	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. Discovery is ongoing.
	Dentists Association Litigation
	On February 11, 2009, the Puerto Rico Dentists Association (“Colegio de Cirujanos Dentistas de Puerto Rico,” in Spanish) 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. On February 8, 2011, the federal district court in Puerto Rico decided to retain jurisdiction. The defendants filed a joint motion to dismiss the case on the merits. 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, on or before September 23, 2013, their complaint to address mediation or settlement negotiations and, to cure deficiencies pertaining to the breach-of-contract claims.  On December 23, 2013, five plaintiffs filed a Second Amended Complaint (“SAC”) seeking damages in the amount of $30 in which the dentists alleged that defendants altered the coding of the claims billed by the dentist, resulting in a lower payment.  Only one of the five plaintiffs presented a claim against the Company.  On January 31, 2014, the Company answered the complaint.  On April 11, 2014, TSS filed a motion to compel arbitration, as provided by the claimant’s provider contract.  Court’s decision on this motion is still pending.  On April 24, 2014, the Company and the claimant filed a voluntary dismissal with prejudice.  TSS and TCI continue to be part of the claim.  The court allowed plaintiffs to conduct limited discovery, which is currently ongoing.
	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 filed on July 24, 2012 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.  Plaintiffs opposed TSS’ motion to dismiss.  On April 9, 2014, the court held an argumentative hearing to discuss the motions to dismiss.  During the hearing, the Court did not issue a ruling on the motions to dismiss thus, decision on said motions are still pending. 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 defendant in several claims for collection of monies 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 allegations of breach of contract due to unpaid invoices for emergency services rendered to TSS-insured patients pursuant to the Puerto Rico Patients’ Bill of Rights.  Such claims have 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.
	Intrusions into TCI’s Internet IPA Database
	On September 21, 2010, the Company learned from a competitor that a specific internet database containing information pertaining to individuals insured at the time by TSS under the Government of Puerto Rico Medicaid program and to independent practice associations that provided services to those individuals, had been accessed without authorization by certain of its employees.
	The Company reported these events to the appropriate Puerto Rico and federal government agencies. It then received and complied with requests for information from ASES 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 the OCR. The OCR has not issued its determination on this matter.  The Company at this time cannot reasonably assess the impact of these proceedings on the Company.
	Unauthorized Disclosure of Protected Health Information
	On September 20, 2013, TSS mailed to our approximately 70,000 Medicare Advantage beneficiaries a pamphlet that inadvertently displayed the receiving beneficiary’s Medicare Health Insurance Claim Number (“HICN”). The HICN is the unique number assigned by the Social Security Administration to each Medicare beneficiary and is considered protected health information under HIPAA. TSS conducted an investigation and reported the incident to the appropriate Puerto Rico and federal government agencies. It then received and complied with requests for information from ASES concerning our dual eligible Medicare beneficiaries. On February 20, 2014, TSS also received a request of information from OCR.  TSS issued a breach notification through the local media and notified the situation to all affected beneficiaries by mail. TSS also provided a toll-free number for inquiries and complaints from the individuals to whom notice was provided, and is offering them 12 months of free credit monitoring and identity protection through an independent provider.
	On February 11, 2014, ASES notified TSS of its intention to impose a civil monetary penalty of $6,778 and other administrative sanctions with respect to the breach described above involving 13,336 of our dual eligible Medicare beneficiaries. The sanctions include the suspension of all new enrollments of dual eligible Medicare beneficiaries and the obligation to notify affected individuals of their right to disenroll. In its letter, ASES alleged TSS has failed to take all required steps in response to the breach. ASES subsequently informed TSS that it expected TSS to cease such enrollment immediately and TSS complied. On February 20, 2014, TSS submitted a corrective action plan and, on February 21, 2014, ASES requested TSS to provide additional information in connection with the corrective action plan.  On February 26, 2014, ASES temporarily lifted the sanctions related to the enrollment of dual eligible Medicare beneficiaries subject to the approval of the corrective action plan.  On March 6, 2014, ASES confirmed its determination regarding the lift of the enrollment sanction and notified its intention to provide TSS a corrective action plan.  On March 11, 2014, TSS filed an answer challenging the monetary civil penalty and requesting an administrative hearing and simultaneously filed a notice of removal in the federal District Court for the District of Puerto Rico.  TSS alleges that the administrative proceeding should be dismissed on several grounds, including lack of jurisdiction.  On April 10, 2014, ASES filed a motion to remand, and, on April 24, 2014 TSS filed its opposition.
	While TSS is collaborating with ASES on these matters, it intends to vigorously contest the monetary fine and other sanctions subject of ASES’ notices.  At this time, the Company is unable to determine the ultimate outcome of its challenge to ASES’ sanctions, the incident’s ultimate financial impact on TSS or what measures, if any, will be taken by the OCR or other regulators regarding this matter.
	In connection with this event, on February 10, 2014, one individual, on his behalf and on behalf of his spouse, filed suit against TSS in the Court of First Instance of Puerto Rico asserting emotional damages due the disclosure of his protected health information.  Also, on February 24, 2014, another individual filed a class-action suit against TSS claiming approximately $20,000 in damages.  On February 27, 2014, TSS filed a motion to dismiss the class-action suit based on several grounds, including lack of standing.  The court ordered plaintiff to submit an opposition to TSS’ motion to dismiss, subject to the dismissal of the claim if plaintiff fail to comply. Plaintiff filed its opposition on March 12, 2014 and, on April 14, 2014, TSS replied.  Court’s ruling on the motions is pending.  The Company intends to vigorously defend against these claims.

Business_Combination

Business Combination	3 Months Ended
	Mar. 31, 2014
Business Combination [Abstract]	'
Business Combination	'
	-14	Business Combination
	Effective November 7, 2013, the Company’s subsidiary Triple-S Vida, Inc. ("TSV") completed the acquisition of 100% of the outstanding capital stock of Atlantic Southern Insurance Company ("ASICO"), an insurer dedicated to the sale of individual life and cancer insurance in Puerto Rico, as well as individual and group health insurance in the U.S. Virgin Islands, British Virgin Islands, Anguilla and Costa Rica. After this acquisition the Company expects to solidify its position in the life insurance business in Puerto Rico. The Company accounted for this acquisition in accordance with the provisions of Accounting Standard Codification Topic 805, Business Combinations. The results of operations and financial condition of Atlantic Southern Insurance Company are included in the accompanying consolidated financial statements for the period following the effective date of the acquisition. The aggregate purchase price of the acquired entity was $9,413. Direct costs related to the acquisition amounted to $435.
	Although the closing date of the transaction was November 7, 2013, the consideration amount was determined using ASICO’s financial position as of October 31, 2013.  Therefore, we have recorded a preliminary allocation of the purchase price to ASICO’s tangible and intangible assets acquired and liabilities assumed based on their fair value as of October 31, 2013. No goodwill was recorded on the acquisition since the purchase price was equal to the fair value of the net assets acquired. The following table summarizes the consideration paid to acquire ASICO as of December 31, 2013 and the allocation of the purchase price to the assets acquired and liabilities assumed at the acquisition.
	Cash		$	2,544
	Escrow funds for pension liability			3,600
	Escrow funds for contingencies and pension termination costs			2,900
	Due to seller			804
	Acquisition costs reimbursed to seller			(435	)
	Total purchase price		$	9,413
	Investments and cash and cash equivalents		$	13,292
	Premiums and other receivables			915
	Property and equipment			9
	VOBA			4,499
	Other assets			265
	Deferred tax asset			133
	Future policy benefits and claim liabilities			(6,440	)
	Claim and policyholders liabilities			(2,123	)
	Accounts payable and accrued liabilities			(1,137	)
	Total net assets		$	9,413
	On October 31, 2013, we recognized a VOBA asset of $4,499, resulting from the ASICO transaction in the consolidated balance sheet. During the three months ended March 31, 2014, we recognized $165 of amortization expense related to the VOBA asset.
	The consolidated statement of earnings for the three months ended March 31, 2014 includes $2,057 in operating revenues and a $307 net gain related to ASICO. The following unaudited pro forma financial information presents the combined results of operations of the Company and ASICO as if the acquisition had occurred at the beginning of 2012. The unaudited pro forma financial information is not intended to represent or be indicative of the Company’s consolidated results of operations that would have been reported had the acquisition been completed as of the beginning of the periods presented and should not be taken as indicative of the Company’s future consolidated results of operations.
			March 31,
			2013
	Operating revenues		$	591,871
	Net Income		$	16,994
	Basic net income per share		$	0.6
	Diluted net income per share		$	0.6
	The above unaudited pro forma operating revenues and net income considers an estimated acquisition adjustment related to the VOBA asset, including an amortization expense of $115 for the three months ended March 31, 2013.

Subsequent_Events

Subsequent Events	3 Months Ended
	Mar. 31, 2014
Subsequent Events [Abstract]	'
Subsequent Events	'
	-15	Subsequent Events
	The Company evaluated subsequent events through the date that these consolidated interim financial statements were issued.  No other events have occurred that require disclosure or adjustments.

Recent_Accounting_Standards_Po

Recent Accounting Standards (Policies)	3 Months Ended
	Mar. 31, 2014
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. We adopted the provisions of this guidance on January 1, 2014 and recorded a liability in the consolidated accounts payable and accrued liabilities in the first quarter of 2014 of approximately $28,500 representing an estimate of the fee for 2014.  A corresponding deferred cost was recorded in the consolidated other assets.  The Corporation will update this estimate for any adjustment in subsequent quarters.  During the three months ended March 31, 2014, approximately $7,100 of the deferred cost was recognized within the consolidated operating expenses; the remainder will be recognized on a straight-line basis over the balance of 2014.  For federal income tax purposes, the fee is treated as an excise tax, for which no deduction is allowed under the Internal Revenue Code.
	On 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.  The Company adopted this guidance on January 1, 2014; there was no significant impact on our financial position or results of operations as a result of the adoption.
	On March 14, 2014, the FASB issued guidance that amended the Master Glossary of the Accounting Standards Codification (“ASC”), including technical corrections related to glossary links, glossary term deletions, and glossary term name changes.  In addition, this guidance included more substantive, limited-scope improvements to reduce instances of the same term appearing multiple times in the Master Glossary with similar, but not entirely identical, definitions.  These are items that represent narrow and incremental improvements to U.S. GAAP and are not purely technical corrections and affect a wide variety of Topics in the ASC.  The amendments in this guidance apply to all reporting entities within the scope of the affected accounting guidance and are effective upon issuance for both public entities and nonpublic entities.  The Company adopted this guidance upon issuance with no impact on our financial position and results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended March 31, 2014 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Segment_Information_Tables

Segment Information (Tables)	3 Months Ended
	Mar. 31, 2014
Segment Information [Abstract]	'
Operations by major operating segment	'
	The following tables summarize the operations by reportable segment for the three months ended March 31, 2014 and 2013:
			Three months ended
			March 31,
			2014			2013
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	483,686		$	493,468
	Administrative service fees			29,750			27,110
	Intersegment premiums/service fees			1,337			1,407
	Net investment income			3,704			3,921
	Total managed care			518,477			525,906
	Life Insurance:
	Premiums earned, net			34,864			31,727
	Intersegment premiums			105			112
	Net investment income			5,654			5,295
	Total life insurance			40,623			37,134
	Property and Casualty Insurance:
	Premiums earned, net			23,302			24,766
	Intersegment premiums			153			153
	Net investment income			1,924			1,975
	Total property and casualty insurance			25,379			26,894
	Other segments: *
	Intersegment service revenues			1,714			3,198
	Operating revenues from external sources			1,494			1,187
	Total other segments			3,208			4,385
	Total business segments			587,687			594,319
	TSM operating revenues from external sources			39			140
	Elimination of intersegment premiums/service fees			(1,595	)		(1,672	)
	Elimination of intersegment service revenues			(1,714	)		(3,198	)
	Other intersegment eliminations			30			36
	Consolidated operating revenues		$	584,447		$	589,625
	*	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
			March 31,
			2014			2013
	Operating income:
	Managed care		$	4,122		$	20,495
	Life insurance			5,214			4,042
	Property and casualty insurance			697			384
	Other segments *			(365	)		(533	)
	Total business segments			9,668			24,388
	TSM operating revenues from external sources			39			140
	TSM unallocated operating expenses			(2,163	)		(3,967	)
	Elimination of TSM intersegment charges			2,429			2,199
	Consolidated operating income			9,973			22,760
	Consolidated net realized investment gains			126			1,888
	Consolidated interest expense			(2,305	)		(2,384	)
	Consolidated other income, net			246			481
	Consolidated income before taxes		$	8,040		$	22,745
	Depreciation and amortization expense:
	Managed care		$	4,285		$	5,439
	Life insurance			223			205
	Property and casualty insurance			123			136
	Other segments*			258			262
	Total business segments			4,889			6,042
	TSM depreciation expense			216			217
	Consolidated depreciation and amortization expense		$	5,105		$	6,259
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets	'
			March 31,			December 31,
			2014			2013
	Assets:
	Managed care		$	985,450		$	934,467
	Life insurance			718,240			698,650
	Property and casualty insurance			348,091			346,212
	Other segments *			27,389			28,407
	Total business segments			2,079,170			2,007,736
	Unallocated amounts related to TSM:
	Cash, cash equivalents, and investments			28,347			28,316
	Property and equipment, net			21,062			21,278
	Other assets			26,026			26,406
				75,435			76,000
	Elimination entries-intersegment receivables and others			(30,232	)		(36,112	)
	Consolidated total assets		$	2,124,373		$	2,047,624
	*	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)	3 Months Ended
	Mar. 31, 2014
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 March 31, 2014 and December 31, 2013, were as follows:
			31-Mar-14
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	123,439			$	1,328			$	(303	)		$	124,464
	U.S. Treasury securities and obligations of U.S. government instrumentalities			38,047				946				-				38,993
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			48,686				563				(2,216	)			47,033
	Municipal securities			574,272				32,334				(1,001	)			605,605
	Corporate bonds			168,536				13,912				(631	)			181,817
	Residential mortgage-backed securities			6,766				346				-				7,112
	Collateralized mortgage obligations			81,584				2,979				(108	)			84,455
	Total fixed maturities			1,041,330				52,408				(4,259	)			1,089,479
	Equity securities-Mutual funds			177,496				55,282				(50	)			232,728
	Total		$	1,218,826			$	107,690			$	(4,309	)		$	1,322,207
			31-Dec-13
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	104,317			$	1,854			$	(380	)		$	105,791
	U.S. Treasury securities and obligations of U.S. government instrumentalities			38,131				1,068				-				39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			49,557				262				(4,814	)			45,005
	Municipal securities			597,297				19,328				(5,182	)			611,443
	Corporate bonds			146,936				9,883				(879	)			155,940
	Residential mortgage-backed securities			7,388				324				(9	)			7,703
	Collateralized mortgage obligations			87,854				3,072				(133	)			90,793
	Total fixed maturities			1,031,480				35,791				(11,397	)			1,055,874
	Equity securities-Mutual funds			187,356				53,013				(436	)			239,933
	Total		$	1,218,836			$	88,804			$	(11,833	)		$	1,295,807
			31-Mar-14
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793			$	8			$	-			$	1,801
	U.S. Treasury securities and obligations of U.S. government instrumentalities			622				145				-				767
	Residential mortgage-backed securities			217				19				-				236
	Certificates of deposit			3,629				-				-				3,629
	Total		$	6,261			$	172			$	-			$	6,433
			31-Dec-13
							Gross				Gross
			Amortized				unrealized				unrealized				Estimated
			cost				gains				losses				fair value
	Securities held to maturity:
	Obligations of government-sponsored enterprises		$	1,793			$	26			$	-			$	1,819
	U.S. Treasury securities and obligations of U.S. government instrumentalities			622				117				-				739
	Residential mortgage-backed securities			346				27				-				373
	Certificates of deposit			3,378				-				-				3,378
	Total		$	6,139			$	170			$	-			$	6,309
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 March 31, 2014 and December 31, 2013 were as follows:
		31-Mar-14
		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		$	69,932			$	(303	)			5			$	-		$	-			-		$	69,932		$	(303	)		5
	Obligations of government-Commonwealth of Puerto Rico and its instrumentalities			17,219				(2,216	)			9				-			-			-			17,219			(2,216	)		9
	Municipal securities			87,700				(1,001	)			21				-			-			-			87,700			(1,001	)		21
	Corporate bonds			59,492				(497	)			18				5,810			(134	)		1			65,302			(631	)		19
	Collateralized mortgage obligations			2,913				(4	)			1				8,784			(104	)		3			11,697			(108	)		4
	Total fixed maturities			237,256				(4,021	)			54				14,594			(238	)		4			251,850			(4,259	)		58
	Equity securities  ̶  Mutual funds			5,450				(50	)			1				-			-			-			5,450			(50	)		1
	Total for securities available for sale		$	242,706			$	(4,071	)			55			$	14,594		$	(238	)		4		$	257,300		$	(4,309	)		59
		31-Dec-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		$	46,797			$	(380	)			4			$	-		$	-			-			46,797			(380	)		4
	Obligations of government-Commonwealth of Puerto Rico and its instrumentalities			22,285				(4,814	)			13				-			-			-			22,285			(4,814	)		13
	Municipal securities			234,594				(5,145	)			51				4,646			(37	)		1			239,240			(5,182	)		52
	Corporate bonds			45,203				(879	)			19				-			-			-			45,203			(879	)		19
	Residential mortgage-backed securities			24				(9	)			6				-			-			-			24			(9	)		6
	Collateralized mortgage obligations			1,106				(6	)			3				9,469			(127	)		3			10,575			(133	)		6
	Total fixed maturities			350,009				(11,233	)			96				14,115			(164	)		4			364,124			(11,397	)		100
	Equity securities  ̶  Mutual funds			25,231				(436	)			7				-			-			-			25,231			(436	)		7
	Total for securities available for sale		$	375,240			$	(11,669	)			103			$	14,115		$	(164	)		4		$	389,355		$	(11,833	)		107
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 March 31, 2014 were as follows:
			31-Mar-14
			Amortized				Estimated
			cost				fair value
	Securities available for sale:
	Due in one year or less		$	57,470			$	58,066
	Due after one year through five years			308,160				314,248
	Due after five years through ten years			106,689				112,097
	Due after ten years			480,661				513,501
	Residential mortgage-backed securities			6,766				7,112
	Collateralized mortgage obligations			81,584				84,455
			$	1,041,330			$	1,089,479
	Securities held to maturity:
	Due in one year or less		$	3,629			$	3,629
	Due after five years through ten years			1,793				1,801
	Due after ten years			622				767
	Residential mortgage-backed securities			217				236
			$	6,261			$	6,433
Realized gains and losses from investments	'
	Information regarding realized and unrealized gains and losses from investments for the three months ended March 31, 2014 and 2013 is as follows:
			Three months ended
			March 31,
			2014				2013
	Realized gains (losses):
	Fixed maturity securities:
	Securities available for sale:
	Gross gains from sales		$	1,323			$	994
	Gross losses from sales			(1,845	)			(185	)
	Total debt securities			(522	)			809
	Securities available for sale:
	Gross gains from sales			1,919				1,100
	Gross losses from sales			(1,271	)			(21	)
	Total equity securities			648				1,079
	Net realized gains on securities		$	126			$	1,888
Changes in net unrealized gains (losses)	'
			Three months ended
			March 31,
			2014				2013
	Changes in net unrealized gains (losses):
	Recognized in accumulated other comprehensive income:
	Fixed maturities – available for sale		$	23,755			$	(4,212	)
	Equity securities – available for sale			2,655				12,024
			$	26,410			$	7,812
	Not recognized in the consolidated financial statements:
	Fixed maturities – held to maturity		$	2			$	(30	)
Components of net investment income	'
	The components of net investment income were as follows:
			Three months ended
			March 31,
			2014				2013
	Fixed maturities		$	9,670			$	9,319
	Equity securities			1,346				1,718
	Policy loans			125				114
	Cash equivalents and interest-bearing deposits			12				28
	Other			198				188
	Total		$	11,351			$	11,367

Premiums_and_Other_Receivables1

Premiums and Other Receivables, Net (Tables)	3 Months Ended
	Mar. 31, 2014
Premiums and Other Receivables, Net [Abstract]	'
Premiums and other receivables, net	'
	Premiums and other receivables, net as of March 31, 2014 and December 31, 2013 were as follows:
		March 31,		December 31,
		2014		2013
	Premiums	$	123,999	$	108,963
	Self-funded group receivables		63,162		55,598
	FEHBP		12,486		11,804
	Agent balances		26,105		27,655
	Accrued interest		10,512		11,879
	Reinsurance recoverable		52,186		46,116
	Other		39,181		34,473
			327,631		296,488
	Less allowance for doubtful receivables:
	Premiums		16,265		14,403
	Other		7,114		7,146
			23,379		21,549
	Total premiums and other receivables, net	$	304,252	$	274,939

Claim_Liabilities_Tables

Claim Liabilities (Tables)	3 Months Ended
	Mar. 31, 2014
Claim Liabilities [Abstract]	'
Activity in total claim liabilities	'
	The activity in the total claim liabilities for the three months ended March 31, 2014 and 2013 is as follows:
		Three months ended
		March 31,
		2014			2013
	Claim liabilities at beginning of period	$	420,421		$	416,918
	Reinsurance recoverable on claim liabilities		(37,557	)		(39,051	)
	Net claim liabilities at beginning of period		382,864			377,867
	Incurred claims and loss-adjustment expenses:
	Current period insured events		470,371			472,056
	Prior period insured events		(26,519	)		(25,061	)
	Total		443,852			446,995
	Payments of losses and loss-adjustment expenses:
	Current period insured events		241,871			217,818
	Prior period insured events		178,750			230,676
	Total		420,621			448,494
	Net claim liabilities at end of period		406,095			376,368
	Reinsurance recoverable on claim liabilities		40,615			37,756
	Claim liabilities at end of period	$	446,710		$	414,124

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	3 Months Ended
	Mar. 31, 2014
Fair Value Measurements [Abstract]	'
Fair value measurements by level	'
	The following tables summarize fair value measurements by level at March 31, 2014 and December 31, 2013 for assets measured at fair value on a recurring basis:
		31-Mar-14
		Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-	$	124,464	$	-	$	124,464
	U.S. Treasury securities and obligations of U.S government instrumentalities		38,993		-		-		38,993
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		47,033		-		47,033
	Municipal securities		-		605,605		-		605,605
	Corporate bonds		-		181,817		-		181,817
	Residential agency mortgage-backed securities		-		7,112		-		7,112
	Collateralized mortgage obligations		-		84,455		-		84,455
	Total fixed maturities		38,993		1,050,486		-		1,089,479
	Equity securities
	Mutual funds		161,015		52,845		18,868		232,728
	Total equity securities		161,015		52,845		18,868		232,728
	Total	$	200,008	$	1,103,331	$	18,868	$	1,322,207
		31-Dec-13
		Level 1		Level 2		Level 3		Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-	$	105,791	$	-	$	105,791
	U.S. Treasury securities and obligations of U.S government instrumentalities		39,199		-		-		39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		45,005		-		45,005
	Municipal securities		-		611,443		-		611,443
	Corporate bonds		-		155,940		-		155,940
	Residential agency mortgage-backed securities		-		7,703		-		7,703
	Collateralized mortgage obligations		-		90,793		-		90,793
	Total fixed maturities		39,199		1,016,675		-		1,055,874
	Equity securities
	Mutual funds		158,281		63,742		17,910		239,933
	Total equity securities		158,281		63,742		17,910		239,933
	Total	$	197,480	$	1,080,417	$	17,910	$	1,295,807
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 ended March 31, 2014 and 2013 is as follows:
		Three months ended
		31-Mar-14						31-Mar-13
		Fixed						Fixed
		Maturity		Equity				Maturity		Equity
		Securities		Securities		Total		Securities		Securities		Total
	Beginning balance	$	-	$	17,910	$	17,910	$	-	$	12,822	$	12,822
	Unrealized gain in other accumulated comprehensive income		-		958		958		-		961		961
	Purchases		-		-		-		-		1,000		1,000
	Ending balance	$	-	$	18,868	$	18,868	$	-	$	14,783	$	14,783
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 March 31, 2014 and December 31, 2013 are as follows:
		31-Mar-14
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	6,734	$	-	$	6,734	$	-	$	6,734
	Liabilities:
	Policyholder deposits	$	115,561	$	-	$	115,561	$	-	$	115,561
	Long-term borrowings:
	Loans payable to bank - variable		15,697		-		15,697		-		15,697
	Loans payable to bank - fixed		13,107		-		13,107		-		13,107
	6.6% senior unsecured notes payable		35,000		-		33,688		-		33,688
	Repurchase agreement		25,000		-		25,575		-		25,575
	Total long-term borrowings		88,804		-		88,067		-		88,067
	Total liabilities	$	204,365	$	-	$	203,628	$	-	$	203,628
		31-Dec-13
		Carrying		Fair Value
		Value		Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	6,705	$	-	$	6,705	$	-	$	6,705
	Liabilities:
	Policyholder deposits	$	115,923	$	-	$	115,923	$	-	$	115,923
	Long-term borrowings:
	Loans payable to bank - variable		16,107		-		16,107		-		16,107
	Loans payable to bank - fixed		13,195		-		13,195		-		13,195
	6.6% senior unsecured notes payable		35,000		-		33,775		-		33,775
	Repurchase agreement		25,000		-		25,638		-		25,638
	Total long-term borrowings		89,302		-		88,715		-		88,715
	Total liabilities	$	205,225	$	-	$	204,638	$	-	$	204,638

Comprehensive_Income_Tables

Comprehensive Income (Tables)	3 Months Ended
	Mar. 31, 2014
Comprehensive Income [Abstract]	'
Accumulated balances of other comprehensive income, net of tax	'
	The accumulated balances for each classification of other comprehensive income, net of tax, are as follows:
		Net unrealized			Liability for
		gain on			pension			Accumulated
		securities			benefits			other
								comprehensive
								income
	Balance at January 1, 2014	$	65,584		$	(33,455	)	$	32,129
	Other comprehensive income before reclassifications		22,409			-			22,409
	Amounts reclassified from accumulated other comprehensive income		(107	)		631			524
	Net current period change		22,302			631			22,933
	Balance at March 31, 2014	$	87,886		$	(32,824	)	$	55,062

Pension_Plan_Tables

Pension Plan (Tables)	3 Months Ended
	Mar. 31, 2014
Pension Plan [Abstract]	'
Components of net periodic benefit cost	'
	The components of net periodic benefit cost for the three months ended March 31, 2014 and 2013 were as follows:
		Three months ended
		March 31,
		2014			2013
	Components of net periodic benefit cost:
	Service cost	$	1,027		$	1,023
	Interest cost		2,261			1,952
	Expected return on assets		(2,073	)		(1,696	)
	Amortization of prior service benefit		(121	)		(113	)
	Amortization of actuarial loss		1,156			1,784
	Net periodic benefit cost	$	2,250		$	2,950

Net_Income_Available_to_Stockh1

Net Income Available to Stockholders and Net Income per Share (Tables)	3 Months Ended
	Mar. 31, 2014
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 ended March 31, 2014 and 2013:
		Three months ended
		March 31,
		2014		2013
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders	$	6,955	$	17,238
	Denominator for basic earnings per share:
	Weighted average of common shares		27,268,046		28,285,925
	Effect of dilutive securities		99,983		84,534
	Denominator for diluted earnings per share		27,368,029		28,370,459
	Basic net income per share attributable to TSM	$	0.26	$	0.61
	Diluted net income per share attributable to TSM	$	0.25	$	0.61

Business_Combination_Tables

Business Combination (Tables)	3 Months Ended
	Mar. 31, 2014
Business Combination [Abstract]	'
Consideration paid to acquire ASICO	'
	The following table summarizes the consideration paid to acquire ASICO as of December 31, 2013 and the allocation of the purchase price to the assets acquired and liabilities assumed at the acquisition.
	Cash	$	2,544
	Escrow funds for pension liability		3,600
	Escrow funds for contingencies and pension termination costs		2,900
	Due to seller		804
	Acquisition costs reimbursed to seller		(435	)
	Total purchase price	$	9,413
	Investments and cash and cash equivalents	$	13,292
	Premiums and other receivables		915
	Property and equipment		9
	VOBA		4,499
	Other assets		265
	Deferred tax asset		133
	Future policy benefits and claim liabilities		(6,440	)
	Claim and policyholders liabilities		(2,123	)
	Accounts payable and accrued liabilities		(1,137	)
	Total net assets	$	9,413
Unaudited pro forma financial information	'
		March 31,
		2013
	Operating revenues	$	591,871
	Net Income	$	16,994
	Basic net income per share	$	0.6
	Diluted net income per share	$	0.6

Recent_Accounting_Standards_De

Recent Accounting Standards (Details) (USD $)	3 Months Ended
	Mar. 31, 2014
Recent Accounting Standards [Abstract]	'
Health insurer's portion of annual fee - Patient Protection and Affordable Care Act	$28,500
Deferred costs recognized - Patient Protection and Affordable Care Act	$7,100

Segment_Information_Details

Segment Information (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014		Mar. 31, 2013		Dec. 31, 2013
	Segment
Segment Information [Abstract]	'		'		'
Number of operating segments	3		'		'
Operating revenues [Abstract]	'		'		'
Premiums earned, net	$541,852		$549,961		'
Operating revenues from external sources	584,819		591,994		'
Elimination of intersegment premiums/service fees	-1,595		-1,672		'
Elimination of intersegment service revenue	-1,714		-3,198		'
Other intersegment eliminations	30		36		'
Consolidated operating revenues	584,447		589,625		'
Operating income [Abstract]	'		'		'
Elimination of TSM charges	2,429		2,199		'
Consolidated operating income	9,973		22,760		'
Consolidated net realized investment gains	126		1,888		'
Consolidated interest expense	-2,305		-2,384		'
Consolidated other income, net	246		481		'
Consolidated income before taxes	8,040		22,745		'
Depreciation and amortization expense: [Abstract]	'		'		'
Depreciation and amortization expense	4,889		6,042		'
TSM depreciation expense	216		217		'
Consolidated depreciation and amortization expense	5,105		6,259		'
Assets: [Abstract]	'		'		'
Assets	2,124,373		'		2,047,624
Unallocated amounts related to TSM: [Abstract]	'		'		'
Unallocated amount related to TSM	75,435		'		76,000
Elimination entries-intersegment receivables and others	-30,232		'		-36,112
Managed Care [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
Premiums earned, net	483,686		493,468		'
Administrative service fees	29,750		27,110		'
Intersegment premiums/services fees	1,337		1,407		'
Net investment income	3,704		3,921		'
Total Reportable Segment	518,477		525,906		'
Operating income [Abstract]	'		'		'
Operating income	4,122		20,495		'
Depreciation and amortization expense: [Abstract]	'		'		'
Depreciation and amortization expense	4,285		5,439		'
Assets: [Abstract]	'		'		'
Assets	985,450		'		934,467
Life Insurance [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
Premiums earned, net	34,864		31,727		'
Intersegment premiums/services fees	105		112		'
Net investment income	5,654		5,295		'
Total Reportable Segment	40,623		37,134		'
Operating income [Abstract]	'		'		'
Operating income	5,214		4,042		'
Depreciation and amortization expense: [Abstract]	'		'		'
Depreciation and amortization expense	223		205		'
Assets: [Abstract]	'		'		'
Assets	718,240		'		698,650
Property and Casualty Insurance [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
Premiums earned, net	23,302		24,766		'
Intersegment premiums/services fees	153		153		'
Net investment income	1,924		1,975		'
Total Reportable Segment	25,379		26,894		'
Operating income [Abstract]	'		'		'
Operating income	697		384		'
Depreciation and amortization expense: [Abstract]	'		'		'
Depreciation and amortization expense	123		136		'
Assets: [Abstract]	'		'		'
Assets	348,091		'		346,212
Operating Segments [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
Intersegment premiums/services fees	1,714	[1]	3,198	[1]	'
Operating revenues from external sources	1,494	[1]	1,187	[1]	'
Total Reportable Segment	3,208	[1]	4,385	[1]	'
Unallocated Amount to Segment [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
TSM operating revenue from external sources	39		140		'
Operating income [Abstract]	'		'		'
TSM operating revenues from external sources	39		140		'
TSM unallocated operating expenses	-2,163		-3,967		'
Unallocated amounts related to TSM: [Abstract]	'		'		'
Cash, cash equivalents, and investments	28,347		'		28,316
Property and equipment, net	21,062		'		21,278
Other assets	26,026		'		26,406
Reportable Segment [Member]	'		'		'
Operating revenues [Abstract]	'		'		'
Total business segments	587,687		594,319		'
Operating income [Abstract]	'		'		'
Operating income	9,668		24,388		'
Assets: [Abstract]	'		'		'
Assets	2,079,170		'		2,007,736
All Other Segments [Member]	'		'		'
Operating income [Abstract]	'		'		'
Operating income	-365	[1]	-533	[1]	'
Depreciation and amortization expense: [Abstract]	'		'		'
Depreciation and amortization expense	258	[1]	262	[1]	'
Assets: [Abstract]	'		'		'
Assets	$27,389	[1]	'		$28,407	[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 $)	1 Months Ended	3 Months Ended		12 Months Ended
In Thousands, unless otherwise specified	Oct. 31, 2013	Mar. 31, 2014	Mar. 31, 2013	Dec. 31, 2013
		Security		Security
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Total	'	$1,218,826	'	$1,218,836
Gross unrealized gains	'	107,690	'	88,804
Gross unrealized losses	'	-4,309	'	-11,833
Estimated fair value	'	1,322,207	'	1,295,807
Securities held to maturity [Abstract]	'	'	'	'
Amortized cost	'	6,261	'	6,139
Gross unrealized gains	'	172	'	170
Gross unrealized losses	'	0	'	0
Estimated fair value	'	6,433	'	6,309
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	257,300	'	389,355
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-4,309	'	-11,833
Number of Securities	'	59	'	107
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)	3.50%	2.75%	'	'
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'
Due in one year or less, amortized cost	'	57,470	'	'
Due after one year through five, amortized cost	'	308,160	'	'
Due after five year through ten years, amortized cost	'	106,689	'	'
Due after ten years, amortized cost	'	480,661	'	'
Residential mortgage-backed securities, amortized Cost	'	6,766	'	'
Collateralized mortgage obligations, amortized cost	'	81,584	'	'
Amortized Cost, Total	'	1,041,330	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'
Due in one year or less, estimated fair value	'	58,066	'	'
Due after one year through five, estimated fair value	'	314,248	'	'
Due after five year through ten years, estimated fair value	'	112,097	'	'
Due after ten years, estimated fair value	'	513,501	'	'
Residential mortgage-backed securities, estimated fair value	'	7,112	'	'
Collateralized mortgage obligations, estimated fair value	'	84,455	'	'
Estimated fair value, Total	'	1,089,479	'	1,055,874
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'
Due in one year or less, amortized Cost	'	3,629	'	'
Due after five through ten years, amortized Cost	'	1,793	'	'
Due after ten years, amortized cost	'	622	'	'
Residential mortgage-backed securities, amortized cost	'	217	'	'
Amortized cost, total	'	6,261	'	'
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'
Due in one year or less, estimated fair value	'	3,629	'	'
Due after five through ten years, estimated fair value	'	1,801	'	'
Due after ten years, estimated fair value	'	767	'	'
Residential mortgage-backed securities, estimated fair value	'	236	'	'
Estimated fair value, total	'	6,433	'	'
Securities available for sale [Abstract]	'	'	'	'
Gross gains from sales	'	1,919	1,100	'
Gross losses from sales	'	-1,271	-21	'
Total equity securities	'	648	1,079	'
Net realized gain on securities	'	126	1,888	'
Recognized in accumulated other comprehensive income: [Abstract]	'	'	'	'
Available-for-sale Securities	'	26,410	7,812	'
Not recognized in the consolidated financial statements [Abstract]	'	'	'	'
Held-to-maturity Securities, Change in Unrecognized Holding Loss	'	2	-30	'
Deferred tax liability related to unrealized gains and losses	'	4,108	1,170	'
Percentage of individual investment in securities to stockholders' equity (in hundredths)	'	10.00%	'	10.00%
Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	242,706	'	375,240
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-4,071	'	-11,669
Number of Securities	'	55	'	103
12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	14,594	'	14,115
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	-238	'	-164
Number of Securities	'	4	'	4
Equity Securities [Member]	'	'	'	'
Recognized in accumulated other comprehensive income: [Abstract]	'	'	'	'
Available-for-sale Securities	'	2,655	12,024	'
Fixed Maturities Securities [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	1,041,330	'	1,031,480
Gross unrealized gains	'	52,408	'	35,791
Gross unrealized losses	'	-4,259	'	-11,397
Estimated fair value	'	1,089,479	'	1,055,874
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	251,850	'	364,124
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-4,259	'	-11,397
Number of Securities	'	58	'	100
Securities available for sale [Abstract]	'	'	'	'
Gross gains from sales	'	1,323	994	'
Gross losses from sales	'	-1,845	-185	'
Total fixed maturity securities	'	-522	809	'
Recognized in accumulated other comprehensive income: [Abstract]	'	'	'	'
Available-for-sale Securities	'	23,755	-4,212	'
Fixed Maturities Securities [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	237,256	'	350,009
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-4,021	'	-11,233
Number of Securities	'	54	'	96
Fixed Maturities Securities [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	14,594	'	14,115
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	-238	'	-164
Number of Securities	'	4	'	4
Obligation Government-sponsored Enterprises [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	123,439	'	104,317
Gross unrealized gains	'	1,328	'	1,854
Gross unrealized losses	'	-303	'	-380
Estimated fair value	'	124,464	'	105,791
Securities held to maturity [Abstract]	'	'	'	'
Amortized cost	'	1,793	'	1,793
Gross unrealized gains	'	8	'	26
Gross unrealized losses	'	0	'	0
Estimated fair value	'	1,801	'	1,819
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	69,932	'	46,797
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-303	'	-380
Number of Securities	'	5	'	4
Obligation Government-sponsored Enterprises [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	69,932	'	46,797
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-303	'	-380
Number of Securities	'	5	'	4
Obligation Government-sponsored Enterprises [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	0	'	0
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	0	'	0
Number of Securities	'	0	'	0
U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	38,047	'	38,131
Gross unrealized gains	'	946	'	1,068
Gross unrealized losses	'	0	'	0
Estimated fair value	'	38,993	'	39,199
Securities held to maturity [Abstract]	'	'	'	'
Amortized cost	'	622	'	622
Gross unrealized gains	'	145	'	117
Gross unrealized losses	'	0	'	0
Estimated fair value	'	767	'	739
Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	48,686	'	49,557
Gross unrealized gains	'	563	'	262
Gross unrealized losses	'	-2,216	'	-4,814
Estimated fair value	'	47,033	'	45,005
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	17,219	'	22,285
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-2,216	'	-4,814
Number of Securities	'	9	'	13
Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	17,219	'	22,285
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-2,216	'	-4,814
Number of Securities	'	9	'	13
Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	0	'	0
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	0	'	0
Number of Securities	'	0	'	0
Municipal Securities [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	574,272	'	597,297
Gross unrealized gains	'	32,334	'	19,328
Gross unrealized losses	'	-1,001	'	-5,182
Estimated fair value	'	605,605	'	611,443
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	87,700	'	239,240
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-1,001	'	-5,182
Number of Securities	'	21	'	52
Municipal Securities [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	87,700	'	234,594
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-1,001	'	-5,145
Number of Securities	'	21	'	51
Municipal Securities [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	0	'	4,646
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	0	'	-37
Number of Securities	'	0	'	1
Corporate Bonds [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	168,536	'	146,936
Gross unrealized gains	'	13,912	'	9,883
Gross unrealized losses	'	-631	'	-879
Estimated fair value	'	181,817	'	155,940
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	65,302	'	45,203
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-631	'	-879
Number of Securities	'	19	'	19
Corporate Bonds [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	59,492	'	45,203
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-497	'	-879
Number of Securities	'	18	'	19
Corporate Bonds [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	5,810	'	0
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	-134	'	0
Number of Securities	'	1	'	0
Residential Agency Mortgage-backed Securities [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	6,766	'	7,388
Gross unrealized gains	'	346	'	324
Gross unrealized losses	'	0	'	-9
Estimated fair value	'	7,112	'	7,703
Securities held to maturity [Abstract]	'	'	'	'
Amortized cost	'	217	'	346
Gross unrealized gains	'	19	'	27
Gross unrealized losses	'	0	'	0
Estimated fair value	'	236	'	373
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	'	'	24
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	'	'	-9
Number of Securities	'	'	'	6
Residential Agency Mortgage-backed Securities [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	'	'	24
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	-9
Number of Securities	'	'	'	6
Residential Agency Mortgage-backed Securities [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	'	'	0
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	'	'	0
Number of Securities	'	'	'	0
Collateralized Mortgage Obligations [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Fixed maturities, Amortized cost	'	81,584	'	87,854
Gross unrealized gains	'	2,979	'	3,072
Gross unrealized losses	'	-108	'	-133
Estimated fair value	'	84,455	'	90,793
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	11,697	'	10,575
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-108	'	-133
Number of Securities	'	4	'	6
Collateralized Mortgage Obligations [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	2,913	'	1,106
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-4	'	-6
Number of Securities	'	1	'	3
Collateralized Mortgage Obligations [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	8,784	'	9,469
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	-104	'	-127
Number of Securities	'	3	'	3
Certificates of Deposit [Member]	'	'	'	'
Securities held to maturity [Abstract]	'	'	'	'
Amortized cost	'	3,629	'	3,378
Gross unrealized gains	'	0	'	0
Gross unrealized losses	'	0	'	0
Estimated fair value	'	3,629	'	3,378
Mutual Funds [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Equity securities, Amortized cost	'	177,496	'	187,356
Gross unrealized gains	'	55,282	'	53,013
Gross unrealized losses	'	-50	'	-436
Estimated fair value	'	232,728	'	239,933
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Estimated Fair Value, Total	'	5,450	'	25,231
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Gross Unrealized Losses, Total	'	-50	'	-436
Number of Securities	'	1	'	7
Mutual Funds [Member] | Less Than 12 Months [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
Less than 12 months, Estimated Fair Value	'	5,450	'	25,231
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	-50	'	-436
Number of Securities	'	1	'	7
Mutual Funds [Member] | 12 Months or Longer [Member]	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'
12 months or longer, Estimated Fair Value	'	0	'	0
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
12 months or longer, Gross Unrealized Losses	'	0	'	0
Number of Securities	'	0	'	0
Escrow Bonds [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Gross unrealized gains	'	224	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'
Estimated fair value, Total	'	22,166	'	'
Cofina Bonds [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Gross unrealized gains	'	304	'	'
Gross unrealized losses	'	2,080	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'
Estimated fair value, Total	'	22,251	'	'
Puerto Rico Bonds [Member]	'	'	'	'
Securities available for Sale, Amortized cost [Abstract]	'	'	'	'
Gross unrealized gains	'	35	'	'
Gross unrealized losses	'	136	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'
Estimated fair value rated below investment grade	'	1,804	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'
Estimated fair value, Total	'	$2,616	'	'

Investment_in_Securities_Incom

Investment in Securities, Income By Category (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Components of net investment income [Abstract]	'	'
Total	$11,351	$11,367
Fixed Maturities [Member]	'	'
Components of net investment income [Abstract]	'	'
Total	9,670	9,319
Equity Securities [Member]	'	'
Components of net investment income [Abstract]	'	'
Total	1,346	1,718
Policy Loans [Member]	'	'
Components of net investment income [Abstract]	'	'
Total	125	114
Cash Equivalents and Interest-Bearing Deposits [Member]	'	'
Components of net investment income [Abstract]	'	'
Total	12	28
Other [Member]	'	'
Components of net investment income [Abstract]	'	'
Total	$198	$188

Premiums_and_Other_Receivables2

Premiums and Other Receivables, Net (Details) (USD $)	Mar. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Premiums and Other Receivables, Net [Abstract]	'	'
Premiums	$123,999	$108,963
Self-funded group receivables	63,162	55,598
FEHBP	12,486	11,804
Agent balances	26,105	27,655
Accrued interest	10,512	11,879
Reinsurance recoverable	52,186	46,116
Other	39,181	34,473
Premiums and other receivables, total	327,631	296,488
Less allowance for doubtful receivables [Abstract]	'	'
Premiums	16,265	14,403
Other	7,114	7,146
Premiums and other receivables allowance	23,379	21,549
Total premiums and other receivables, net	$304,252	$274,939

Claim_Liabilities_Details

Claim Liabilities (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Claim liabilities [Roll Forward]	'	'
Claim liabilities at beginning of period	$420,421	$416,918
Reinsurance recoverable on claim liabilities	-37,557	-39,051
Net claim liabilities at beginning of period	382,864	377,867
Incurred claims and loss-adjustment expenses: [Abstract]	'	'
Current period insured events	470,371	472,056
Prior period insured events	-26,519	-25,061
Total	443,852	446,995
Payments of losses and loss-adjustment expenses: [Abstract]	'	'
Current period insured events	241,871	217,818
Prior period insured events	178,750	230,676
Total	420,621	448,494
Net claim liabilities at end of period	406,095	376,368
Reinsurance recoverable on claim liabilities	40,615	37,756
Claim liabilities at end of period	446,710	414,124
Change in liability for future policy benefits, expense	$5,255	$5,005

Fair_Value_Measurements_Detail

Fair Value Measurements (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013	Dec. 31, 2013
6.6% Senior Unsecured Notes Payable [Member]	'	'	'
Long-term borrowings [Abstract]	'	'	'
Fixed rate of interest on notes payable (in hundredths)	6.60%	'	6.60%
Carrying Value [Member]	'	'	'
Assets [Abstract]	'	'	'
Policy loans	$6,734	'	$6,705
Liabilities [Abstract]	'	'	'
Policyholder deposits	115,561	'	115,923
Long-term borrowings [Abstract]	'	'	'
Loans payable to bank - variable	15,697	'	16,107
Loans payable to bank - fixed	13,107	'	13,195
6.6% senior unsecured notes payable	35,000	'	35,000
Repurchase agreement	25,000	'	25,000
Total long-term borrowings	88,804	'	89,302
Total liabilities	204,365	'	205,225
Fair Value [Member]	'	'	'
Assets [Abstract]	'	'	'
Policy loans	6,734	'	6,705
Liabilities [Abstract]	'	'	'
Policyholder deposits	115,561	'	115,923
Long-term borrowings [Abstract]	'	'	'
Loans payable to bank - variable	15,697	'	16,107
Loans payable to bank - fixed	13,107	'	13,195
6.6% senior unsecured notes payable	33,688	'	33,775
Repurchase agreement	25,575	'	25,638
Total long-term borrowings	88,067	'	88,715
Total liabilities	203,628	'	204,638
Level 1 [Member] | Fair Value [Member]	'	'	'
Assets [Abstract]	'	'	'
Policy loans	0	'	0
Liabilities [Abstract]	'	'	'
Policyholder deposits	0	'	0
Long-term borrowings [Abstract]	'	'	'
Loans payable to bank - variable	0	'	0
Loans payable to bank - fixed	0	'	0
6.6% senior unsecured notes payable	0	'	0
Repurchase agreement	0	'	0
Total long-term borrowings	0	'	0
Total liabilities	0	'	0
Level 2 [Member] | Fair Value [Member]	'	'	'
Assets [Abstract]	'	'	'
Policy loans	6,734	'	6,705
Liabilities [Abstract]	'	'	'
Policyholder deposits	115,561	'	115,923
Long-term borrowings [Abstract]	'	'	'
Loans payable to bank - variable	15,697	'	16,107
Loans payable to bank - fixed	13,107	'	13,195
6.6% senior unsecured notes payable	33,688	'	33,775
Repurchase agreement	25,575	'	25,638
Total long-term borrowings	88,067	'	88,715
Total liabilities	203,628	'	204,638
Level 3 [Member] | Fair Value [Member]	'	'	'
Assets [Abstract]	'	'	'
Policy loans	0	'	0
Liabilities [Abstract]	'	'	'
Policyholder deposits	0	'	0
Long-term borrowings [Abstract]	'	'	'
Loans payable to bank - variable	0	'	0
Loans payable to bank - fixed	0	'	0
6.6% senior unsecured notes payable	0	'	0
Repurchase agreement	0	'	0
Total long-term borrowings	0	'	0
Total liabilities	0	'	0
Fair Value, Measurements, Recurring [Member]	'	'	'
Fixed maturity securities [Abstract]	'	'	'
Obligations of government-sponsored enterprises	124,464	'	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	38,993	'	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	47,033	'	45,005
Municipal securities	605,605	'	611,443
Corporate bonds	181,817	'	155,940
Residential agency mortgage-backed securities	7,112	'	7,703
Collateralized mortgage obligations	84,455	'	90,793
Total fixed maturities	1,089,479	'	1,055,874
Equity securities [Abstract]	'	'	'
Mutual funds	232,728	'	239,933
Total equity securities	232,728	'	239,933
Assets, fair value disclosure, Total	1,322,207	'	1,295,807
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'
Beginning balance	17,910	12,822	'
Unrealized gain in other accumulated comprehensive income	958	961	'
Purchases	0	1,000	'
Ending balance	18,868	14,783	'
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	'
Unrealized gain in other accumulated comprehensive income	0	0	'
Purchases	0	0	'
Ending balance	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	17,910	12,822	'
Unrealized gain in other accumulated comprehensive income	958	961	'
Purchases	0	1,000	'
Ending balance	18,868	14,783	'
Fair Value, Measurements, Recurring [Member] | Level 1 [Member]	'	'	'
Fixed maturity securities [Abstract]	'	'	'
Obligations of government-sponsored enterprises	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	38,993	'	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0
Municipal securities	0	'	0
Corporate bonds	0	'	0
Residential agency mortgage-backed securities	0	'	0
Collateralized mortgage obligations	0	'	0
Total fixed maturities	38,993	'	39,199
Equity securities [Abstract]	'	'	'
Mutual funds	161,015	'	158,281
Total equity securities	161,015	'	158,281
Assets, fair value disclosure, Total	200,008	'	197,480
Fair Value, Measurements, Recurring [Member] | Level 2 [Member]	'	'	'
Fixed maturity securities [Abstract]	'	'	'
Obligations of government-sponsored enterprises	124,464	'	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	47,033	'	45,005
Municipal securities	605,605	'	611,443
Corporate bonds	181,817	'	155,940
Residential agency mortgage-backed securities	7,112	'	7,703
Collateralized mortgage obligations	84,455	'	90,793
Total fixed maturities	1,050,486	'	1,016,675
Equity securities [Abstract]	'	'	'
Mutual funds	52,845	'	63,742
Total equity securities	52,845	'	63,742
Assets, fair value disclosure, Total	1,103,331	'	1,080,417
Fair Value, Measurements, Recurring [Member] | Level 3 [Member]	'	'	'
Fixed maturity securities [Abstract]	'	'	'
Obligations of government-sponsored enterprises	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0
Municipal securities	0	'	0
Corporate bonds	0	'	0
Residential agency mortgage-backed securities	0	'	0
Collateralized mortgage obligations	0	'	0
Total fixed maturities	0	'	0
Equity securities [Abstract]	'	'	'
Mutual funds	18,868	'	17,910
Total equity securities	18,868	'	17,910
Assets, fair value disclosure, Total	$18,868	'	$17,910

ShareBased_Compensation_Detail

Share-Based Compensation (Details) (USD $)	3 Months Ended
In Thousands, except Share data, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Share-Based Compensation [Abstract]	'	'
Compensation expense	$625	$678
Stock option exercises during period (in shares)	0	0
Non-cash exercise of stock options (in shares)	0	0

Comprehensive_Income_Details

Comprehensive Income (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Accumulated Other Comprehensive Income Loss [Line Items]	'	'
Balance at January 1, 2014	$32,129	'
Other comprehensive income before reclassifications	22,409	'
Amounts reclassified from accumulated other comprehensive income	524	'
Total other comprehensive income, net of tax	22,933	7,812
Balance at March 31, 2014	55,062	'
Net Unrealized Gain on Securities [Member]	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'
Balance at January 1, 2014	65,584	'
Other comprehensive income before reclassifications	22,409	'
Amounts reclassified from accumulated other comprehensive income	-107	'
Total other comprehensive income, net of tax	22,302	'
Balance at March 31, 2014	87,886	'
Liability for Pension Benefits [Member]	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'
Balance at January 1, 2014	-33,455	'
Other comprehensive income before reclassifications	0	'
Amounts reclassified from accumulated other comprehensive income	631	'
Total other comprehensive income, net of tax	631	'
Balance at March 31, 2014	($32,824)	'

Income_Taxes_Details

Income Taxes (Details) (USD $)	3 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Income Tax Examination [Line Items]	'	'	'	'
Total outside basis difference	'	56,000	'	'
Minimum [Member]	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'
Years subject to examination by taxing authority	'2009	'	'	'
Maximum [Member]	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'
Years subject to examination by taxing authority	'2013	'	'	'
Puerto Rico [Member]	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'
Percentage of premium tax on policies underwritten (in hundredths)	5.00%	'	'	'
Approved maximum corporate income tax rate (in hundredths)	'	39.00%	30.00%	40.95%
Elimination additional special tax (in hundredths)	5.00%	'	'	'
Special premium charged against premiums collected by Company (in hundredths)	1.00%	'	'	'
Percentage of controlled domestic subsidiary and income attributable to a trade of business outside of Puerto Rico (in hundredths)	100.00%	'	'	'

Pension_Plan_Details

Pension Plan (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Components of net periodic benefit cost [Abstract]	'	'
Service cost	$1,027	$1,023
Interest cost	2,261	1,952
Expected return on assets	-2,073	-1,696
Amortization of prior service benefit	-121	-113
Amortization of actuarial loss	1,156	1,784
Net periodic benefit cost	2,250	2,950
Expected employer future contributions	$8,000	'

Net_Income_Available_to_Stockh2

Net Income Available to Stockholders and Net Income per Share (Details) (USD $)	3 Months Ended
In Thousands, except Share data, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013
Numerator for earnings per share: [Abstract]	'	'
Net income attributable to TSM available to stockholders	$6,955	$17,238
Denominator for basic earnings per share: [Abstract]	'	'
Weighted average of common shares (in shares)	27,268,046	28,285,925
Effect of dilutive securities (in shares)	99,983	84,534
Denominator for diluted earnings per share (in shares)	27,368,029	28,370,459
Basic net income per share attributable to TSM (in dollars per share)	$0.26	$0.61
Diluted net income per share attributable to TSM (in dollars per share)	$0.25	$0.61

Contingencies_Details

Contingencies (Details) (USD $)	3 Months Ended		1 Months Ended	3 Months Ended			0 Months Ended			3 Months Ended
In Thousands, except Share data, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2014	Dec. 23, 2013	Mar. 31, 2014	Mar. 31, 2014	Mar. 31, 2014	Feb. 24, 2014	Feb. 10, 2014	Feb. 11, 2014	Mar. 31, 2014
	Claims of Heirs of Former Shareholders [Member]	Joint Underwriting Association Litigations [Member]	Puerto Rico Dentists Association Litigation [Member]	Puerto Rico Dentists Association Litigation [Member]	Community Health Centers - Puerto Rico [Member]	Intrusions Into Triple-C, Inc. Internet IPA Database [Member]	Unauthorized Disclosure of Protected Health Information [Member]	Unauthorized Disclosure of Protected Health Information [Member]	Unauthorized Disclosure of Protected Health Information [Member]	Unauthorized Disclosure of Protected Health Information [Member]
	Lawsuit	Lawsuit		Plaintiff	Lawsuit			Lawsuit	Beneficiary	Beneficiary
				Subsidiary
				Plan
Loss Contingencies [Line Items]	'	'	'	'	'	'	'	'	'	'
Lawsuit filing date	'	'August 19, 2011	'	'February 11, 2009	'	'	'February 24, 2014	'February 10, 2014	'	'
Amount of claims for damages	'	$406,600	$30	$150,000	'	'	$20,000	'	'	'
Number of defending individual lawsuits	7	18	'	'	6	'	'	'	'	'
Number of shares claimed to have inherited (in shares)	102	'	'	'	'	'	'	'	'	'
Number of health plans	'	'	'	24	'	'	'	'	'	'
Number of subsidiaries as defendants	'	'	'	2	'	'	'	'	'	'
Number of codefendant plans	'	'	'	2	'	'	'	'	'	'
Number of plaintiffs	'	'	'	5	'	'	'	1	'	'
Number of plaintiffs presented claim	'	'	'	1	'	'	'	'	'	'
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	'	'	'	'	9,597	'	'	'	'	'
Civil monetary penalty	'	'	'	'	'	'	'	'	$6,778	'
Number of Dual Eligible Medicare beneficiaries	'	'	'	'	'	'	'	'	13,336	70,000

Business_Combination_Details

Business Combination (Details) (USD $)	3 Months Ended						3 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2014	Mar. 31, 2013	Mar. 31, 2014	Dec. 31, 2013	Nov. 07, 2013	Oct. 31, 2013	Mar. 31, 2014
			2013 Acquisition [Member]	2013 Acquisition [Member]	2013 Acquisition [Member]	2013 Acquisition [Member]	2012 Acquisition [Member]
Business Acquisition [Line Items]	'	'	'	'	'	'	'
Date of business acquisition	'	'	'	'	'	'	7-Nov-13
Percentage of outstanding capital stock acquired (in hundredths)	'	'	'	'	100.00%	'	'
Direct costs related to the acquisition	'	'	'	($435)	$435	'	'
Allocation of Purchase Price [Abstract]	'	'	'	'	'	'	'
Cash	'	'	'	2,544	'	'	'
Escrow funds for pension liability	'	'	'	3,600	'	'	'
Escrow funds for contingencies and pension termination costs	'	'	'	2,900	'	'	'
Due to Seller	'	'	'	804	'	'	'
Acquisition costs reimbursed to seller	'	'	'	-435	435	'	'
Total purchase price	'	'	'	9,413	'	'	'
Investments and cash and cash equivalents	'	'	'	13,292	'	'	'
Premiums and other receivables	'	'	'	915	'	'	'
Property and equipment	'	'	'	9	'	'	'
VOBA	'	'	'	4,499	'	'	'
Other assets	'	'	'	265	'	'	'
Deferred tax asset	'	'	'	133	'	'	'
Future policy benefits and claim liabilities	'	'	'	-6,440	'	'	'
Claim and policyholders liabilities	'	'	'	-2,123	'	'	'
Accounts payable and accrued liabilities	'	'	'	-1,137	'	'	'
Total net assets	'	'	'	9,413	'	'	'
Operating revenue	584,819	591,994	2,057	'	'	'	'
Net gain	6,955	17,238	307	'	'	'	'
Unaudited pro forma financial information of ASICO [Abstract]	'	'	'	'	'	'	'
Operating revenues	'	591,871	'	'	'	'	'
Net Income	'	16,994	'	'	'	'	'
Basic net income per share (in dollars per share)	'	$0.60	'	'	'	'	'
Diluted net income per share (in dollars per share)	'	$0.60	'	'	'	'	'
Intangible assets including goodwill	'	'	'	'	'	4,499	'
Amortization expense	'	'	$165	'	'	'	'