Triple-s Management (GTS) 10-Q 5 Nov 14 2014 Q3 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	9 Months Ended
	Sep. 30, 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	'Q3
Document Type	'10-Q
Amendment Flag	'false
Document Period End Date	30-Sep-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	24,885,646

Consolidated_Balance_Sheets_Un

Consolidated Balance Sheets (Unaudited) (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Securities available for sale, at fair value:	'	'
Fixed maturities	$1,120,275	$1,055,874
Equity securities	204,882	239,933
Securities held to maturity, at amortized cost:	'	'
Fixed maturities	4,072	6,139
Policy loans	7,057	6,705
Cash and cash equivalents	141,040	74,356
Total investments and cash	1,477,326	1,383,007
Premiums and other receivables, net	273,371	274,939
Deferred policy acquisition costs and value of business acquired	180,561	177,289
Property and equipment, net	81,934	89,086
Deferred tax asset	31,792	33,519
Goodwill	25,397	25,397
Other assets	45,883	64,387
Total assets	2,116,264	2,047,624
Liabilities and Stockholders' Equity	'	'
Claim liabilities	399,807	420,421
Liability for future policy benefits	322,256	304,363
Unearned premiums	81,744	87,362
Policyholder deposits	118,521	115,923
Liability to Federal Employees' Health Benefits Program (FEHBP)	13,868	8,148
Accounts payable and accrued liabilities	158,998	161,422
Deferred tax liability	26,677	20,783
Long-term borrowings	87,816	89,302
Liability for pension benefits	50,522	54,697
Total liabilities	1,260,209	1,262,421
Triple-S Management Corporation stockholders' equity	'	'
Additional paid-in capital	125,761	130,098
Retained earnings	634,839	595,685
Accumulated other comprehensive income	68,486	32,129
Total Triple-S Management Corporation stockholders' equity	856,350	785,381
Non-controlling interest in consolidated subsidiary	-295	-178
Total stockholders' equity	856,055	785,203
Total liabilities and stockholders' equity	2,116,264	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	$24,886	$25,091

Consolidated_Balance_Sheets_Un1

Consolidated Balance Sheets (Unaudited) (Parenthetical) (USD $)	Sep. 30, 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)	24,885,646	25,091,277
Common stock, outstanding (in shares)	24,885,646	25,091,277

Consolidated_Statements_of_Ear

Consolidated Statements of Earnings (Unaudited) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Revenues:	'	'	'	'
Premiums earned, net	$520,766	$547,874	$1,606,353	$1,653,870
Administrative service fees	30,253	22,450	89,509	78,103
Net investment income	11,816	11,363	35,314	34,749
Other operating revenues	939	1,239	3,283	3,638
Total operating revenues	563,774	582,926	1,734,459	1,770,360
Net realized investment gains (losses):	'	'	'	'
Total other-than-temporary impairment losses on securities	0	0	-462	0
Net realized gains (losses), excluding other-than-temporary impairment losses on securities	3,108	-144	7,624	3,405
Total net realized investment gains (losses)	3,108	-144	7,162	3,405
Other income, net	367	13,931	1,188	14,778
Total revenues	567,249	596,713	1,742,809	1,788,543
Benefits and expenses :	'	'	'	'
Claims incurred	433,853	456,432	1,311,601	1,369,250
Operating expenses	121,036	116,156	369,992	351,246
Total operating costs	554,889	572,588	1,681,593	1,720,496
Interest expense	2,273	2,379	6,974	7,189
Total benefits and expenses	557,162	574,967	1,688,567	1,727,685
Income before taxes	10,087	21,746	54,242	60,858
Income tax expense (benefit):	'	'	'	'
Current	2,637	5,636	14,529	14,867
Deferred	2,795	-2,494	676	-9,874
Total income taxes	5,432	3,142	15,205	4,993
Net income	4,655	18,604	39,037	55,865
Less: Net loss attributable to non-controlling interest	68	37	117	156
Net income attributable to Triple-S Management Corporation	$4,723	$18,641	$39,154	$56,021
Earnings per share attributable to Triple-S Management Corporation	'	'	'	'
Basic net income per share (in dollars per share)	$0.17	$0.68	$1.44	$2.01
Diluted net income per share (in dollars per share)	$0.17	$0.68	$1.44	$2.01

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Income (Loss) (Unaudited) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Consolidated Statements of Comprehensive Income (Loss) (Unaudited) [Abstract]	'	'	'	'
Net income	$4,655	$18,604	$39,037	$55,865
Other comprehensive income (loss), net of tax:	'	'	'	'
Net unrealized change in fair value of available for sale securities, net of taxes	-6,789	-5,386	34,593	-39,908
Defined benefit pension plan:	'	'	'	'
Actuarial loss, net	622	1,097	1,976	3,273
Prior service credit, net	-68	-68	-212	-205
Total other comprehensive income (loss), net of tax	-6,235	-4,357	36,357	-36,840
Comprehensive income (loss)	-1,580	14,247	75,394	19,025
Comprehensive loss attributable to non-controlling interest	68	37	117	156
Comprehensive income (loss) attributable to Triple-S Management Corporation	($1,512)	$14,284	$75,511	$19,181

Consolidated_Statements_of_Sto

Consolidated Statements of Stockholders' Equity (Unaudited) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013
Increase (Decrease) in Stockholders' Equity [Roll Forward]	'	'
Balance at January 1	$785,381	$761,907
Share-based compensation	1,617	2,351
Stock issued upon the exercise of stock options	2,885	315
Repurchase and retirement of common stock	-9,044	-18,571
Net current period change in comprehensive income	75,511	19,181
Total Triple-S Management Corporation stockholders' equity	856,350	765,183
Non-controlling interest in consolidated subsidiary	-295	84
Balance at September 30	$856,055	$765,267

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (Unaudited) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013
Cash flows from operating activities:	'	'
Net income	$39,037	$55,865
Adjustments to reconcile net income to net cash provided by operating activities:	'	'
Depreciation and amortization	15,974	17,804
Net amortization of investments	4,597	4,558
Provision for doubtful receivables, net	5,968	4,283
Deferred tax expense (benefit)	676	-9,874
Net realized investment gain on sale of securities	-7,162	-3,405
Share-based compensation	1,617	2,351
(Increase) decrease in assets:	'	'
Premium and other receivables, net	-4,400	2,862
Deferred policy acquisition costs and value of business acquired	-3,272	-3,103
Other deferred taxes	390	9
Other assets	5,830	-934
Increase (decrease) in liabilities:	'	'
Claim liabilities	-20,614	-69
Liability for future policy benefits	17,893	16,740
Unearned premiums	-5,618	-5,604
Policyholder deposits	2,621	2,412
Liability to FEHBP	5,720	-11,016
Accounts payable and accrued liabilities	1,548	29,196
Net cash provided by operating activities	60,805	102,075
Securities available for sale:	'	'
Fixed maturities sold	150,049	81,330
Fixed maturities matured/called	27,892	85,496
Equity securities sold	70,803	93,504
Securities held to maturity:	'	'
Fixed maturities matured/called	2,929	1,127
Other investments	8,925	0
Securities available for sale:	'	'
Fixed maturities	-211,129	-205,373
Equity securities	-23,731	-132,109
Securities held to maturity:	'	'
Fixed maturities	-865	-1,011
Other investments	-583	-823
Net outflows from policy loans	-352	-209
Net capital expenditures	-3,801	-8,934
Net cash provided by (used in) investing activities	20,137	-87,002
Cash flows from financing activities:	'	'
Change in outstanding checks in excess of bank balances	-6,754	22,809
Net change in short-term borrowings	0	-16,590
Repayments of long-term borrowings	-1,486	-11,475
Repurchase and retirement of common stock	-5,995	-18,250
Proceeds from policyholder deposits	6,413	8,112
Surrenders of policyholder deposits	-6,436	-7,479
Net cash used in financing activities	-14,258	-22,873
Net increase (decrease) in cash and cash equivalents	66,684	-7,800
Cash and cash equivalents:	'	'
Beginning of period	74,356	89,564
End of period	$141,040	$81,764

Basis_of_Presentation

Basis of Presentation	9 Months Ended
	Sep. 30, 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.
	On September 1, 2014, the name of American Health, Inc. (“AH” or “AHM”) was changed to Triple-S Advantage, Inc. (“TSA”) to consolidate the Company’s Medicare Advantage products offer and maximize investment in a single line of products.
	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 and nine months ended September 30, 2014 are not necessarily indicative of the results for the full year ending December 31, 2014.

Recent_Accounting_Standards

Recent Accounting Standards	9 Months Ended
	Sep. 30, 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 upon implementation recorded a liability in the consolidated accounts payable and accrued liabilities 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 updated this estimate for adjustment in subsequent quarters to reflect the final annual fee assessment of $27,700 paid during this quarter. During the three months and nine months ended September 30, 2014, approximately $7,400 and $21,300, respectively, 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.
	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.
	On June 12, 2014, the FASB issued guidance that amends current accounting and disclosures for repurchase agreements and similar transactions. This guidance is effective for public companies for the first interim or annual period beginning after December 15, 2014. We are currently evaluating the impact, if any, the adoption of this guidance will have on the financial position or results of operations.
	On June 19, 2014, the FASB issued updated guidance on the accounting for share-based payments when the terms of an award provide that a performance target could be achieved after the requisite service period. This guidance seeks to resolve the diversity in practice that exists when accounting for share-based payments. In particular, this guidance requires a performance target that affects vesting and that could be achieved after the requisite service period to be treated as a performance conditions. For all entities, this guidance is effective for annual periods and interim periods within those annual periods beginning after December 15, 2015, with earlier adoption permitted. We are currently evaluating the impact, if any, the adoption of this guidance will have on our financial position or results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months and nine months ended September 30, 2014 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Segment_Information

Segment Information	9 Months Ended
	Sep. 30, 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 and nine months ended September 30, 2014 and 2013:
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	462,765		$	491,046		$	1,431,762		$	1,483,456
	Administrative service fees			30,253			22,450			89,509			78,103
	Intersegment premiums /service fees			1,267			1,369			4,108			4,142
	Net investment income			3,625			3,975			11,235			12,009
	Total managed care			497,910			518,840			1,536,614			1,577,710
	Life Insurance:
	Premiums earned, net			35,817			32,279			105,507			95,991
	Intersegment premiums			13			88			195			304
	Net investment income			5,907			5,303			17,558			16,317
	Total life insurance			41,737			37,670			123,260			112,612
	Property and Casualty Insurance:
	Premiums earned, net			22,184			24,549			69,084			74,423
	Intersegment premiums			153			153			460			460
	Net investment income			2,237			2,041			6,345			6,077
	Total property and casualty insurance			24,574			26,743			75,889			80,960
	Other segments: *
	Intersegment service revenues			2,392			1,981			6,923			7,211
	Operating revenues from external sources			940			1,240			3,285			3,640
	Total other segments			3,332			3,221			10,208			10,851
	Total business segments			567,553			586,474			1,745,971			1,782,133
	TSM operating revenues from external sources			14			43			81			300
	Elimination of intersegment premiums			(1,433	)		(1,610	)		(4,763	)		(4,906	)
	Elimination of intersegment service fees			(2,392	)		(1,981	)		(6,923	)		(7,211	)
	Other intersegment eliminations			32			-			93			44
	Consolidated operating revenues		$	563,774		$	582,926		$	1,734,459		$	1,770,360
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Operating income:
	Managed care		$	903		$	7,274		$	32,928		$	41,165
	Life insurance			5,642			3,795			16,051			11,512
	Property and casualty insurance			2,295			402			7,516			974
	Other segments *			(751	)		(939	)		(1,002	)		(1,452	)
	Total business segments			8,089			10,532			55,493			52,199
	TSM operating revenues from external sources			14			43			81			300
	TSM unallocated operating expenses			(1,655	)		(2,673	)		(10,002	)		(9,440	)
	Elimination of TSM intersegment charges			2,437			2,436			7,294			6,805
	Consolidated operating income			8,885			10,338			52,866			49,864
	Consolidated net realized investment gains			3,108			(144	)		7,162			3,405
	Consolidated interest expense			(2,273	)		(2,379	)		(6,974	)		(7,189	)
	Consolidated other income, net			367			13,931			1,188			14,778
	Consolidated income before taxes		$	10,087		$	21,746		$	54,242		$	60,858
	Depreciation and amortization expense:
	Managed care		$	4,634		$	4,744		$	13,617		$	15,322
	Life insurance			181			257			598			672
	Property and casualty insurance			122			133			369			399
	Other segments*			260			240			776			764
	Total business segments			5,197			5,374			15,360			17,157
	TSM depreciation expense			199			216			614			647
	Consolidated depreciation and amortization expense		$	5,396		$	5,590		$	15,974		$	17,804
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			September 30,			December 31,
			2014			2013
	Assets:
Managed care		$	952,625		$	934,467
Life insurance			746,228			698,650
Property and casualty insurance			359,265			346,212
Other segments *			27,467			28,407
Total business segments			2,085,585			2,007,736
Unallocated amounts related to TSM:
Cash, cash equivalents, and investments			33,848			28,316
Property and equipment, net			20,631			21,278
Other assets			25,195			26,406
			79,674			76,000
Elimination entries-intersegment receivables and others			(48,995	)		(36,112	)
Consolidated total assets		$	2,116,264		$	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	9 Months Ended
	Sep. 30, 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 September 30, 2014 and December 31, 2013, were as follows:
			30-Sep-14
			Amortized			Gross			Gross			Estimated
			cost			unrealized			unrealized losses			fair value
						gains
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	126,898		$	1,122		$	(171	)	$	127,849
	U.S. Treasury securities and obligations of U.S. government instrumentalities			59,960			727			(70	)		60,617
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			45,990			394			(1,534	)		44,850
	Municipal securities			583,329			42,662			(384	)		625,607
	Corporate bonds			178,934			16,489			(380	)		195,043
	Residential mortgage-backed securities			8,101			431			-			8,532
	Collateralized mortgage obligations			55,625			2,159			(7	)		57,777
	Total fixed maturities			1,058,837			63,984			(2,546	)		1,120,275
	Equity securities - Mutual funds			149,141			55,754			(13	)		204,882
	Total		$	1,207,978		$	119,738		$	(2,559	)	$	1,325,157
			31-Dec-13
			Amortized			Gross			Gross			Estimated
			cost			unrealized			unrealized losses			fair value
						gains
	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
			30-Sep-14
			Amortized			Gross			Gross			Estimated
			cost			unrealized			unrealized losses			fair value
						gains
	Securities held to maturity:
	U.S. Treasury securities and obligations of U.S. government instrumentalities		$	622		$	166		$	-		$	788
	Residential mortgage-backed securities			217			20			-			237
	Certificates of deposit			3,233			-			-			3,233
	Total		$	4,072		$	186		$	-		$	4,258
			31-Dec-13
			Amortized			Gross			Gross			Estimated
			cost			unrealized			unrealized losses			fair value
						gains
	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 September 30, 2014 and December 31, 2013 were as follows:
			30-Sep-14
			Less than 12 months									12 months or longer								Total
			Estimated Fair Value			Gross Unrealized Loss			Number of Securities			Estimated Fair Value			Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities
	Securites available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises		$	56,824		$	(171	)		5		$	-		$	-			-	$	56,824	$	(171	)		5
	US Treasury securities and obligations of US governmental instrumentalities			22,443			(70	)		2			-			-			-		22,443		(70	)		2
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			10,840			(614	)		6			5,215			(920	)		1		16,055		(1,534	)		7
	Municipal securities			26,205			(128	)		7			35,433			(256	)		9		61,638		(384	)		16
Corporate bonds			25,614			(109	)		5			31,302			(271	)		8		56,916		(380	)		13
Collateralized mortgage obligations			-			-			-			2,917			(7	)		1		2,917		(7	)		1
Total fixed maturities			141,926			(1,092	)		25			74,867			(1,454	)		19		216,793		(2,546	)		44
Equity securities:
Mutual funds			1,672			(13	)		1			-			-			-		1,672		(13	)		1
Total for securities available for sale		$	143,598		$	(1,105	)		26		$	74,867		$	(1,454	)		19	$	218,465	$	(2,559	)		45
		31-Dec-13
		Less than 12 months									12 months or longer								Total
		Estimated Fair Value			Gross Unrealized Loss			Number of Securities			Estimated Fair Value			Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of 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 impair 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.
•	Determination of the status of each analyzed security as other-than-temporary or not, with documentation of the rationale for the decision; and
•	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 $22,385 and a gross unrealized gain of $185, (2) bonds issued by the Puerto Rico Sales Tax Financing Corporation (Cofina) with a fair value of $20,785; a gross unrealized loss of $1,534 offset in part by a gross unrealized gain of $128, and (3) bonds of various other Puerto Rico issuers with a fair value of $1,680 and a gross unrealized gain of $81.
Besides holdings in escrowed bonds, which are backed by US Government securities and therefore have an implicit AA+/Aaa rating, our largest positions are in bonds issued by the Puerto Rico Sales Tax Financing Corporation (Cofina). These sales tax bonds are secured by a 7% sales tax levied on the island, of which 1.5% is allocated to municipalities. Of the remaining 5.5%, the largest of 3.50% or a base amount is pledged to these sales tax bonds. The percentage pledged to the sales tax bonds was increased in October 2013 from 2.75% to 3.50%. 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.
On June 28, 2014, Act 71-2014, known as the Puerto Rico Public Corporations Debt Enforcement and Recovery Act (“the Recovery Act”) was signed into law to provide a legal framework for restructuring public corporation debt. The Central Government, municipalities and related agencies (including Cofina and GDB) are explicitly not eligible, i.e. these cannot be restructured under this new act. In other words, the Act makes a clear distinction between the central Government and its related entities versus the agencies/public corporations. Both Moody’s and Standard & Poor's ("S&P") have taken various ratings actions on the back of this new legislation, including on those credits which were explicitly excluded under the new Act. The rating agencies have positioned their ratings of bonds issued by Cofina closer to that of General Obligation debt.
S&P notes that the proposal is indicative of the growing economic and fiscal challenges for the Commonwealth as a whole, which could lead to additional liquidity pressures. S&P also mentions that this legislation may also signal a potential shift in the Commonwealth’s historically strong willingness to continue to meet its obligations to bondholders. On July 11, 2014, S&P lowered its Cofina ratings from AA- to BBB for senior lien bonds and from A+ to BBB- for subordinate bonds.
According to Moody’s, the new law marks the end of the Commonwealth’s long history of taking actions needed to support its debt. The rating agency notes that it signals a depleted capacity for revenue increases and austerity measures, and a new preference for shifting fiscal pressures to creditors. In Moody’s view this has implications for all of Puerto Rico’s debt, i.e. not only of the public corporations but also of the central Government. On July 1, 2014, Moody’s lowered its Cofina ratings from Baa1 to Ba3 for senior lien bonds and from Baa2 to Ba3 for subordinate bonds.
The bonds of various other Puerto Rico issuers, which are mentioned above, consist of General Obligation bonds insured by National Public Finance Guarantee (AA- stable outlook, A3 negative outlook) and Government Development Bank (“GDB”) notes (BB-, B3 negative outlook).
The Corporation did not consider the Cofina positions other-than-temporarily impaired as of September 30, 2014 because: (a) we do not have the intent to sell these investments, (b) it is not more likely than not that we will be required to sell the investments before recovery of their amortized cost bases (which may be maturity), (c) the Recovery Act explicitly excludes Cofina debt from any restructuring, (d) the debt has a separate revenue stream, and (e) we expect to collect all contractual cash flows.
As of June 30, 2014, the Corporation considered GDB and PREPA positions other-than-temporary impaired and recorded and impairment loss of $462 because: (a) the dollar price of these positions was far below par for a considerable amount of time, (b) the weak financial & liquidity condition of both issuers combined with the Recovery Act (directly for PREPA and indirectly for GDB) could mean that not all contractual cash flows will be collected. During the three months ended September 30, 2014, the Corporation sold PREPA positions at a realized gain of $26, taking into account the new cost base after impairment.
Municipal Securities: The unrealized losses on the Corporation’s investments in U.S. 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. 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 September 30, 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 or the unrealized loss is small (less than $100 and/or 20%).
Maturities of investment securities classified as available for sale and held to maturity at September 30, 2014 were as follows:
		30-Sep-14
		Amortized			Estimated
		cost			fair value
Securities available for sale:
Due in one year or less		$	25,047		$	25,255
Due after one year through five years			372,874			378,998
Due after five years through ten years			134,061			141,211
Due after ten years			463,129			508,502
Residential mortgage-backed securities			8,101			8,532
Collateralized mortgage obligations			55,625			57,777
		$	1,058,837		$	1,120,275
Securities held to maturity:
Due in one year or less		$	3,233		$	3,233
Due after ten years			622			788
Residential mortgage-backed securities			217			237
		$	4,072		$	4,258
Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.
Information regarding realized and unrealized gains and losses from investments for the three months and nine months ended September 30, 2014 and 2013 is as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
Realized gains (losses):
Fixed maturity securities:
Securities available for sale:
Gross gains from sales		$	1,600		$	620		$	3,303		$	2,900
Gross losses from sales			(1,934	)		(1,086	)		(3,891	)		(1,613	)
Gross losses from other-than-temporary impairments			-			-			(462	)		-
Total fixed maturity securities			(334	)		(466	)		(1,050	)		1,287
Equity securities:
Securities available for sale:
Gross gains from sales			3,488			814			8,104			3,445
Gross losses from sales			(46	)		(492	)		(1,317	)		(1,327	)
Total equity securities			3,442			322			6,787			2,118
Net realized gains (losses) on securities available for sale			3,108			(144	)		5,737			3,405
Gross gain from other investment			-			-			1,425			-
Net realized investment gains (losses)		$	3,108		$	(144	)	$	7,162		$	3,405
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
Changes in net unrealized gains (losses):
Recognized in accumulated other comprehensive income:
Fixed maturities – available for sale		$	(2,873	)	$	(14,052	)	$	37,044		$	(62,094	)
Equity securities – available for sale			(5,783	)		7,719			3,164			15,249
		$	(8,656	)	$	(6,333	)	$	40,208		$	(46,845	)
Not recognized in the consolidated financial statements:
Fixed maturities – held to maturity		$	3		$	(41	)	$	16		$	(159	)
The deferred tax asset (liability) on unrealized gains (losses) change recognized in accumulated other comprehensive income during the nine months ended September 30, 2014 and 2013 was $(5,615) and $6,937, respectively.
As of September 30, 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						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
Fixed maturities		$	9,587		$	9,307		$	28,826		$	27,533
Equity securities			1,850			1,717			5,466			6,236
Policy loans			150			119			408			351
Cash equivalents and interest-bearing deposits			39			16			65			61
Other			190			204			549			568
Total		$	11,816		$	11,363		$	35,314		$	34,749

Premiums_and_Other_Receivables

Premiums and Other Receivables, Net	9 Months Ended
	Sep. 30, 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 September 30, 2014 and December 31, 2013 were as follows:
			September 30,		December 31,
			2014		2013
	Premiums		$	104,691	$	108,963
	Self-insured group receivables			56,074		55,598
	FEHBP			11,948		11,804
	Agent balances			24,146		27,655
	Accrued interest			10,429		11,879
	Reinsurance recoverable			51,137		46,116
	Other			42,463		34,473
				300,888		296,488
	Less allowance for doubtful receivables:
	Premiums			21,090		14,403
	Other			6,427		7,146
				27,517		21,549
	Total premiums and other receivables, net		$	273,371	$	274,939

Claim_Liabilities

Claim Liabilities	9 Months Ended
	Sep. 30, 2014
Claim Liabilities [Abstract]	'
Claim Liabilities	'
	-6	Claim Liabilities
	The activity in the total claim liabilities for the three months and nine months ended September 30, 2014 and 2013 is as follows:
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Claim liabilities at beginning of period		$	414,708		$	414,124		$	420,421		$	416,918
	Reinsurance recoverable on claim liabilities			(39,832	)		(37,756	)		(37,557	)		(39,051	)
	Net claim liabilities at beginning of period			374,876			376,368			382,864			377,867
	Incurred claims and loss-adjustment expenses:
	Current period insured events			432,509			456,981			1,334,208			929,037
	Prior period insured events			(5,002	)		(2,493	)		(40,285	)		(27,554	)
	Total			427,507			454,488			1,293,923			901,483
	Payments of losses and loss-adjustment expenses:
	Current period insured events			421,395			418,433			1,079,312			636,251
	Prior period insured events			21,347			35,673			237,834			266,349
	Total			442,742			454,106			1,317,146			902,600
	Net claim liabilities at end of period			359,641			376,750			359,641			376,750
	Reinsurance recoverable on claim liabilities			40,166			36,521			40,166			36,521
	Claim liabilities at end of period		$	399,807		$	413,271		$	399,807		$	413,271
	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 and nine months ended September 30, 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 $6,346 and $17,678 during the three months and nine months ended September 30, 2014, respectively. The change in the liability for future policy benefits during the three and nine months ended September 30, 2013 amounted to $6,330 and $11,335.

Fair_Value_Measurements

Fair Value Measurements	9 Months Ended
	Sep. 30, 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 September 30, 2014 and December 31, 2013 for assets measured at fair value on a recurring basis:
			30-Sep-14
			Level 1		Level 2			Level 3			Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-	$	127,849		$	-		$	127,849
	U.S. Treasury securities and obligations of U.S government instrumentalities			60,617		-			-			60,617
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-		44,850			-			44,850
	Municipal securities			-		625,607			-			625,607
	Corporate bonds			-		195,043			-			195,043
	Residential agency mortgage-backed securities			-		8,532			-			8,532
	Collateralized mortgage obligations			-		57,777			-			57,777
	Total fixed maturities			60,617		1,059,658			-			1,120,275
	Equity securities - Mutual funds			165,868		25,560			13,454			204,882
	Total		$	226,485	$	1,085,218		$	13,454		$	1,325,157
			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		$	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 and nine months ended September 30, 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 and nine months ended September 30, 2014 and 2013 is as follows:
			Three months ended
			30-Sep-14								30-Sep-13
			Fixed		Equity			Total			Fixed		Equity		Total
			Maturity Securities		Securities						Maturity Securities		Securities
	Beginning balance		$	-	$	16,859		$	16,859		$	-	$	16,354	$	16,354
	Unrealized gain (loss) in other accumulated comprehensive income			-		(962	)		(962	)		-		193		193
	Capital distributions			-		(2,676	)		(2,676	)		-		-		-
	Capital calls			-		233			233			-		245		245
	Ending balance		$	-	$	13,454		$	13,454		$	-	$	16,792	$	16,792
			Nine months ended
			30-Sep-14								30-Sep-13
			Fixed		Equity			Total			Fixed		Equity		Total
			Maturity Securities		Securities						Maturity Securities		Securities
	Beginning balance		$	-	$	17,910		$	17,910		$	-	$	12,822	$	12,822
	Unrealized gain (loss) in other accumulated comprehensive income			-		(356	)		(356	)		-		2,217		2,217
	Capital distributions			-		(4,677	)		(4,677	)		-		-		-
	Capital calls			-		577			577			-		1,753		1,753
	Ending balance		$	-	$	13,454		$	13,454		$	-	$	16,792	$	16,792
	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 discounted value of the contractual cash flows using current estimated market discount rates for instruments with similar terms.
A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at September 30, 2014 and December 31, 2013 are as follows:
		30-Sep-14
		Carrying		Fair Value
		Value		Level 1			Level 2			Level 3		Total
Assets:
Policy loans		$	7,057	$	-		$	7,057		$	-	$	7,057
Liabilities:
Policyholder deposits		$	118,521	$	-		$	118,521		$	-	$	118,521
Long-term borrowings:
Loans payable to bank - variable			14,877		-			14,877			-		14,877
Loans payable to bank - fixed			12,939		-			12,939			-		12,939
6.6% senior unsecured notes payable			35,000		-			33,425			-		33,425
Repurchase agreement			25,000		-			25,411			-		25,411
Total long-term borrowings			87,816		-			86,652			-		86,652
Total liabilities		$	206,337	$	-		$	205,173		$	-	$	205,173

ShareBased_Compensation

Share-Based Compensation	9 Months Ended
	Sep. 30, 2014
Share-Based Compensation [Abstract]	'
Share-Based Compensation	'
	-8	Share-Based Compensation
	Share-based compensation expense recorded during the three months and nine months ended September 30, 2014 was $396 and $1,617, respectively. Share-based compensation expense recorded during the three months and nine months ended September 30, 2013 was $1,188 and $2,351, respectively. There was no cash received from stock options exercises nine months ended September 30, 2014 and 2013. During the nine months ended September 30, 2014 and 2013, 174,090 and 14,095 shares, respectively, were repurchased and retired as a result of non-cash exercises of stock options.

Comprehensive_Income

Comprehensive Income	9 Months Ended
	Sep. 30, 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			Accumulated other
			gain on			pension			comprehensive
			securities			benefits			income
	Balance at January 1, 2014		$	65,584		$	(33,455	)	$	32,129
	Other comprehensive income before reclassifications			40,918			-			40,918
	Amounts reclassified from accumulated other comprehensive income			(6,325	)		1,764			(4,561	)
	Net current period change			34,593			1,764			36,357
	Balance at September 30, 2014		$	100,177		$	(31,691	)	$	68,486

Income_Taxes

Income Taxes	9 Months Ended
	Sep. 30, 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 September 30, 2014, tax years 2010 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 TSA 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 TSA 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 TSA 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.
	On July 1, 2014, the Governor of Puerto Rico signed into law Act No. 77 including multiple amendments to the Puerto Rico tax code that will have a direct impact on the tax liabilities of individual and corporate taxpayers. The amendments to the Puerto Rico tax code include, among others, changes to the corporate tax over long-term capital gains, which was increased from 15% to 20% for all transactions occurring after June 30, 2014. During the three months ending September 30, 2014, the Company recognized a one-time charge to operations of approximately $6,300 as a consequence of this change in the enacted rate to account for the effect of the increase in rate in the unrealized gain on its investment portfolio.
	The Act No. 77 of 2014, also includes changes to the gross receipts tax, (1) eliminating the additional gross receipts tax as a component of the corporate alternative minimum tax commencing on January 1, 2014 and thereafter, and (2) adding a new gross receipts tax. Although the new gross receipts tax will be an additional tax over the Corporation gross income, it will be deductible for purposes of computing taxable income, but only to the extent that the new gross receipts tax is paid on or before the filing date of the income tax return. The impact of the amendments to the gross receipts tax will not be significant to the results of operations.
	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	9 Months Ended
	Sep. 30, 2014
Pension Plan [Abstract]	'
Pension Plan	'
	-11	Pension Plan
	The components of net periodic benefit cost for the three months and nine months ended September 30, 2014 and 2013 were as follows:
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Components of net periodic benefit cost:
	Service cost		$	885		$	1,047		$	2,835		$	3,093
	Interest cost			2,042			1,947			6,435			5,851
	Expected return on assets			(1,847	)		(1,662	)		(5,848	)		(5,054	)
	Amortization of prior service benefit			(111	)		(111	)		(348	)		(337	)
	Amortization of actuarial loss			1,019			1,798			3,239			5,366
	Net periodic benefit cost		$	1,988		$	3,019		$	6,313		$	8,919
	Employer Contributions: As of September 30, 2014, the Corporation has contributed $8,000 to the pension program in 2014.

Net_Income_Available_to_Stockh

Net Income Available to Stockholders and Net Income per Share	9 Months Ended
	Sep. 30, 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 and nine months ended September 30, 2014 and 2013:
			Three months ended				Nine months ended
			September 30,				September 30,
			2014		2013		2014		2013
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders		$	4,723	$	18,641	$	39,154	$	56,021
	Denominator for basic earnings per share:
	Weighted average of common shares			27,081,142		27,336,724		27,142,910		27,812,521
	Effect of dilutive securities			59,961		102,370		109,896		103,179
	Denominator for diluted earnings per share			27,141,103		27,439,094		27,252,806		27,915,700
	Basic net income per share attributable to TSM		$	0.17	$	0.68	$	1.44	$	2.01
	Diluted net income per share attributable to TSM		$	0.17	$	0.68	$	1.44	$	2.01

Contingencies

Contingencies	9 Months Ended
	Sep. 30, 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 may include significant fines and exclusion from participating in certain publicly funded programs.
	As of September 30, 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 losses 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 losses, 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 Triple-S Salud, Inc. (“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 were 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 Puerto Rico 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 Puerto Rico 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. Continuance of hearings is set for February 18, 2015.
	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 local 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 Puerto Rico 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. The case was reassigned to a new judge and the parties are awaiting further proceedings.
	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. On October 15, 2012, while the motion to dismiss was pending, plaintiffs amended their complaint. The court denied our motion to dismiss on January 24, 2013. 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 statute of limitations 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. The limited discovery 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 plaintiffs to reply to the Company’s response specifically on the matter of the statute of limitations applicable to the complaint. Plaintiffs failed to timely respond and the Company moved to dismiss. Plaintiffs subsequently moved to amend the complaint and, although the Company opposed the amendment, the court allowed plaintiffs to amend their complaint. 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 statute of limitations 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. On February 19, 2014, the court ordered plaintiffs to file a memorandum of law by April 22, 2014 regarding the validity of the restrictions on transfer applicable to the shares. On May 16, 2014, plaintiffs filed a motion for summary judgment, which the Company opposed on May 28, 2014. On June 16, 2014, the court ordered plaintiffs to file the memoranda of law and struck the motion for summary judgment. On June 27, 2014, plaintiffs filed the memoranda of law. On September 18, 2014, the court denied the motion to dismiss. On September 29, 2014, the Company filed a motion for reconsideration. The parties are awaiting court’s decision on Company’s motion for reconsideration.
	The seventh case, entitled Allende Santos, et al, v. Triple-S Salud, et al, was filed on March 28, 2014. On July 2, 2014, the Company filed its response. Discovery has not commenced and the parties are pending further proceeding. The initial scheduling conference is scheduled for February 19, 2015.
	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 Puerto Rico 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 as 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.
	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 U.S. 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 continuing as defendants. On June 4, 2014, TSS, TCI, and the remaining plaintiff filed a joint notice of settlement and a request for dismissal. On June 6, 2014 the court dismissed the claim as requested by the parties. On June 26, 2014, the court entered an amended judgment to indicate that dismissal of the case was with prejudice.
	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 to dismiss were filed by several plans, including TSS. 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. On June 18, 2014, the court denied TSS’ motion to dismiss. Discovery is ongoing. 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 (ASES) by six community health centers alleging TSS’ breached their contracts with respect to certain capitation payments and other monetary claims. Such claims have an aggregate value of approximately $9,600. Discovery is ongoing, 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. TSS believes these complaints are time-barred and intends to vigorously defend them on these and other grounds.
	Also, on June 5, 2014, ASES initiated an administrative hearing against TSS moved by a primary medical group for alleged outstanding claims related to services provided to Medicaid beneficiaries from 2005 to 2010, totaling approximately $3,000. On June 19, 2014, TSS filed its response and intends to vigorously defend this claim.
	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 with these 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 a pamphlet to our approximately 70,000 Medicare Advantage beneficiaries 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 the Health Insurance Portability and Accountability Act of 1996 (“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 and OCR concerning this matter. TSS issued a breach notification through the local media and notified the situation to all affected beneficiaries by mail, notifying them of certain protective measures as well.
	On April 16, 2014, ASES received a complaint submitted by an AHM Platino product beneficiary alleging that the pamphlet distributed by AHM also had Protected Health Information (“PHI”) visible on its external cover. AHM conducted the investigation of this allegation and discovered that the external cover of the pamphlets mailed to Platino members displayed the unique contract number randomly assigned by AHM to its members. This number combined with the name and address of the member identified each individual as an AHM Platino beneficiary and the use of the unique contract number on the outside of the pamphlets may be viewed as a violation of the HIPAA minimum necessary rule set forth in regulation. A total of 39,944 members were affected by the incident, from which 28,413 were Platino members. We treated this as a separate incident. Therefore, we reported the incident to concerned local and federal regulators. Similarly, we issued a letter by mail and posted a substitute notice on our webpage to the affected individuals and notified the breach through the local media.
	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. After 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 and, on February 26, 2014, ASES temporarily lifted the sanctions related to the enrollment of dual eligible Medicare beneficiaries. On March 6, 2014, ASES confirmed its determination lifting 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. This matter is pending court’s resolution.
	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, four individuals have filed suit against TSS in the Court of First Instance of Puerto Rico. In the first case, filed on February 10, 2014, one individual, on his behalf and on behalf of his spouse asserts emotional damages due the disclosure of his protected health information. In the second case, filed on February 24, 2014, another individual filed a class-action suit claiming approximately $20,000 in damages. With respect with this class-action suit, 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 failed to comply. Plaintiff filed its opposition on March 12, 2014 and, on April 14, 2014, TSS replied. The Court’s ruling on the motions is pending. In the third case, filed on April 23, 2014, another individual asserts emotional damages and identity theft. The fourth case, filed on September 19, 2014, an individual asserts emotional damages in connection with this matter. The Company intends to vigorously defend against these claims.
	ASES Audits
	On July 2, 2014, ASES notified TSS that it conducted an audit reflecting an overpayment of premium in the amount of $7,950 corresponding to payments made to TSS pursuant to prior contracts with ASES for the provision of services under the government health plan as a result of audits conducted by ASES covering several periods from October 2005 to September 2013. TSS contends that ASES request for reimbursement has no merits on several grounds, including a 2011 settlement between both parties covering the majority of the amount claimed by ASES. In connection with ASES allegations, ASES withheld $4,800 in service fees corresponding to services provided for the period from October 2005 to September 2010. On August 29, 2014, ASES delivered the $4,800 previously withheld. TSS intends to vigorously challenge this claim and defend the validity of the settlement agreement signed by the parties in 2011.

Business_Combination

Business Combination	9 Months Ended
	Sep. 30, 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. With this acquisition the Company has solidified 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 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 and nine months ended September 30, 2014, we recognized $153 and $461, respectively, of amortization expense related to the VOBA asset.
	The consolidated statements of earnings for the three months ended September 30, 2014 include $1,943 in operating revenues and a $71 net gain related to ASICO. The consolidated statements of earnings for the nine months ended September 30, 2014 include $5,932 in operating revenues and a $628 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 2013. 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.
			Three months ended			Nine months ended
			30-Sep-13			30-Sep-13
	Operating revenues		$	585,172		$	1,777,097
	Net Income		$	17,907		$	54,799
	Basic net income per share		$	0.66		$	1.97
	Diluted net income per share		$	0.65		$	1.96
	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 $114 and $344 for the three months and nine months ended September 30, 2013, respectively.

Subsequent_Events

Subsequent Events	9 Months Ended
	Sep. 30, 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.
	On October 14, 2014, ASES issued a Notice of Intent to Award Contract informing that TSS has been selected to provide healthcare services in the Metro North and West regions of the Government's Health Plan, on an at-risk basis commencing April 1, 2015.
	Under the terms of the current agreement, which was extended effective July 1, 2014 for eight months until March 31, 2015, TSS is a third-party administrator responsible for the provision of administrative services to Medicaid enrollees in all the Puerto Rico regions: West, North, Metro North, San Juan, Northeast, Virtual (which covers services provided throughout Puerto Rico to children in foster care and certain victims of domestic violence), Southwest, Southeast and East. The administrative services provided include case, disease and utilization management, network management and credentialing, enrollment and enrollee services and claims administration, among others. The claims related to the administration of the Medicaid business are paid from a bank account owned and funded by the government of Puerto Rico.
	No other events have occurred that require disclosure or adjustments.

Recent_Accounting_Standards_Po

Recent Accounting Standards (Policies)	9 Months Ended
	Sep. 30, 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 upon implementation recorded a liability in the consolidated accounts payable and accrued liabilities 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 updated this estimate for adjustment in subsequent quarters to reflect the final annual fee assessment of $27,700 paid during this quarter. During the three months and nine months ended September 30, 2014, approximately $7,400 and $21,300, respectively, 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.
	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.
	On June 12, 2014, the FASB issued guidance that amends current accounting and disclosures for repurchase agreements and similar transactions. This guidance is effective for public companies for the first interim or annual period beginning after December 15, 2014. We are currently evaluating the impact, if any, the adoption of this guidance will have on the financial position or results of operations.
	On June 19, 2014, the FASB issued updated guidance on the accounting for share-based payments when the terms of an award provide that a performance target could be achieved after the requisite service period. This guidance seeks to resolve the diversity in practice that exists when accounting for share-based payments. In particular, this guidance requires a performance target that affects vesting and that could be achieved after the requisite service period to be treated as a performance conditions. For all entities, this guidance is effective for annual periods and interim periods within those annual periods beginning after December 15, 2015, with earlier adoption permitted. We are currently evaluating the impact, if any, the adoption of this guidance will have on our financial position or results of operations.
	Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months and nine months ended September 30, 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)	9 Months Ended
	Sep. 30, 2014
Segment Information [Abstract]	'
Operations by major operating segment	'
	The following tables summarize the operations by reportable segment for the three months and nine months ended September 30, 2014 and 2013:
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Operating revenues:
	Managed Care:
	Premiums earned, net		$	462,765		$	491,046		$	1,431,762		$	1,483,456
	Administrative service fees			30,253			22,450			89,509			78,103
	Intersegment premiums /service fees			1,267			1,369			4,108			4,142
	Net investment income			3,625			3,975			11,235			12,009
	Total managed care			497,910			518,840			1,536,614			1,577,710
	Life Insurance:
	Premiums earned, net			35,817			32,279			105,507			95,991
	Intersegment premiums			13			88			195			304
	Net investment income			5,907			5,303			17,558			16,317
	Total life insurance			41,737			37,670			123,260			112,612
	Property and Casualty Insurance:
	Premiums earned, net			22,184			24,549			69,084			74,423
	Intersegment premiums			153			153			460			460
	Net investment income			2,237			2,041			6,345			6,077
	Total property and casualty insurance			24,574			26,743			75,889			80,960
	Other segments: *
	Intersegment service revenues			2,392			1,981			6,923			7,211
	Operating revenues from external sources			940			1,240			3,285			3,640
	Total other segments			3,332			3,221			10,208			10,851
	Total business segments			567,553			586,474			1,745,971			1,782,133
	TSM operating revenues from external sources			14			43			81			300
	Elimination of intersegment premiums			(1,433	)		(1,610	)		(4,763	)		(4,906	)
	Elimination of intersegment service fees			(2,392	)		(1,981	)		(6,923	)		(7,211	)
	Other intersegment eliminations			32			-			93			44
	Consolidated operating revenues		$	563,774		$	582,926		$	1,734,459		$	1,770,360
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Operating income (loss)	'
			Three months ended						Nine months ended
			September 30,						September 30,
			2014			2013			2014			2013
	Operating income:
	Managed care		$	903		$	7,274		$	32,928		$	41,165
	Life insurance			5,642			3,795			16,051			11,512
	Property and casualty insurance			2,295			402			7,516			974
	Other segments *			(751	)		(939	)		(1,002	)		(1,452	)
	Total business segments			8,089			10,532			55,493			52,199
	TSM operating revenues from external sources			14			43			81			300
	TSM unallocated operating expenses			(1,655	)		(2,673	)		(10,002	)		(9,440	)
	Elimination of TSM intersegment charges			2,437			2,436			7,294			6,805
	Consolidated operating income			8,885			10,338			52,866			49,864
	Consolidated net realized investment gains			3,108			(144	)		7,162			3,405
	Consolidated interest expense			(2,273	)		(2,379	)		(6,974	)		(7,189	)
	Consolidated other income, net			367			13,931			1,188			14,778
	Consolidated income before taxes		$	10,087		$	21,746		$	54,242		$	60,858
	Depreciation and amortization expense:
	Managed care		$	4,634		$	4,744		$	13,617		$	15,322
	Life insurance			181			257			598			672
	Property and casualty insurance			122			133			369			399
	Other segments*			260			240			776			764
	Total business segments			5,197			5,374			15,360			17,157
	TSM depreciation expense			199			216			614			647
	Consolidated depreciation and amortization expense		$	5,396		$	5,590		$	15,974		$	17,804
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets	'
			September 30,			December 31,
			2014			2013
	Assets:
	Managed care		$	952,625		$	934,467
	Life insurance			746,228			698,650
	Property and casualty insurance			359,265			346,212
	Other segments *			27,467			28,407
	Total business segments			2,085,585			2,007,736
	Unallocated amounts related to TSM:
	Cash, cash equivalents, and investments			33,848			28,316
	Property and equipment, net			20,631			21,278
	Other assets			25,195			26,406
				79,674			76,000
	Elimination entries-intersegment receivables and others			(48,995	)		(36,112	)
	Consolidated total assets		$	2,116,264		$	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)	9 Months Ended
	Sep. 30, 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 September 30, 2014 and December 31, 2013, were as follows:
		30-Sep-14
		Amortized			Gross			Gross			Estimated
		cost			unrealized			unrealized losses			fair value
					gains
	Securities available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises	$	126,898		$	1,122		$	(171	)	$	127,849
	U.S. Treasury securities and obligations of U.S. government instrumentalities		59,960			727			(70	)		60,617
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		45,990			394			(1,534	)		44,850
	Municipal securities		583,329			42,662			(384	)		625,607
	Corporate bonds		178,934			16,489			(380	)		195,043
	Residential mortgage-backed securities		8,101			431			-			8,532
	Collateralized mortgage obligations		55,625			2,159			(7	)		57,777
	Total fixed maturities		1,058,837			63,984			(2,546	)		1,120,275
	Equity securities - Mutual funds		149,141			55,754			(13	)		204,882
	Total	$	1,207,978		$	119,738		$	(2,559	)	$	1,325,157
		31-Dec-13
		Amortized			Gross			Gross			Estimated
		cost			unrealized			unrealized losses			fair value
					gains
	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
		30-Sep-14
		Amortized			Gross			Gross			Estimated
		cost			unrealized			unrealized losses			fair value
					gains
	Securities held to maturity:
	U.S. Treasury securities and obligations of U.S. government instrumentalities	$	622		$	166		$	-		$	788
	Residential mortgage-backed securities		217			20			-			237
	Certificates of deposit		3,233			-			-			3,233
	Total	$	4,072		$	186		$	-		$	4,258
		31-Dec-13
		Amortized			Gross			Gross			Estimated
		cost			unrealized			unrealized losses			fair value
					gains
	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 September 30, 2014 and December 31, 2013 were as follows:
		30-Sep-14
		Less than 12 months									12 months or longer								Total
		Estimated Fair Value			Gross Unrealized Loss			Number of Securities			Estimated Fair Value			Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities
	Securites available for sale:
	Fixed maturities:
	Obligations of government-sponsored enterprises	$	56,824		$	(171	)		5		$	-		$	-			-	$	56,824	$	(171	)		5
	US Treasury securities and obligations of US governmental instrumentalities		22,443			(70	)		2			-			-			-		22,443		(70	)		2
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		10,840			(614	)		6			5,215			(920	)		1		16,055		(1,534	)		7
	Municipal securities		26,205			(128	)		7			35,433			(256	)		9		61,638		(384	)		16
	Corporate bonds		25,614			(109	)		5			31,302			(271	)		8		56,916		(380	)		13
	Collateralized mortgage obligations		-			-			-			2,917			(7	)		1		2,917		(7	)		1
	Total fixed maturities		141,926			(1,092	)		25			74,867			(1,454	)		19		216,793		(2,546	)		44
	Equity securities:
	Mutual funds		1,672			(13	)		1			-			-			-		1,672		(13	)		1
	Total for securities available for sale	$	143,598		$	(1,105	)		26		$	74,867		$	(1,454	)		19	$	218,465	$	(2,559	)		45
		31-Dec-13
		Less than 12 months									12 months or longer								Total
		Estimated Fair Value			Gross Unrealized Loss			Number of Securities			Estimated Fair Value			Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of 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 September 30, 2014 were as follows:
		30-Sep-14
		Amortized			Estimated
		cost			fair value
	Securities available for sale:
	Due in one year or less	$	25,047		$	25,255
	Due after one year through five years		372,874			378,998
	Due after five years through ten years		134,061			141,211
	Due after ten years		463,129			508,502
	Residential mortgage-backed securities		8,101			8,532
	Collateralized mortgage obligations		55,625			57,777
		$	1,058,837		$	1,120,275
	Securities held to maturity:
	Due in one year or less	$	3,233		$	3,233
	Due after ten years		622			788
	Residential mortgage-backed securities		217			237
		$	4,072		$	4,258
Realized gains and losses from investments	'
	Information regarding realized and unrealized gains and losses from investments for the three months and nine months ended September 30, 2014 and 2013 is as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
	Realized gains (losses):
	Fixed maturity securities:
	Securities available for sale:
	Gross gains from sales	$	1,600		$	620		$	3,303		$	2,900
	Gross losses from sales		(1,934	)		(1,086	)		(3,891	)		(1,613	)
	Gross losses from other-than-temporary impairments		-			-			(462	)		-
	Total fixed maturity securities		(334	)		(466	)		(1,050	)		1,287
	Equity securities:
	Securities available for sale:
	Gross gains from sales		3,488			814			8,104			3,445
	Gross losses from sales		(46	)		(492	)		(1,317	)		(1,327	)
	Total equity securities		3,442			322			6,787			2,118
	Net realized gains (losses) on securities available for sale		3,108			(144	)		5,737			3,405
	Gross gain from other investment		-			-			1,425			-
	Net realized investment gains (losses)	$	3,108		$	(144	)	$	7,162		$	3,405
Changes in net unrealized gains (losses)	'
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
	Changes in net unrealized gains (losses):
	Recognized in accumulated other comprehensive income:
	Fixed maturities – available for sale	$	(2,873	)	$	(14,052	)	$	37,044		$	(62,094	)
	Equity securities – available for sale		(5,783	)		7,719			3,164			15,249
		$	(8,656	)	$	(6,333	)	$	40,208		$	(46,845	)
	Not recognized in the consolidated financial statements:
	Fixed maturities – held to maturity	$	3		$	(41	)	$	16		$	(159	)
Components of net investment income	'
	The components of net investment income were as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
	Fixed maturities	$	9,587		$	9,307		$	28,826		$	27,533
	Equity securities		1,850			1,717			5,466			6,236
	Policy loans		150			119			408			351
	Cash equivalents and interest-bearing deposits		39			16			65			61
	Other		190			204			549			568
	Total	$	11,816		$	11,363		$	35,314		$	34,749

Premiums_and_Other_Receivables1

Premiums and Other Receivables, Net (Tables)	9 Months Ended
	Sep. 30, 2014
Premiums and Other Receivables, Net [Abstract]	'
Premiums and other receivables, net	'
	Premiums and other receivables, net as of September 30, 2014 and December 31, 2013 were as follows:
		September 30,		December 31,
		2014		2013
	Premiums	$	104,691	$	108,963
	Self-insured group receivables		56,074		55,598
	FEHBP		11,948		11,804
	Agent balances		24,146		27,655
	Accrued interest		10,429		11,879
	Reinsurance recoverable		51,137		46,116
	Other		42,463		34,473
			300,888		296,488
	Less allowance for doubtful receivables:
	Premiums		21,090		14,403
	Other		6,427		7,146
			27,517		21,549
	Total premiums and other receivables, net	$	273,371	$	274,939

Claim_Liabilities_Tables

Claim Liabilities (Tables)	9 Months Ended
	Sep. 30, 2014
Claim Liabilities [Abstract]	'
Activity in total claim liabilities	'
	The activity in the total claim liabilities for the three months and nine months ended September 30, 2014 and 2013 is as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
	Claim liabilities at beginning of period	$	414,708		$	414,124		$	420,421		$	416,918
	Reinsurance recoverable on claim liabilities		(39,832	)		(37,756	)		(37,557	)		(39,051	)
	Net claim liabilities at beginning of period		374,876			376,368			382,864			377,867
	Incurred claims and loss-adjustment expenses:
	Current period insured events		432,509			456,981			1,334,208			929,037
	Prior period insured events		(5,002	)		(2,493	)		(40,285	)		(27,554	)
	Total		427,507			454,488			1,293,923			901,483
	Payments of losses and loss-adjustment expenses:
	Current period insured events		421,395			418,433			1,079,312			636,251
	Prior period insured events		21,347			35,673			237,834			266,349
	Total		442,742			454,106			1,317,146			902,600
	Net claim liabilities at end of period		359,641			376,750			359,641			376,750
	Reinsurance recoverable on claim liabilities		40,166			36,521			40,166			36,521
	Claim liabilities at end of period	$	399,807		$	413,271		$	399,807		$	413,271

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	9 Months Ended
	Sep. 30, 2014
Fair Value Measurements [Abstract]	'
Fair value measurements by level	'
	The following tables summarize fair value measurements by level at September 30, 2014 and December 31, 2013 for assets measured at fair value on a recurring basis:
		30-Sep-14
		Level 1		Level 2			Level 3			Total
	Securities available for sale:
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-	$	127,849		$	-		$	127,849
	U.S. Treasury securities and obligations of U.S government instrumentalities		60,617		-			-			60,617
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		44,850			-			44,850
	Municipal securities		-		625,607			-			625,607
	Corporate bonds		-		195,043			-			195,043
	Residential agency mortgage-backed securities		-		8,532			-			8,532
	Collateralized mortgage obligations		-		57,777			-			57,777
	Total fixed maturities		60,617		1,059,658			-			1,120,275
	Equity securities - Mutual funds		165,868		25,560			13,454			204,882
	Total	$	226,485	$	1,085,218		$	13,454		$	1,325,157
		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	$	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 and nine months ended September 30, 2014 and 2013 is as follows:
		Three months ended
		30-Sep-14								30-Sep-13
		Fixed		Equity			Total			Fixed		Equity		Total
		Maturity Securities		Securities						Maturity Securities		Securities
	Beginning balance	$	-	$	16,859		$	16,859		$	-	$	16,354	$	16,354
	Unrealized gain (loss) in other accumulated comprehensive income		-		(962	)		(962	)		-		193		193
	Capital distributions		-		(2,676	)		(2,676	)		-		-		-
	Capital calls		-		233			233			-		245		245
	Ending balance	$	-	$	13,454		$	13,454		$	-	$	16,792	$	16,792
		Nine months ended
		30-Sep-14								30-Sep-13
		Fixed		Equity			Total			Fixed		Equity		Total
		Maturity Securities		Securities						Maturity Securities		Securities
	Beginning balance	$	-	$	17,910		$	17,910		$	-	$	12,822	$	12,822
	Unrealized gain (loss) in other accumulated comprehensive income		-		(356	)		(356	)		-		2,217		2,217
	Capital distributions		-		(4,677	)		(4,677	)		-		-		-
	Capital calls		-		577			577			-		1,753		1,753
	Ending balance	$	-	$	13,454		$	13,454		$	-	$	16,792	$	16,792
Carrying value and fair value by level of financial instruments not recorded at fair value on consolidated balance sheet	'
	A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at September 30, 2014 and December 31, 2013 are as follows:
		30-Sep-14
		Carrying		Fair Value
		Value		Level 1			Level 2			Level 3		Total
	Assets:
	Policy loans	$	7,057	$	-		$	7,057		$	-	$	7,057
	Liabilities:
	Policyholder deposits	$	118,521	$	-		$	118,521		$	-	$	118,521
	Long-term borrowings:
	Loans payable to bank - variable		14,877		-			14,877			-		14,877
	Loans payable to bank - fixed		12,939		-			12,939			-		12,939
	6.6% senior unsecured notes payable		35,000		-			33,425			-		33,425
	Repurchase agreement		25,000		-			25,411			-		25,411
	Total long-term borrowings		87,816		-			86,652			-		86,652
	Total liabilities	$	206,337	$	-		$	205,173		$	-	$	205,173

Comprehensive_Income_Tables

Comprehensive Income (Tables)	9 Months Ended
	Sep. 30, 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			Accumulated other
		gain on			pension			comprehensive
		securities			benefits			income
	Balance at January 1, 2014	$	65,584		$	(33,455	)	$	32,129
	Other comprehensive income before reclassifications		40,918			-			40,918
	Amounts reclassified from accumulated other comprehensive income		(6,325	)		1,764			(4,561	)
	Net current period change		34,593			1,764			36,357
	Balance at September 30, 2014	$	100,177		$	(31,691	)	$	68,486

Pension_Plan_Tables

Pension Plan (Tables)	9 Months Ended
	Sep. 30, 2014
Pension Plan [Abstract]	'
Components of net periodic benefit cost	'
	The components of net periodic benefit cost for the three months and nine months ended September 30, 2014 and 2013 were as follows:
		Three months ended						Nine months ended
		September 30,						September 30,
		2014			2013			2014			2013
	Components of net periodic benefit cost:
	Service cost	$	885		$	1,047		$	2,835		$	3,093
	Interest cost		2,042			1,947			6,435			5,851
	Expected return on assets		(1,847	)		(1,662	)		(5,848	)		(5,054	)
	Amortization of prior service benefit		(111	)		(111	)		(348	)		(337	)
	Amortization of actuarial loss		1,019			1,798			3,239			5,366
	Net periodic benefit cost	$	1,988		$	3,019		$	6,313		$	8,919

Net_Income_Available_to_Stockh1

Net Income Available to Stockholders and Net Income per Share (Tables)	9 Months Ended
	Sep. 30, 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 and nine months ended September 30, 2014 and 2013:
		Three months ended				Nine months ended
		September 30,				September 30,
		2014		2013		2014		2013
	Numerator for earnings per share:
	Net income attributable to TSM available to stockholders	$	4,723	$	18,641	$	39,154	$	56,021
	Denominator for basic earnings per share:
	Weighted average of common shares		27,081,142		27,336,724		27,142,910		27,812,521
	Effect of dilutive securities		59,961		102,370		109,896		103,179
	Denominator for diluted earnings per share		27,141,103		27,439,094		27,252,806		27,915,700
	Basic net income per share attributable to TSM	$	0.17	$	0.68	$	1.44	$	2.01
	Diluted net income per share attributable to TSM	$	0.17	$	0.68	$	1.44	$	2.01

Business_Combination_Tables

Business Combination (Tables)	9 Months Ended
	Sep. 30, 2014
Business Combination [Abstract]	'
Consideration paid to acquire ASICO and the allocation of the purchase price to the assets acquired and liabilities assumed	'
	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	'
	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.
		Three months ended			Nine months ended
		30-Sep-13			30-Sep-13
	Operating revenues	$	585,172		$	1,777,097
	Net Income	$	17,907		$	54,799
	Basic net income per share	$	0.66		$	1.97
	Diluted net income per share	$	0.65		$	1.96

Recent_Accounting_Standards_De

Recent Accounting Standards (Details) (USD $)	3 Months Ended	9 Months Ended
	Sep. 30, 2014	Sep. 30, 2014
Recent Accounting Standards [Abstract]	'	'
Health insurer's portion of annual fee - Patient Protection and Affordable Care Act	$28,500	$28,500
Deferred costs recognized - Patient Protection and Affordable Care Act	7,400	21,300
Final annual fee assessment	27,700	0
Realized gain	$26,000	'

Segment_Information_Details

Segment Information (Details) (USD $)	3 Months Ended				9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014		Sep. 30, 2013		Sep. 30, 2014		Sep. 30, 2013		Dec. 31, 2013
					Segment
Segment Information [Abstract]	'		'		'		'		'
Number of operating segments	'		'		3		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	$520,766		$547,874		$1,606,353		$1,653,870		'
Total revenues	567,249		596,713		1,742,809		1,788,543		'
Consolidated operating revenues	563,774		582,926		1,734,459		1,770,360		'
Operating income [Abstract]	'		'		'		'		'
Consolidated operating income	8,885		10,338		52,866		49,864		'
Consolidated net realized investment gains	3,108		-144		7,162		3,405		'
Consolidated interest expense	-2,273		-2,379		-6,974		-7,189		'
Consolidated other income, net	367		13,931		1,188		14,778		'
Consolidated income before taxes	10,087		21,746		54,242		60,858		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Consolidated depreciation and amortization expense	5,396		5,590		15,974		17,804		'
Assets [Abstract]	'		'		'		'		'
Assets	2,116,264		'		2,116,264		'		2,047,624
Unallocated Amount to Segment [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
TSM operating revenues from external sources	14		43		81		300		'
Operating income [Abstract]	'		'		'		'		'
TSM operating revenues from external sources	14		43		81		300		'
TSM unallocated operating expenses	-1,655		-2,673		-10,002		-9,440		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
TSM depreciation expense	199		216		614		647		'
Unallocated amounts related to TSM [Abstract]	'		'		'		'		'
Cash, cash equivalents, and investments	33,848		'		33,848		'		28,316
Property and equipment, net	20,631		'		20,631		'		21,278
Other assets	25,195		'		25,195		'		26,406
Unallocated amount related to TSM	79,674		'		79,674		'		76,000
Reportable Segment [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Total business segments	567,553		586,474		1,745,971		1,782,133		'
Operating income [Abstract]	'		'		'		'		'
Operating income	8,089		10,532		55,493		52,199		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Depreciation and amortization expense	5,197		5,374		15,360		17,157		'
Assets [Abstract]	'		'		'		'		'
Assets	2,085,585		'		2,085,585		'		2,007,736
Reportable Segment [Member] | Managed Care [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	462,765		491,046		1,431,762		1,483,456		'
Administrative service fees	30,253		22,450		89,509		78,103		'
Intersegment premiums/services fees	1,267		1,369		4,108		4,142		'
Net investment income	3,625		3,975		11,235		12,009		'
Total revenues	497,910		518,840		1,536,614		1,577,710		'
Operating income [Abstract]	'		'		'		'		'
Operating income	903		7,274		32,928		41,165		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Depreciation and amortization expense	4,634		4,744		13,617		15,322		'
Assets [Abstract]	'		'		'		'		'
Assets	952,625		'		952,625		'		934,467
Reportable Segment [Member] | Life Insurance [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	35,817		32,279		105,507		95,991		'
Intersegment premiums/services fees	13		88		195		304		'
Net investment income	5,907		5,303		17,558		16,317		'
Total revenues	41,737		37,670		123,260		112,612		'
Operating income [Abstract]	'		'		'		'		'
Operating income	5,642		3,795		16,051		11,512		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Depreciation and amortization expense	181		257		598		672		'
Assets [Abstract]	'		'		'		'		'
Assets	746,228		'		746,228		'		698,650
Reportable Segment [Member] | Property and Casualty Insurance [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Premiums earned, net	22,184		24,549		69,084		74,423		'
Intersegment premiums/services fees	153		153		460		460		'
Net investment income	2,237		2,041		6,345		6,077		'
Total revenues	24,574		26,743		75,889		80,960		'
Operating income [Abstract]	'		'		'		'		'
Operating income	2,295		402		7,516		974		'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Depreciation and amortization expense	122		133		369		399		'
Assets [Abstract]	'		'		'		'		'
Assets	359,265		'		359,265		'		346,212
Reportable Segment [Member] | Other Segments [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Intersegment premiums/services fees	2,392	[1]	1,981	[1]	6,923	[1]	7,211	[1]	'
TSM operating revenues from external sources	940	[1]	1,240	[1]	3,285	[1]	3,640	[1]	'
Total revenues	3,332	[1]	3,221	[1]	10,208	[1]	10,851	[1]	'
Operating income [Abstract]	'		'		'		'		'
Operating income	-751	[1]	-939	[1]	-1,002	[1]	-1,452	[1]	'
TSM operating revenues from external sources	940	[1]	1,240	[1]	3,285	[1]	3,640	[1]	'
Depreciation and amortization expense [Abstract]	'		'		'		'		'
Depreciation and amortization expense	260	[1]	240	[1]	776	[1]	764	[1]	'
Assets [Abstract]	'		'		'		'		'
Assets	27,467	[1]	'		27,467	[1]	'		28,407	[1]
Intersegment Eliminations [Member]	'		'		'		'		'
Operating revenues [Abstract]	'		'		'		'		'
Elimination of intersegment premiums	-1,433		-1,610		-4,763		-4,906		'
Elimination of intersegment service fees	-2,392		-1,981		-6,923		-7,211		'
Other intersegment eliminations	32		0		93		44		'
Operating income [Abstract]	'		'		'		'		'
Elimination of TSM intersegment charges	2,437		2,436		7,294		6,805		'
Unallocated amounts related to TSM [Abstract]	'		'		'		'		'
Elimination entries-intersegment receivables and others	($48,995)		'		($48,995)		'		($36,112)
[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			9 Months Ended		12 Months Ended
In Thousands, unless otherwise specified	Oct. 31, 2013	Sep. 30, 2014	Jun. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
		Security			Security		Security
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	$1,058,837	'	'	$1,058,837	'	$1,031,480
Gross unrealized gains	'	63,984	'	'	63,984	'	35,791
Gross unrealized losses	'	-2,546	'	'	-2,546	'	-11,397
Estimated fair value	'	1,120,275	'	'	1,120,275	'	1,055,874
Available-for-sale equity securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	204,882	'	'	204,882	'	239,933
Available-for-sale securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	1,207,978	'	'	1,207,978	'	1,218,836
Gross unrealized gains	'	119,738	'	'	119,738	'	88,804
Gross unrealized losses	'	-2,559	'	'	-2,559	'	-11,833
Estimated fair value	'	1,325,157	'	'	1,325,157	'	1,295,807
Securities held to maturity [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	4,072	'	'	4,072	'	6,139
Gross unrealized gains	'	186	'	'	186	'	170
Gross unrealized losses	'	0	'	'	0	'	0
Estimated fair value	'	4,258	'	'	4,258	'	6,309
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	143,598	'	'	143,598	'	375,240
12 months or longer, Estimated Fair Value	'	74,867	'	'	74,867	'	14,115
Estimated Fair Value, Total	'	218,465	'	'	218,465	'	389,355
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-1,105	'	-11,669
12 months or longer, Gross Unrealized Losses	'	'	'	'	-1,454	'	-164
Gross Unrealized Losses, Total	'	'	'	'	-2,559	'	-11,833
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	26	'	'	26	'	103
12 months or longer, Number of Securities	'	19	'	'	19	'	4
Number of Securities	'	45	'	'	45	'	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%	'	'
Impairment amount	'	'	462	'	'	'	'
Realized gain	'	26	'	'	'	'	'
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Due in one year or less, amortized cost	'	25,047	'	'	25,047	'	'
Due after one year through five, amortized cost	'	372,874	'	'	372,874	'	'
Due after five year through ten years, amortized cost	'	134,061	'	'	134,061	'	'
Due after ten years, amortized cost	'	463,129	'	'	463,129	'	'
Residential mortgage-backed securities, amortized Cost	'	8,101	'	'	8,101	'	'
Collateralized mortgage obligations, amortized cost	'	55,625	'	'	55,625	'	'
Amortized cost	'	1,058,837	'	'	1,058,837	'	1,031,480
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Due in one year or less, estimated fair value	'	25,255	'	'	25,255	'	'
Due after one year through five, estimated fair value	'	378,998	'	'	378,998	'	'
Due after five year through ten years, estimated fair value	'	141,211	'	'	141,211	'	'
Due after ten years, estimated fair value	'	508,502	'	'	508,502	'	'
Residential mortgage-backed securities, estimated fair value	'	8,532	'	'	8,532	'	'
Collateralized mortgage obligations, estimated fair value	'	57,777	'	'	57,777	'	'
Estimated fair value	'	1,120,275	'	'	1,120,275	'	1,055,874
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Due in one year or less, amortized Cost	'	3,233	'	'	3,233	'	'
Due after ten years, amortized cost	'	622	'	'	622	'	'
Residential mortgage-backed securities, amortized cost	'	217	'	'	217	'	'
Amortized cost	'	4,072	'	'	4,072	'	6,139
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Due in one year or less, estimated fair value	'	3,233	'	'	3,233	'	'
Due after ten years, estimated fair value	'	788	'	'	788	'	'
Residential mortgage-backed securities, estimated fair value	'	237	'	'	237	'	'
Estimated fair value	'	4,258	'	'	4,258	'	6,309
Securities available for sale [Abstract]	'	'	'	'	'	'	'
Net realized gains (losses) on securities available for sale	'	3,108	'	-144	5,737	3,405	'
Gross gain from other investment	'	0	'	0	1,425	0	'
Total net realized investment gains (losses)	'	3,108	'	-144	7,162	3,405	'
Recognized in accumulated other comprehensive income [Abstract]	'	'	'	'	'	'	'
Available-for-sale Securities	'	-8,656	'	-6,333	40,208	-46,845	'
Not recognized in the consolidated financial statements [Abstract]	'	'	'	'	'	'	'
Fixed maturities - held to maturity	'	3	'	-41	16	-159	'
Deferred tax asset (liability) related to unrealized gains and losses	'	-5,615	'	6,937	-5,615	6,937	'
Percentage of individual investment in securities to stockholders' equity (in hundredths)	'	'	'	'	10.00%	'	10.00%
Obligation Government-sponsored Enterprises [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	126,898	'	'	126,898	'	104,317
Gross unrealized gains	'	1,122	'	'	1,122	'	1,854
Gross unrealized losses	'	-171	'	'	-171	'	-380
Estimated fair value	'	127,849	'	'	127,849	'	105,791
Securities held to maturity [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	'	'	'	'	'	1,793
Gross unrealized gains	'	'	'	'	'	'	26
Gross unrealized losses	'	'	'	'	'	'	0
Estimated fair value	'	'	'	'	'	'	1,819
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	56,824	'	'	56,824	'	46,797
12 months or longer, Estimated Fair Value	'	0	'	'	0	'	0
Estimated Fair Value, Total	'	56,824	'	'	56,824	'	46,797
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-171	'	-380
12 months or longer, Gross Unrealized Losses	'	'	'	'	0	'	0
Gross Unrealized Losses, Total	'	'	'	'	-171	'	-380
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	5	'	'	5	'	4
12 months or longer, Number of Securities	'	0	'	'	0	'	0
Number of Securities	'	5	'	'	5	'	4
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	126,898	'	'	126,898	'	104,317
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	127,849	'	'	127,849	'	105,791
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	'	'	'	'	'	1,793
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	'	'	'	'	'	1,819
U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	59,960	'	'	59,960	'	38,131
Gross unrealized gains	'	727	'	'	727	'	1,068
Gross unrealized losses	'	-70	'	'	-70	'	0
Estimated fair value	'	60,617	'	'	60,617	'	39,199
Securities held to maturity [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	622	'	'	622	'	622
Gross unrealized gains	'	166	'	'	166	'	117
Gross unrealized losses	'	0	'	'	0	'	0
Estimated fair value	'	788	'	'	788	'	739
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	22,443	'	'	22,443	'	'
12 months or longer, Estimated Fair Value	'	0	'	'	0	'	'
Estimated Fair Value, Total	'	22,443	'	'	22,443	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-70	'	'
12 months or longer, Gross Unrealized Losses	'	'	'	'	0	'	'
Gross Unrealized Losses, Total	'	'	'	'	-70	'	'
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	2	'	'	2	'	'
12 months or longer, Number of Securities	'	0	'	'	0	'	'
Number of Securities	'	2	'	'	2	'	'
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	59,960	'	'	59,960	'	38,131
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	60,617	'	'	60,617	'	39,199
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	622	'	'	622	'	622
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	788	'	'	788	'	739
Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	45,990	'	'	45,990	'	49,557
Gross unrealized gains	'	394	'	'	394	'	262
Gross unrealized losses	'	-1,534	'	'	-1,534	'	-4,814
Estimated fair value	'	44,850	'	'	44,850	'	45,005
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	10,840	'	'	10,840	'	22,285
12 months or longer, Estimated Fair Value	'	5,215	'	'	5,215	'	0
Estimated Fair Value, Total	'	16,055	'	'	16,055	'	22,285
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-614	'	-4,814
12 months or longer, Gross Unrealized Losses	'	'	'	'	-920	'	0
Gross Unrealized Losses, Total	'	'	'	'	-1,534	'	-4,814
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	6	'	'	6	'	13
12 months or longer, Number of Securities	'	1	'	'	1	'	0
Number of Securities	'	7	'	'	7	'	13
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	45,990	'	'	45,990	'	49,557
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	44,850	'	'	44,850	'	45,005
Municipal Securities [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	583,329	'	'	583,329	'	597,297
Gross unrealized gains	'	42,662	'	'	42,662	'	19,328
Gross unrealized losses	'	-384	'	'	-384	'	-5,182
Estimated fair value	'	625,607	'	'	625,607	'	611,443
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	26,205	'	'	26,205	'	234,594
12 months or longer, Estimated Fair Value	'	35,433	'	'	35,433	'	4,646
Estimated Fair Value, Total	'	61,638	'	'	61,638	'	239,240
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-128	'	-5,145
12 months or longer, Gross Unrealized Losses	'	'	'	'	-256	'	-37
Gross Unrealized Losses, Total	'	'	'	'	-384	'	-5,182
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	7	'	'	7	'	51
12 months or longer, Number of Securities	'	9	'	'	9	'	1
Number of Securities	'	16	'	'	16	'	52
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	583,329	'	'	583,329	'	597,297
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	625,607	'	'	625,607	'	611,443
Corporate Bonds [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	178,934	'	'	178,934	'	146,936
Gross unrealized gains	'	16,489	'	'	16,489	'	9,883
Gross unrealized losses	'	-380	'	'	-380	'	-879
Estimated fair value	'	195,043	'	'	195,043	'	155,940
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	25,614	'	'	25,614	'	45,203
12 months or longer, Estimated Fair Value	'	31,302	'	'	31,302	'	0
Estimated Fair Value, Total	'	56,916	'	'	56,916	'	45,203
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-109	'	-879
12 months or longer, Gross Unrealized Losses	'	'	'	'	-271	'	0
Gross Unrealized Losses, Total	'	'	'	'	-380	'	-879
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	5	'	'	5	'	19
12 months or longer, Number of Securities	'	8	'	'	8	'	0
Number of Securities	'	13	'	'	13	'	19
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	178,934	'	'	178,934	'	146,936
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	195,043	'	'	195,043	'	155,940
Residential Mortgage-backed Securities [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	8,101	'	'	8,101	'	7,388
Gross unrealized gains	'	431	'	'	431	'	324
Gross unrealized losses	'	0	'	'	0	'	-9
Estimated fair value	'	8,532	'	'	8,532	'	7,703
Securities held to maturity [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	217	'	'	217	'	346
Gross unrealized gains	'	20	'	'	20	'	27
Gross unrealized losses	'	0	'	'	0	'	0
Estimated fair value	'	237	'	'	237	'	373
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	'	'	'	'	'	24
12 months or longer, Estimated Fair Value	'	'	'	'	'	'	0
Estimated Fair Value, Total	'	'	'	'	'	'	24
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	'	'	-9
12 months or longer, Gross Unrealized Losses	'	'	'	'	'	'	0
Gross Unrealized Losses, Total	'	'	'	'	'	'	-9
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	'	'	'	'	'	6
12 months or longer, Number of Securities	'	'	'	'	'	'	0
Number of Securities	'	'	'	'	'	'	6
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	8,101	'	'	8,101	'	7,388
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	8,532	'	'	8,532	'	7,703
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	217	'	'	217	'	346
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	237	'	'	237	'	373
Collateralized Mortgage Obligations [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	55,625	'	'	55,625	'	87,854
Gross unrealized gains	'	2,159	'	'	2,159	'	3,072
Gross unrealized losses	'	-7	'	'	-7	'	-133
Estimated fair value	'	57,777	'	'	57,777	'	90,793
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	0	'	'	0	'	1,106
12 months or longer, Estimated Fair Value	'	2,917	'	'	2,917	'	9,469
Estimated Fair Value, Total	'	2,917	'	'	2,917	'	10,575
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	0	'	-6
12 months or longer, Gross Unrealized Losses	'	'	'	'	-7	'	-127
Gross Unrealized Losses, Total	'	'	'	'	-7	'	-133
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	0	'	'	0	'	3
12 months or longer, Number of Securities	'	1	'	'	1	'	3
Number of Securities	'	1	'	'	1	'	6
Securities available for sale, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	55,625	'	'	55,625	'	87,854
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	57,777	'	'	57,777	'	90,793
Fixed Maturities [Member]	'	'	'	'	'	'	'
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	141,926	'	'	141,926	'	350,009
12 months or longer, Estimated Fair Value	'	74,867	'	'	74,867	'	14,115
Estimated Fair Value, Total	'	216,793	'	'	216,793	'	364,124
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-1,092	'	-11,233
12 months or longer, Gross Unrealized Losses	'	'	'	'	-1,454	'	-164
Gross Unrealized Losses, Total	'	'	'	'	-2,546	'	-11,397
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	25	'	'	25	'	96
12 months or longer, Number of Securities	'	19	'	'	19	'	4
Number of Securities	'	44	'	'	44	'	100
Securities available for sale [Abstract]	'	'	'	'	'	'	'
Gross gains from sales	'	1,600	'	620	3,303	2,900	'
Gross losses from sales	'	-1,934	'	-1,086	-3,891	-1,613	'
Gross losses from other-than-temporary impairments	'	0	'	0	-462	0	'
Total fixed maturity securities	'	-334	'	-466	-1,050	1,287	'
Recognized in accumulated other comprehensive income [Abstract]	'	'	'	'	'	'	'
Available-for-sale Securities	'	-2,873	'	-14,052	37,044	-62,094	'
Mutual Funds [Member]	'	'	'	'	'	'	'
Available-for-sale equity securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	149,141	'	'	149,141	'	187,356
Gross unrealized gains	'	55,754	'	'	55,754	'	53,013
Gross unrealized losses	'	-13	'	'	-13	'	-436
Estimated fair value	'	204,882	'	'	204,882	'	239,933
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Estimated Fair Value	'	1,672	'	'	1,672	'	25,231
12 months or longer, Estimated Fair Value	'	0	'	'	0	'	0
Estimated Fair Value, Total	'	1,672	'	'	1,672	'	25,231
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Gross Unrealized Losses	'	'	'	'	-13	'	-436
12 months or longer, Gross Unrealized Losses	'	'	'	'	0	'	0
Gross Unrealized Losses, Total	'	'	'	'	-13	'	-436
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]	'	'	'	'	'	'	'
Less than 12 months, Number of Securities	'	1	'	'	1	'	7
12 months or longer, Number of Securities	'	0	'	'	0	'	0
Number of Securities	'	1	'	'	1	'	7
Equity Securities [Member]	'	'	'	'	'	'	'
Securities available for sale [Abstract]	'	'	'	'	'	'	'
Gross gains from sales	'	3,488	'	814	8,104	3,445	'
Gross losses from sales	'	-46	'	-492	-1,317	-1,327	'
Total equity securities	'	3,442	'	322	6,787	2,118	'
Recognized in accumulated other comprehensive income [Abstract]	'	'	'	'	'	'	'
Available-for-sale Securities	'	-5,783	'	7,719	3,164	15,249	'
Certificates of Deposit [Member]	'	'	'	'	'	'	'
Securities held to maturity [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	3,233	'	'	3,233	'	3,378
Gross unrealized gains	'	0	'	'	0	'	0
Gross unrealized losses	'	0	'	'	0	'	0
Estimated fair value	'	3,233	'	'	3,233	'	3,378
Securities held to maturity, Amortized Cost [Abstract]	'	'	'	'	'	'	'
Amortized cost	'	3,233	'	'	3,233	'	3,378
Securities held to maturity, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	3,233	'	'	3,233	'	3,378
Escrow Bonds [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	22,385	'	'	22,385	'	'
Available-for-sale securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Gross unrealized gains	'	'	'	'	185	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	22,385	'	'	22,385	'	'
Cofina Bonds [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	20,785	'	'	20,785	'	'
Available-for-sale securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Gross unrealized gains	'	'	'	'	128	'	'
Gross unrealized losses	'	'	'	'	-1,534	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	20,785	'	'	20,785	'	'
Puerto Rico Bonds [Member]	'	'	'	'	'	'	'
Available-for-sale debt securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	1,680	'	'	1,680	'	'
Available-for-sale securities, amortized cost basis [Abstract]	'	'	'	'	'	'	'
Gross unrealized gains	'	'	'	'	81	'	'
Securities available for sale, Estimated Fair Value [Abstract]	'	'	'	'	'	'	'
Estimated fair value	'	$1,680	'	'	$1,680	'	'

Investment_in_Securities_Incom

Investment in Securities, Income By Category (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Components of net investment income [Abstract]	'	'	'	'
Total	$11,816	$11,363	$35,314	$34,749
Fixed Maturities [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Total	9,587	9,307	28,826	27,533
Equity Securities [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Total	1,850	1,717	5,466	6,236
Policy Loans [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Total	150	119	408	351
Cash Equivalents and Interest-Bearing Deposits [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Total	39	16	65	61
Other [Member]	'	'	'	'
Components of net investment income [Abstract]	'	'	'	'
Total	$190	$204	$549	$568

Premiums_and_Other_Receivables2

Premiums and Other Receivables, Net (Details) (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Premiums and Other Receivables, Net [Abstract]	'	'
Premiums	$104,691	$108,963
Self-insured group receivables	56,074	55,598
FEHBP	11,948	11,804
Agent balances	24,146	27,655
Accrued interest	10,429	11,879
Reinsurance recoverable	51,137	46,116
Other	42,463	34,473
Premiums and other receivables, total	300,888	296,488
Less allowance for doubtful receivables [Abstract]	'	'
Premiums	21,090	14,403
Other	6,427	7,146
Premiums and other receivables allowance	27,517	21,549
Total premiums and other receivables, net	$273,371	$274,939

Claim_Liabilities_Details

Claim Liabilities (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Claim liabilities [Roll Forward]	'	'	'	'
Claim liabilities at beginning of period	$414,708	$414,124	$420,421	$416,918
Reinsurance recoverable on claim liabilities	-39,832	-37,756	37,557	39,051
Net claim liabilities at beginning of period	374,876	376,368	382,864	377,867
Incurred claims and loss-adjustment expenses: [Abstract]	'	'	'	'
Current period insured events	432,509	456,981	1,334,208	929,037
Prior period insured events	-5,002	-2,493	-40,285	-27,554
Total	427,507	454,488	1,293,923	901,483
Payments of losses and loss-adjustment expenses: [Abstract]	'	'	'	'
Current period insured events	421,395	418,433	1,079,312	636,251
Prior period insured events	21,347	35,673	237,834	266,349
Total	442,742	454,106	1,317,146	902,600
Net claim liabilities at end of period	359,641	376,750	359,641	376,750
Reinsurance recoverable on claim liabilities	40,166	36,521	40,166	36,521
Claim liabilities at end of period	399,807	413,271	399,807	413,271
Change in liability for future policy benefits, expense	$6,346	$6,330	$17,678	$11,335

Fair_Value_Measurements_Detail

Fair Value Measurements (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 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%	'	6.60%
Carrying Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	$7,057	'	$7,057	'	$6,705
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	118,521	'	118,521	'	115,923
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	14,877	'	14,877	'	16,107
Loans payable to bank - fixed	12,939	'	12,939	'	13,195
6.6% senior unsecured notes payable	35,000	'	35,000	'	35,000
Repurchase agreement	25,000	'	25,000	'	25,000
Total long-term borrowings	87,816	'	87,816	'	89,302
Total liabilities	206,337	'	206,337	'	205,225
Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	7,057	'	7,057	'	6,705
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	118,521	'	118,521	'	115,923
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	14,877	'	14,877	'	16,107
Loans payable to bank - fixed	12,939	'	12,939	'	13,195
6.6% senior unsecured notes payable	33,425	'	33,425	'	33,775
Repurchase agreement	25,411	'	25,411	'	25,638
Total long-term borrowings	86,652	'	86,652	'	88,715
Total liabilities	205,173	'	205,173	'	204,638
Level 1 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	0	'	0	'	0
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	0	'	0	'	0
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	0	'	0	'	0
Loans payable to bank - fixed	0	'	0	'	0
6.6% senior unsecured notes payable	0	'	0	'	0
Repurchase agreement	0	'	0	'	0
Total long-term borrowings	0	'	0	'	0
Total liabilities	0	'	0	'	0
Level 2 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	7,057	'	7,057	'	6,705
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	118,521	'	118,521	'	115,923
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	14,877	'	14,877	'	16,107
Loans payable to bank - fixed	12,939	'	12,939	'	13,195
6.6% senior unsecured notes payable	33,425	'	33,425	'	33,775
Repurchase agreement	25,411	'	25,411	'	25,638
Total long-term borrowings	86,652	'	86,652	'	88,715
Total liabilities	205,173	'	205,173	'	204,638
Level 3 [Member] | Fair Value [Member]	'	'	'	'	'
Assets [Abstract]	'	'	'	'	'
Policy loans	0	'	0	'	0
Liabilities [Abstract]	'	'	'	'	'
Policyholder deposits	0	'	0	'	0
Long-term borrowings [Abstract]	'	'	'	'	'
Loans payable to bank - variable	0	'	0	'	0
Loans payable to bank - fixed	0	'	0	'	0
6.6% senior unsecured notes payable	0	'	0	'	0
Repurchase agreement	0	'	0	'	0
Total long-term borrowings	0	'	0	'	0
Total liabilities	0	'	0	'	0
Fair Value, Measurements, Recurring [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	127,849	'	127,849	'	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	60,617	'	60,617	'	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	44,850	'	44,850	'	45,005
Municipal securities	625,607	'	625,607	'	611,443
Corporate bonds	195,043	'	195,043	'	155,940
Residential agency mortgage-backed securities	8,532	'	8,532	'	7,703
Collateralized mortgage obligations	57,777	'	57,777	'	90,793
Total fixed maturities	1,120,275	'	1,120,275	'	1,055,874
Equity securities [Abstract]	'	'	'	'	'
Mutual funds	204,882	'	204,882	'	239,933
Total equity securities	204,882	'	204,882	'	239,933
Assets, fair value disclosure, Total	1,325,157	'	1,325,157	'	1,295,807
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	16,859	16,354	17,910	12,822	'
Unrealized gain (loss) in other accumulated comprehensive income	-962	193	-356	2,217	'
Capital distributions	-2,676	0	-4,677	0	'
Capital calls	233	245	577	1,753	'
Ending balance	13,454	16,792	13,454	16,792	'
Fair Value, Measurements, Recurring [Member] | Fixed Maturities Securities [Member]	'	'	'	'	'
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	0	0	0	0	'
Unrealized gain (loss) in other accumulated comprehensive income	0	0	0	0	'
Capital distributions	0	0	0	0	'
Capital calls	0	0	0	0	'
Ending balance	0	0	0	0	'
Fair Value, Measurements, Recurring [Member] | Equity Securities [Member]	'	'	'	'	'
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]	'	'	'	'	'
Beginning balance	16,859	16,354	17,910	12,822	'
Unrealized gain (loss) in other accumulated comprehensive income	-962	193	-356	2,217	'
Capital distributions	-2,676	0	-4,677	0	'
Capital calls	233	245	577	1,753	'
Ending balance	13,454	16,792	13,454	16,792	'
Fair Value, Measurements, Recurring [Member] | Level 1 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	0	'	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	60,617	'	60,617	'	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0	'	0
Municipal securities	0	'	0	'	0
Corporate bonds	0	'	0	'	0
Residential agency mortgage-backed securities	0	'	0	'	0
Collateralized mortgage obligations	0	'	0	'	0
Total fixed maturities	60,617	'	60,617	'	39,199
Equity securities [Abstract]	'	'	'	'	'
Mutual funds	165,868	'	165,868	'	158,281
Total equity securities	165,868	'	165,868	'	158,281
Assets, fair value disclosure, Total	226,485	'	226,485	'	197,480
Fair Value, Measurements, Recurring [Member] | Level 2 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	127,849	'	127,849	'	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	44,850	'	44,850	'	45,005
Municipal securities	625,607	'	625,607	'	611,443
Corporate bonds	195,043	'	195,043	'	155,940
Residential agency mortgage-backed securities	8,532	'	8,532	'	7,703
Collateralized mortgage obligations	57,777	'	57,777	'	90,793
Total fixed maturities	1,059,658	'	1,059,658	'	1,016,675
Equity securities [Abstract]	'	'	'	'	'
Mutual funds	25,560	'	25,560	'	63,742
Total equity securities	25,560	'	25,560	'	63,742
Assets, fair value disclosure, Total	1,085,218	'	1,085,218	'	1,080,417
Fair Value, Measurements, Recurring [Member] | Level 3 [Member]	'	'	'	'	'
Fixed maturity securities [Abstract]	'	'	'	'	'
Obligations of government-sponsored enterprises	0	'	0	'	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	'	0	'	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	'	0	'	0
Municipal securities	0	'	0	'	0
Corporate bonds	0	'	0	'	0
Residential agency mortgage-backed securities	0	'	0	'	0
Collateralized mortgage obligations	0	'	0	'	0
Total fixed maturities	0	'	0	'	0
Equity securities [Abstract]	'	'	'	'	'
Mutual funds	13,454	'	13,454	'	17,910
Total equity securities	13,454	'	13,454	'	17,910
Assets, fair value disclosure, Total	$13,454	'	$13,454	'	$17,910

ShareBased_Compensation_Detail

Share-Based Compensation (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Share-Based Compensation [Abstract]	'	'	'	'
Compensation expense	$396	$1,188	$1,617	$2,351
Proceeds from Stock Options Exercised	'	'	$0	$0
Non-cash exercise of stock options (in shares)	'	'	174,090	14,095

Comprehensive_Income_Details

Comprehensive Income (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance, beginning of period	'	'	$32,129	'
Other comprehensive income before reclassifications	'	'	40,918	'
Amounts reclassified from accumulated other comprehensive income	'	'	-4,561	'
Total other comprehensive income (loss), net of tax	-6,235	-4,357	36,357	-36,840
Balance, end of period	68,486	'	68,486	'
Net Unrealized Gain on Securities [Member]	'	'	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance, beginning of period	'	'	65,584	'
Other comprehensive income before reclassifications	'	'	40,918	'
Amounts reclassified from accumulated other comprehensive income	'	'	-6,325	'
Total other comprehensive income (loss), net of tax	'	'	34,593	'
Balance, end of period	100,177	'	100,177	'
Liability for Pension Benefits [Member]	'	'	'	'
Accumulated Other Comprehensive Income Loss [Line Items]	'	'	'	'
Balance, beginning of period	'	'	-33,455	'
Other comprehensive income before reclassifications	'	'	0	'
Amounts reclassified from accumulated other comprehensive income	'	'	1,764	'
Total other comprehensive income (loss), net of tax	'	'	1,764	'
Balance, end of period	($31,691)	'	($31,691)	'

Income_Taxes_Details

Income Taxes (Details) (USD $)	3 Months Ended	9 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2014	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Income Tax Examination [Line Items]	'	'	'	'	'
Total outside basis difference	'	'	56,000	'	'
One-time charge to operations	6,300	'	'	'	'
Minimum [Member]	'	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'	'
Years subject to examination by taxing authority	'	'2010	'	'	'
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%	'	'	'
Puerto Rico [Member] | Minimum [Member]	'	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'	'
Changes to the corporate tax (in hundredths )	15.00%	15.00%	'	'	'
Puerto Rico [Member] | Maximum [Member]	'	'	'	'	'
Income Tax Examination [Line Items]	'	'	'	'	'
Changes to the corporate tax (in hundredths )	20.00%	20.00%	'	'	'

Pension_Plan_Details

Pension Plan (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Components of net periodic benefit cost [Abstract]	'	'	'	'
Service cost	$885	$1,047	$2,835	$3,093
Interest cost	2,042	1,947	6,435	5,851
Expected return on assets	-1,847	-1,662	-5,848	-5,054
Amortization of prior service benefit	-111	-111	-348	-337
Amortization of actuarial loss	1,019	1,798	3,239	5,366
Net periodic benefit cost	1,988	3,019	6,313	8,919
Employer Contributions	'	'	$8,000	'

Net_Income_Available_to_Stockh2

Net Income Available to Stockholders and Net Income per Share (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Numerator for earnings per share: [Abstract]	'	'	'	'
Net income attributable to TSM available to stockholders	$4,723	$18,641	$39,154	$56,021
Denominator for basic earnings per share: [Abstract]	'	'	'	'
Weighted average of common shares (in shares)	27,081,142	27,336,724	27,142,910	27,812,521
Effect of dilutive securities (in shares)	59,961	102,370	109,896	103,179
Denominator for diluted earnings per share (in shares)	27,141,103	27,439,094	27,252,806	27,915,700
Basic net income per share attributable to TSM (in dollars per share)	$0.17	$0.68	$1.44	$2.01
Diluted net income per share attributable to TSM (in dollars per share)	$0.17	$0.68	$1.44	$2.01

Contingencies_Details

Contingencies (Details) (USD $)

9 Months Ended

1 Months Ended

3 Months Ended

9 Months Ended

0 Months Ended

9 Months Ended

0 Months Ended

In Thousands, except Share data, unless otherwise specified

Sep. 30, 2014

Sep. 30, 2014

Sep. 30, 2014

Dec. 23, 2013

Sep. 30, 2014

Sep. 30, 2014

Sep. 30, 2014

Sep. 30, 2014

Sep. 19, 2014

Apr. 23, 2014

Feb. 24, 2014

Feb. 10, 2014

Feb. 11, 2014

Sep. 30, 2014

Jul. 02, 2014

Jul. 02, 2014

Member

Claims of Heirs of Former Shareholders [Member]

Joint Underwriting Association Litigations [Member]

Puerto Rico Dentists Association Litigation [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]

Unauthorized Disclosure of Protected Health Information [Member]

Unauthorized Disclosure of Protected Health Information [Member]

TSS [Member]

TSS [Member]

Lawsuit

Lawsuit

Plan

Plaintiff

Lawsuit

Lawsuit

Beneficiary

Beneficiary

Subsidiary

Plan

Loss Contingencies [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Lawsuit filing date

'

'

'August 19, 2011

'

'

'February 11, 2009

'

'

'September 19, 2014

'April 23, 2014

'February 24, 2014

'February 10, 2014

'

'

'

'

Amount of claims for damages

'

'

$406,600

$30

'

$150,000

'

'

'

'

$20,000

'

'

'

$4,800

'

Split conversion ratio

'

3,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

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

'

'

'

'

'

'

9,600

'

'

'

'

'

'

'

'

'

Civil monetary penalty

'

'

'

'

'

'

'

'

'

'

'

'

6,778

'

'

'

Number of Dual Eligible Medicare beneficiaries

'

'

'

'

'

'

'

'

'

'

'

'

13,336

70,000

'

'

Members affected by incident

39,944

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Platino members affected by the incident

28,413

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Outstanding claims

'

'

'

'

'

'

3,000

'

'

'

'

'

'

'

'

'

Overpayment of premium

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$7,950

Business_Combination_Details

Business Combination (Details) (USD $)	3 Months Ended		9 Months Ended		12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013	Nov. 07, 2013	Oct. 31, 2013
Allocation of Purchase Price [Abstract]	'	'	'	'	'	'	'
Operating revenue	$563,774	$582,926	$1,734,459	$1,770,360	'	'	'
Net gain	4,723	18,641	39,154	56,021	'	'	'
Unaudited pro forma financial information of ASICO [Abstract]	'	'	'	'	'	'	'
Operating revenues	'	585,172	'	1,777,097	'	'	'
Net Income	'	17,907	'	54,799	'	'	'
Basic net income per share (in dollars per share)	'	$0.66	'	$1.97	'	'	'
Diluted net income per share (in dollars per share)	'	$0.65	'	$1.96	'	'	'
2013 Acquisition [Member]	'	'	'	'	'	'	'
Business Acquisition [Line Items]	'	'	'	'	'	'	'
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	1,943	'	5,932	'	'	'	'
Net gain	71	'	628	'	'	'	'
Unaudited pro forma financial information of ASICO [Abstract]	'	'	'	'	'	'	'
Intangible assets including goodwill	'	'	'	'	'	'	4,499
Amortization expense	$153	$114	$461	$344	'	'	'
2012 Acquisition [Member]	'	'	'	'	'	'	'
Business Acquisition [Line Items]	'	'	'	'	'	'	'
Date of business acquisition	'	'	7-Nov-13	'	'	'	'