Triple-s Management (GTS) 10-K 18 Mar 15 2014 FY Annual report Financial data

Document_and_Entity_Informatio

Document and Entity Information (USD $)	12 Months Ended
	Dec. 31, 2014	Mar. 03, 2015	Jun. 30, 2014
Entity Information [Line Items]
Entity Registrant Name	TRIPLE-S MANAGEMENT CORP
Entity Central Index Key	1171662
Current Fiscal Year End Date	-19
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	FY
Document Type	10-K
Amendment Flag	FALSE
Document Period End Date	31-Dec-14
Common Class A [Member]
Entity Information [Line Items]
Entity Public Float			$2,377,689
Entity Common Stock, Shares Outstanding		2,377,689
Common Class B [Member]
Entity Information [Line Items]
Entity Public Float			$446,308,894
Entity Common Stock, Shares Outstanding		25,129,270

Consolidated_Balance_Sheets

Consolidated Balance Sheets (USD $)	Dec. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Securities available for sale, at fair value:
Fixed maturities (amortized cost of $1,045,285 in 2014 and $1,031,480 in 2013)	$1,115,899	$1,055,874
Equity securities (cost of $150,799 in 2014 and $187,356 in 2013)	197,756	239,933
Securities held to maturity, at amortized cost:
Fixed maturities (fair value of $3,163 in 2014 and $6,309 in 2013)	2,944	6,139
Policy loans	7,260	6,705
Cash and cash equivalents	110,037	74,356
Total investments and cash	1,433,896	1,383,007
Premium and other receivables, net	315,622	274,939
Deferred policy acquisition costs and value of business acquired	184,100	177,289
Property and equipment, net	78,343	89,086
Deferred tax asset	68,695	33,519
Goodwill	25,397	25,397
Other assets	39,683	64,387
Total assets	2,145,736	2,047,624
Liabilities and Stockholders' Equity
Claim liabilities	390,086	420,421
Liability for future policy benefits	328,293	304,363
Unearned premiums	82,656	87,362
Policyholder deposits	118,912	115,923
Liability to Federal Employees' Health Benefits Program	15,666	8,148
Accounts payable and accrued liabilities	162,458	161,422
Deferred tax liability	28,456	20,783
Long term borrowings	74,467	89,302
Liability for pension benefits	86,716	54,697
Total liabilities	1,287,710	1,262,421
Commitments and contingencies
Triple-S Management Corporation stockholders' equity
Additional paid-in capital	121,405	130,098
Retained earnings	661,345	595,685
Accumulated other comprehensive income, net	48,776	32,129
Total Triple-S Management Corporation stockholders' equity	858,558	785,381
Non-controlling interest in consolidated subsidiary	-532	-178
Total stockholders' equity	858,026	785,203
Total liabilities and stockholders' equity	2,145,736	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	$24,654	$25,091

Consolidated_Balance_Sheets_Pa

Consolidated Balance Sheets (Parenthetical) (USD $)	Dec. 31, 2014	Dec. 31, 2013
In Thousands, except Share data, unless otherwise specified
Securities available for sale, at fair value:
Fixed maturities, amortized cost	$1,045,285	$1,031,480
Equity securities, amortized cost	150,799	187,356
Securities held to maturity, at amortized cost:
Fixed maturities, fair value	$3,163	$6,309
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)	24,654,497	25,091,277
Common stock, outstanding (in shares)	24,654,497	25,091,277

Consolidated_Statements_of_Ear

Consolidated Statements of Earnings (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Revenues:
Premiums earned, net	$2,128,566	$2,203,035	$2,253,354
Administrative service fees	119,302	108,680	110,110
Net investment income	47,540	47,288	46,790
Other operating revenues	4,232	4,778	4,356
Total operating revenues	2,299,640	2,363,781	2,414,610
Net realized investment gains (losses):
Total other-than-temporary impairment losses on securities	-1,170	-1,042	0
Net realized gains, excluding other-than-temporary impairment losses on securities	19,401	3,629	5,197
Total net realized investment gains	18,231	2,587	5,197
Other income, net	2,243	15,263	2,196
Total revenues	2,320,114	2,381,631	2,422,003
Benefits and expenses:
Claims incurred	1,747,595	1,836,201	1,919,859
Operating expenses	497,194	478,169	425,173
Total operating costs	2,244,789	2,314,370	2,345,032
Interest expense	9,274	9,474	10,599
Total benefits and expenses	2,254,063	2,323,844	2,355,631
Income before taxes	66,051	57,787	66,372
Income tax expense (benefit):
Current	22,551	11,704	13,394
Deferred	-21,806	-9,423	-922
Total income taxes	745	2,281	12,472
Net income	65,306	55,506	53,900
Less: Net loss attributable to non-controlling interest	354	418	132
Net income attributable to Triple-S Management Corporation	$65,660	$55,924	$54,032
Earnings per share attributable to Triple-S Management Corporation
Basic net income per share (in dollars per share)	$2.42	$2.02	$1.91
Diluted net income per share (in dollars per share)	$2.41	$2.01	$1.90

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Income (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Consolidated Statements of Comprehensive Income [Abstract]
Net income	$65,306	$55,506	$53,900
Other comprehensive income (loss), net of tax:
Net unrealized change in fair value of available for sale securities, net of taxes	35,883	-36,931	34,378
Defined benefit pension plan:
Actuarial gain (loss), net	-18,967	20,226	-3,531
Prior service credit, net	-269	-270	-306
Total other comprehensive income (loss), net of tax	16,647	-16,975	30,541
Comprehensive income	81,953	38,531	84,441
Comprehensive loss attributable to non-controlling interest	354	418	132
Comprehensive income attributable to Triple-S Management Corporation	$82,307	$38,949	$84,573

Consolidated_Statements_of_Sto

Consolidated Statements of Stockholders' Equity (USD $)	Class A Common Stock [Member]	Class B Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Accumulated Other Comprehensive Income (Loss) [Member]	Triple-S Management Corporation [Member]	Noncontrolling Interest [Member]	Total
In Thousands, unless otherwise specified
Balance at Dec. 31, 2011	$9,043	$19,322	$144,302	$485,729	$18,563	$676,959	$0	$676,959
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Non-controlling interest related to acquisition of consolidated subsidiary	0	0	0	0	0	0	372	372
Share-based compensation	0	71	2,555	0	0	2,626	0	2,626
Stock issued upon exercise of stock options	0	207	2,794	0	0	3,001	0	3,001
Repurchase and retirement of common stock	0	-278	-4,974	0	0	-5,252	0	-5,252
Net change in comprehensive income (loss)	0	0	0	54,032	30,541	84,573	-132	84,441
Balance at Dec. 31, 2012	9,043	19,322	144,667	539,761	49,104	761,907	240	762,147
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Non-controlling interest related to acquisition of consolidated subsidiary								-178
Share-based compensation	0	96	2,685	0	0	2,781	0	2,781
Stock issued upon exercise of stock options	0	22	293	0	0	315	0	315
Common stock conversion	-6,665	6,665	0	0	0	0	0	0
Repurchase and retirement of common stock	0	-1,014	-17,557	0	0	-18,571	0	-18,571
Net change in comprehensive income (loss)	0	0	0	55,924	-16,975	38,949	-418	38,531
Balance at Dec. 31, 2013	2,378	25,091	130,098	595,685	32,129	785,381	-178	785,203
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Non-controlling interest related to acquisition of consolidated subsidiary								-532
Share-based compensation	0	135	2,236	0	0	2,371	0	2,371
Stock issued upon exercise of stock options	0	199	2,686	0	0	2,885	0	2,885
Repurchase and retirement of common stock	0	-771	-13,615	0	0	-14,386	0	-14,386
Net change in comprehensive income (loss)	0	0	0	65,660	16,647	82,307	-354	81,953
Balance at Dec. 31, 2014	$2,378	$24,654	$121,405	$661,345	$48,776	$858,558	($532)	$858,026

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Cash flows from operating activities
Net income	$65,306	$55,506	$53,900
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	24,400	25,589	24,242
Net amortization of investments	6,091	5,963	6,425
Provision (reversal of provision) for doubtful receivables	14,819	-2,880	563
Deferred tax benefit	-21,806	-9,423	-922
Net realized investment gains	-18,231	-2,587	-5,197
Share-based compensation	2,371	2,781	2,626
Gain on sale of property and equipment	0	0	17
(Increase) decrease in assets
Premium and other receivables, net	-45,046	21,053	-4,410
Deferred policy acquisition costs and value of business acquired	-6,811	-4,133	-12,869
Deferred taxes	1,954	-9,230	-967
Other assets	8,630	2,296	-1,617
Increase (decrease) in liabilities
Claim liabilities	-30,335	2,455	25,659
Liability for future policy benefits	23,930	22,665	22,376
Unearned premiums	-4,706	-8,588	1,088
Policyholder deposits	3,510	3,217	2,289
Liability to FEHBP	7,518	-13,205	2,302
Accounts payable and accrued liabilities	6,397	21,469	-5,785
Net cash provided by operating activities	37,991	112,948	109,720
Securities available for sale
Fixed maturities sold	235,282	160,978	116,718
Fixed maturities matured	31,329	96,597	141,266
Equity securities sold	113,942	132,433	53,120
Securities held to maturity
Fixed maturities matured	4,127	1,440	11,635
Other investments	8,925	0	0
Securities available for sale
Fixed maturities	-288,507	-323,003	-313,188
Equity securities	-69,101	-132,543	-98,095
Securities held to maturity
Fixed maturities	-935	-1,325	-2,494
Other investments	-483	-512	-206
Net repayment (disbursements) for policy loans	-555	-313	146
Acquisition of business, net of cash acquired of $4,618 and $816 in the year ended December 31, 2013 and 2012, respectively	0	-4,795	-2,685
Net capital expenditures	-4,783	-11,809	-12,078
Net cash provided by (used in) investing activities	29,241	-82,852	-105,861
Cash flows from financing activities
Repurchase and retirement of common stock	-11,337	-18,250	-2,299
Proceeds from exercise of stock options	0	0	316
Change in outstanding checks in excess of bank balances	-4,858	15,123	-19,841
Repayments of long-term borrowings	-14,835	-11,969	-26,955
Net change in short-term borrowings	0	-30,000	30,000
Proceeds from annuity contracts	9,551	9,212	39,709
Surrenders of annuity contracts	-10,072	-9,420	-7,059
Net cash (used in) provided by financing activities	-31,551	-45,304	13,871
Net increase (decrease) in cash and cash equivalents	35,681	-15,208	17,730
Cash and cash equivalents
Beginning of year	74,356	89,564	71,834
End of year	$110,037	$74,356	$89,564

Consolidated_Statements_of_Cas1

Consolidated Statements of Cash Flows (Parenthetical) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Cash flows from investing activities
Acquisition of business, net cash acquired	$0	$4,618	$816

Nature_of_Business

Nature of Business	12 Months Ended
	Dec. 31, 2014
Nature of Business [Abstract]
Nature of Business	1	Nature of Business
	Triple-S Management Corporation (the Corporation, the Company or TSM) was incorporated under the laws of the Commonwealth of Puerto Rico to engage, among other things, as the holding company of entities primarily involved in the insurance industry.
	The Company has the following wholly owned subsidiaries that are subject directly or indirectly to the regulations of the Commissioner of Insurance of the Commonwealth of Puerto Rico (the Commissioner of Insurance), the Division of Banking and Insurance of the Office of the Lieutenant Governor of the U.S. Virgin Islands (USVI Division of Banking and Insurance), the General Superintendence of Insurance of Costa Rica, the British Virgin Islands (BVI) Financial Services Commission, and the Anguilla Financial Services Commission: (1) Triple-S Salud, Inc. (TSS) and Socios Mayores en Salud Holdings, Inc. (from now on referred to as Triple-S Advantage or TSA), managed care organizations that provide health benefits services to subscribers through contracts with hospitals, physicians, dentists, laboratories, and other organizations; (2) Triple-S Vida, Inc. (TSV) and Triple-S Blue, Inc. (TSB) (formerly known as Atlantic Southern Insurance Company (ASICO)), which are engaged in the underwriting of life and accident and health insurance policies and the administration of annuity contracts; and (3)  Triple-S Propiedad, Inc. (TSP), which is engaged in the underwriting of property and casualty insurance policies.  The Company, TSS and TSA are members of the Blue Cross and Blue Shield Association (BCBSA).
	In January 2012, we acquired a controlling interest in a health clinic in Puerto Rico, as part of our strategic initiatives.  The clinic became a member of the Mayo Clinic network on 2013.
	On November 7, 2013, the Company, through its subsidiary TSV, completed the acquisition of 100% of the outstanding shares of capital stock of ASICO, now Triple-S Blue, a life insurance company authorized to do business in Puerto Rico, the Republic of Costa Rica, Anguilla, and the British Virgin Islands.  The results of operations and financial condition of this acquisition are included in the accompanying consolidated financial statements for the periods following the effective date of the acquisition.
	Through our subsidiary TSS, we provide services to participants of the Commonwealth of Puerto Rico Health Insurance Plan (similar to Medicaid) (Medicaid).  On October 17, 2011, TSS entered into a contract with the Commonwealth of Puerto Rico (the government of Puerto Rico), effective November 1, 2011, to administer the provision of the physical health component of this program in designated service regions in Puerto Rico.  On July 1, 2013, TSS amended its contract extending the administration of the provision of the physical health component of the Medicaid program in service regions in the Commonwealth of Puerto Rico currently administered by TSS for a 12-month period expiring on June 30, 2014. This amendment also transferred the administration of the three remaining service regions to TSS upon completion of a transition period, which ended on October 1, 2013.  On June 30, 2014, the contract was extended for a nine-month period expiring March 31, 2015.  In accordance with the terms of this new contract with the government of Puerto Rico, TSS receives a monthly per-member, per-month administrative fee for its services and does not bear the insurance risk of the program.
	The Company also has two other wholly owned subsidiaries, Interactive Systems, Inc. (ISI) and Triple-C, Inc. (TC).  ISI is mainly engaged in providing data processing services to the Company and its subsidiaries.  TC was engaged as a third-party administrator for TSS in the administration of the Medicaid business and is currently inactive.
	A substantial majority of the Company’s business activity is within Puerto Rico, and as such, the Company is subject to the risks associated with the Puerto Rico economy.

Significant_Accounting_Policie

Significant Accounting Policies	12 Months Ended
	Dec. 31, 2014
Significant Accounting Policies [Abstract]
Significant Accounting Policies	2	Significant Accounting Policies
	The following are the significant accounting policies followed by the Company and its subsidiaries:
	Basis of Presentation
	The accompanying consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America (GAAP).
	The consolidated financial statements include the financial statements of the Company and its subsidiaries.  All significant intercompany balances and transactions have been eliminated in consolidation.
	Use of Estimates
	The preparation of the consolidated financial statements in conformity with GAAP requires the Company to make a number of estimates and assumptions relating to the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenue and expenses during the period.  Actual results could differ from those estimates.  The most significant items on the consolidated balance sheets that involve a greater degree of accounting estimates and actuarial determinations subject to changes in the near future are the assessment of claim liabilities, the liability for future policy benefits, other-than-temporary impairments, allowance for doubtful receivables, deferred policy acquisition costs and value of business acquired, goodwill, intangible assets, and liability for pension benefits.  As additional information becomes available (or actual amounts are determinable), the recorded estimates are revised and reflected in operating results of the period they are determined.  Although some variability is inherent in these estimates, the Company believes the amounts provided represent management’s best estimate.
	Cash Equivalents
	The Company considers all highly liquid debt instruments with maturities of three months or less at the date of acqusition to be cash equivalents.  Cash equivalents of $26,091 and $32,646 at December 31, 2014 and 2013, respectively, consist principally of money market funds, obligations of government‑sponsored enterprises and certificates of deposit with original maturities of three months or less.
	Investments
	Investment in securities at December 31, 2014 and 2013 consists mainly of obligations of government‑sponsored enterprises, U.S. Treasury securities and obligations of U.S. government instrumentalities, obligations of the Commonwealth of Puerto Rico and its instrumentalities, municipal securities, corporate bonds, residential mortgage-backed securities, collateralized mortgage obligations, and equity securities.  The Company classifies its debt and equity securities in one of three categories: trading, available for sale, or held to maturity.  Trading securities are bought and held principally for the purpose of selling them in the near term.  Securities classified as held to maturity are those securities in which the Company has the ability and intent to hold the security until maturity.  All other securities not included in trading or held to maturity are classified as available for sale.
	Trading and available-for-sale securities are recorded at fair value.  The fair values of debt securities (both available for sale and held to maturity investments) and equity securities are based on quoted market prices for those or similar investments at the reporting date.  Held-to-maturity debt securities are recorded at amortized cost, adjusted for the amortization or accretion of premiums and discounts, respectively.  Unrealized holding gains and losses on trading securities are included in earnings.  Unrealized holding gains and losses, net of the related tax effect, on available-for-sale securities are excluded from earnings and are reported as a separate component of other comprehensive income until realized.  Realized gains and losses from the sale of available-for-sale securities are included in earnings and are determined on a specific‑identification basis.
	Transfers of securities between categories are recorded at fair value at the date of transfer.  Unrealized holding gains and losses are recognized in earnings for transfers into trading securities.  Unrealized holding gains or losses associated with transfers of securities from held to maturity to available for sale are recorded as a separate component of other comprehensive income.  The unrealized holding gains or losses included in the separate component of other comprehensive income for securities transferred from available for sale to held to maturity, are maintained and amortized into earnings over the remaining life of the security as an adjustment to yield in a manner consistent with the amortization or accretion of premium or discount on the associated security.
	If a fixed maturity security is in an unrealized loss position and the Company has the intent to sell the fixed maturity security, or it is more likely than not that the Company will have to sell the fixed maturity security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings.  For impaired fixed maturity securities that the Company does not intend to sell or it is more likely than not that such securities will not have to be sold, but the Company expects not to fully recover the amortized cost basis, the credit component of the other-than temporary impairment is recognized in other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.  Furthermore, unrealized losses entirely caused by non-credit related factors related to fixed maturity securities for which the Company expects to fully recover the amortized cost basis continue to be recognized in accumulated other comprehensive income.
	The credit component of an other-than-temporary impairment is determined by comparing the net present value of projected future cash flows with the amortized cost basis of the fixed maturity security. The net present value is calculated by discounting the Company’s best estimate of projected future cash flows at the effective interest rate implicit in the fixed maturity security at the date of acquisition.
	The unrealized gains or losses on the Company’s equity securities classified as available-for-sale are included in accumulated other comprehensive income as a separate component of  stockholders’ equity, unless the decline in value is deemed to be other-than-temporary and the Company does not have the intent and ability to hold such equity securities until their full cost can be recovered, in which case such equity securities are written down to fair value and the loss is charged to other-than-temporary impairment losses recognized in earnings.
	A decline in the fair value of any available-for-sale or held-to-maturity security below cost that is deemed to be other-than-temporary results in an impairment to reduce the carrying amount to fair value.  The impairment is charged to earnings and a new cost basis for the security is established.  To determine whether an impairment is other-than-temporary, the Company considers whether it has the ability and intent to hold the investment until a market price recovery and considers whether evidence indicating the cost of the investment is recoverable outweighs evidence to the contrary.  Evidence considered in this assessment includes the reasons for the impairment, the severity and duration of the impairment, market conditions, changes in value subsequent to year-end, forecasted performance of the investee, and the general market condition in the geographic area or industry the investee operates in.
	Premiums and discounts are amortized or accreted over the life of the related held-to-maturity or available-for-sale security as an adjustment to yield using the effective interest method.  Dividend and interest income are recognized when earned.
	The Company regularly invests in mortgaged-backed securities and other securities subject to prepayment and call risk.  Significant changes in prevailing interest rates may adversely affect the timing and amount of cash flows on such securities.  In addition, the amortization of market premium and accretion of market discount for mortgaged-backed securities is based on historical experience and estimates of future payment speeds on the underlying mortgage loans.  Actual prepayment speeds may differ from original estimates and may result in material adjustments to amortization or accretion recorded in future periods.
	Revenue Recognition
	a.  Managed Care
	Subscriber premiums on the managed care business are billed in advance of their respective coverage period and the related revenue is recorded as earned during the coverage period.  Managed care premiums are billed in the month prior to the effective date of the policy with a grace period of up to two months.  If the insured fails to pay, the policy can be canceled at the end of the grace period at the option of the Company.  Managed care premiums are reported as earned when due.
	Premiums for the Medicare Advantage (MA) business are based on a bid contract with the Centers for Medicare and Medicaid Services (CMS) and billed in advance of the coverage period.  MA contracts provide for a risk factor to adjust premiums paid for members that represent a higher or lower risk to the Company.  Retroactive rate adjustments are made periodically based on the aggregate health status and risk scores of the Company’s MA membership.  These risk adjustments are evaluated quarterly, based on actuarial estimates.  Actual results could differ from these estimates.  As additional information becomes available, the recorded estimate is revised and reflected in operating results in the period in which it becomes available.
	Prescription drug coverage is offered to Medicare eligible beneficiaries as part of MA plans (MA-PD) and on a stand-alone basis (stand-alone PDP).  Premiums are based on a bid contract with CMS that considers the estimated costs of providing prescription drug benefits to enrolled participants.  MA-PD and stand-alone PDP premiums are subject to adjustment, positive or negative, based upon the application of risk corridors that compare the estimated prescription drug costs included in the bids to CMS to actual prescription drug costs.  Variances exceeding certain thresholds may result in CMS making additional payments or in CMS requesting a refund for a portion of the premiums collected.  The Company estimates and records adjustments to earned premiums related to estimated risk corridor payments based upon actual prescription drug costs for each reporting period as if the annual contract were to end at the end of each reporting period.
	Administrative service fees include revenue from certain groups which have managed care contracts that provide for the group to be at risk for all or a portion of their claims experience.  For these groups, the Company is not at risk and only handles the administration of managed care coverage for an administrative service fee.  The Company pays claims under commercial self-funded arrangements from its own funds, and subsequently receives reimbursement from these groups.  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.  Claims paid under self-funded arrangements are excluded from the claims incurred in the accompanying consolidated financial statements.  Administrative service fees under the self-funded arrangements are recognized based on the group’s membership or incurred claims for the period multiplied by an administrative fee rate plus other fees.  In addition, some of these self-funded groups purchase aggregate and/or specific stop-loss coverage.  In exchange for a premium, the group’s aggregate liability or the group’s liability on any one episode of care is capped for the year.  Premiums for the stop-loss coverage are actuarially determined based on experience and other factors and are recorded as earned over the period of the contract in proportion to the coverage provided.  This fully insured portion of premiums is included within the premiums earned, net in the accompanying consolidated statements of earnings.  The Medicaid contract with the Government of Puerto Rico contains a savings-sharing provision whereby the Government of Puerto Rico shares with TSS a portion of the medical cost savings obtained with the administration of the regions served on an administrative service basis.  Any savings-sharing amount is recorded when earned as administrative service fees in the accompanying consolidated statements of earnings.
	b.  Life and Accident and Health Insurance
	Premiums on life insurance policies are billed in advance of their respective coverage period and the related revenue is recorded as earned when due.  Premiums on accident and health and other short‑term policies are recognized as earned primarily on a pro rata basis over the contract period.  Premiums on credit life policies are recognized as earned in proportion to the amounts of insurance in‑force.  Revenues from universal life and interest sensitive policies represent amounts assessed against policyholders, including mortality charges, surrender charges actually paid, and earned policy service fees.  The revenues for limited payment contracts are recognized over the period that benefits are provided rather than on collection of premiums.
	c.  Property and Casualty Insurance
	Premiums on property and casualty contracts are billed in advance of their respective coverage period and they are recognized as earned on a pro rata basis over the policy term.  The portion of premiums related to the period prior to the end of coverage is recorded in the consolidated balance sheets as unearned premiums and is transferred to premium revenue as earned.
	Allowance for Doubtful Receivables
	The allowance for doubtful receivables is based on management’s evaluation of the aging of accounts and such other factors, which deserve current recognition.  Actual losses could differ from these estimates.  Receivables are charged-off against their respective allowance accounts when deemed to be uncollectible.
	Deferred Policy Acquisition Costs and Value of Business Acquired
	Certain direct costs for acquiring successful life and accident and health, and property and casualty insurance business are deferred by the Company.  Substantially all acquisition costs related to the managed care business are expensed as incurred.
	In the life and accident and health business deferred acquisition costs consist of commissions and certain expenses related to the production of life, annuity, accident and health, and credit business.  In the event that future premiums, in combination with policyholder reserves and anticipated investment income, could not provide for all future maintenance and settlement expenses, the amount of deferred policy acquisition costs would be reduced to provide for such amount.  The related amortization is provided over the anticipated premium-paying period of the related policies in proportion to the ratio of annual premium revenue to expected total premium revenue to be received over the life of the policies.  Interest is considered in the amortization of deferred policy acquisition cost and value of business acquired.  For these contracts interest is considered at a level rate at the time of issue of each contract, 4.90% for 2014, 2013 and 2012, and, in the case of the value of business acquired, at the time of any acquisition.  For certain other long-duration contracts, deferred amounts are amortized at historical and forecasted credited interest rates.  Expected premium revenue is estimated by using the same mortality and withdrawal assumptions used in computing liabilities for future policy benefits.  The method followed in computing deferred policy acquisition costs limits the amount of such deferred costs to their estimated net realizable value.  In determining estimated net realizable value, the computations give effect to the premiums to be earned, related investment income, losses and loss-adjustment expenses, and certain other costs expected to be incurred as the premium is earned.  Costs deferred on universal life and interest sensitive products are amortized as a level percentage of the present value of anticipated gross profits from investment yields, mortality, expenses and surrender charges.  Estimates used are based on the Company’s experience as adjusted to provide for possible adverse deviations.  These estimates are periodically reviewed and compared with actual experience.  When it is determined that future expected experience differs significantly from that assumed, the estimates are revised for current and future issues.
	The value assigned to the life insurance in-force at the date of the acquisition is amortized using methods similar to those used to amortize the deferred policy acquisition costs of the life and accident and health business.
	In the property and casualty business, acquisition costs consist of commissions incurred during the production of business and are deferred and amortized ratably over the terms of the policies.
	Property and Equipment
	Property and equipment are stated at cost.  Maintenance and repairs are expensed as incurred.  Depreciation is calculated on the straight-line method over the estimated useful lives of the assets.  Costs of computer equipment, programs, systems, installations, and enhancements are capitalized and amortized straight-line over their estimated useful lives.  The following is a summary of the estimated useful lives of the Company’s property and equipment:
			Estimated
	Asset Category		Useful Life
	Buildings		20 to 50 years
	Building improvements		3 to 5 years
	Leasehold improvements		Shorter of estimated useful
			life or lease term
	Office furniture		5 years
	Computer software		3 to 10 years
	Computer equipment, equipment,
	and automobiles		3 years
	Software Development Costs
	Costs related to software developed or obtained for internal use that is incurred in the preliminary project stage are expensed as incurred.  Once capitalization criteria are met, directly attributable development costs are capitalized and amortized over the expected useful life of the software.  Upgrade and maintenance costs are expensed as incurred.  During the year ended December 31, 2013, the Company capitalized approximately $3,811 associated with the implementation of new software. During the year ended December 31, 2014, there were no development costs capitalized associated with the implementation of new software.
	Long-Lived Assets, including goodwill
	Long‑lived assets, such as property and equipment, and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable.  Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to estimated undiscounted future cash flows expected to be generated by the asset.  If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized by the amount by which the carrying amount of the asset exceeds the fair value of the asset.  Assets to be disposed of would be separately presented in the balance sheets and reported at the lower of the carrying amount or fair value less costs to sell, and are no longer depreciated.  The assets and liabilities of a disposal group classified as held for sale would be presented separately in the appropriate asset and liability sections of the consolidated balance sheets.
	During 2014, the Company identified events that indicate that the carrying amount of the intangible assets purchased as part of the health clinic acquisition may not be recoverable.  As such, the Company performed an impairment analysis on those intangible assets and based on the results of the test, an impairment charge of $2,221 was recorded caused by the carrying value being greater than its fair value.  After the impairment charge, which is included within the consolidated operating expenses, there is no remaining carrying value of the acquired intangible asset as of December 31, 2014. During 2013 and 2012, annual impairment tests on intangible assets were performed and based on the results of the tests no impairment was recorded.
	Goodwill and intangible assets that have indefinite useful lives are tested annually for impairment, and are tested for impairment more frequently if events and circumstances indicate that the asset might be impaired.  An impairment loss is recognized to the extent that the carrying amount exceeds the asset’s fair value.  For goodwill, the impairment determination is made at the reporting unit level.  The Company first assesses qualitative factors to determine whether it is necessary to perform the two-step goodwill impairment test.  The Company assesses qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount, including goodwill.  If determined to be necessary, the two-step impairment test is used to identify potential goodwill impairment and measure the amount of a goodwill impairment loss to be recognized (if any).   First, the Company determines the fair value of a reporting unit and compares it to its carrying amount.  Second, if the carrying amount of a reporting unit exceeds its fair value, an impairment loss is recognized for any excess of the carrying amount of the reporting unit’s goodwill over the implied fair value of that goodwill.  The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation.  The residual fair value after this allocation is the implied fair value of the reporting unit goodwill.
	The 2014 and 2012 annual goodwill impairment tests were performed and based on the results of the tests no impairment was recorded. If the Company does not achieve its earnings objectives or the cost of capital raises significantly, the assumptions and estimates underlying these impairment tests could be adversely affected and result in future impairment charges that would negatively impact its operating results.
	The Company performed its annual goodwill impairment analysis in the fourth quarter of year 2013 and based on the results of the test, an impairment charge for the health clinic reporting unit disclosed below was recorded.
	The Company concluded that fair value was below carrying value for the health clinic reporting unit acquired in January 2012. The fair value of the health clinic reporting unit was based on the income approach.  The decline in the estimated fair value of the health clinic reporting unit results from lower projected revenue growth rates and profitability levels used to calculate the discounted cash flows. The lower projected operating results reflect changes in assumptions related to organic revenue growth rates, market trends, business mix, cost structure, expected deal synergies and other expectations about the anticipated short-term and long-term operating results of the health clinic business.   The decline in the fair value of the health clinic reporting unit in the step two goodwill impairment test, resulted in an implied fair value that indicated the book value should be reduced to zero. As a result, the Company recorded a goodwill impairment charge of $2,369 during the year December 31, 2013.  The goodwill impairment charge is included within the consolidated operating expenses.
	Claim Liabilities
	Claim liabilities for managed care policies represent the estimated amounts to be paid to providers based on experience and accumulated statistical data.  Loss-adjustment expenses related to such claims are currently accrued based on estimated future expenses necessary to process such claims.
	The Company contracts with various independent practice associations (IPAs) for certain medical care services provided to some policies subscribers.  The IPAs are compensated on a capitation basis.  In the Medicaid business and certain MA policies, a portion of the capitation payments is retained to provide for incurred but not reported losses.  At December 31, 2014 and 2013, total withholdings and capitation payable amounted to $40,072 and $42,298, respectively, which are recorded as part of the claim liabilities in the accompanying consolidated balance sheets.
	Claim liabilities include unpaid claims and loss-adjustment expenses of the life and accident and health business based on a case-basis estimate for reported claims, and on estimates, based on experience, for unreported claims and loss-adjustment expenses.  The liability for policy and contract claims and claims expenses has been established to cover the estimated net cost of insured claims.
	Also included within the claim liabilities is the liability for losses and loss-adjustment expenses for the property and casualty business which represents individual case estimates for reported claims and estimates for unreported losses, net of any salvage and subrogation based on past experience modified for current trends and estimates of expenses for investigating and settling claims.
	Claim liabilities are necessarily based on estimates and, while management believes that the amounts are adequate, the ultimate liability may be in excess of or less than the amounts provided.  The methods for making such estimates and for establishing the resulting liability are continually reviewed, and any adjustments are reflected in the consolidated statements of earnings in the period determined.
	Future Policy Benefits
The liability for future policy benefits has been computed using the level‑premium method based on estimated future investment yield, mortality, morbidity and withdrawal experience.  The interest rate assumption ranges between 4.90% and 5.75% for all years in issue.  Mortality has been calculated principally on select and ultimate tables in common usage in the industry.  Withdrawals have been estimated principally based on industry tables, modified by Company’s experience.
Policyholder Deposits
Amounts received for annuity contracts are considered deposits and recorded as a liability along with the accrued interest and reduced for charges and withdrawals.  Interest incurred on such deposits, which amounted to $3,510, $3,217, and $2,889, during the years ended December 31, 2014, 2013, and 2012, respectively, is included within the interest expense in the accompanying consolidated statements of earnings.
Reinsurance
In the normal course of business, the insurance-related subsidiaries seek to limit their exposure that may arise from catastrophes or other events that cause unfavorable underwriting results by reinsuring certain levels of risk in various areas of exposure with other insurance enterprises or reinsurers.
Reinsurance premiums, commissions, and expense reimbursements, related to reinsured business are accounted for on bases consistent with those used in accounting for the original policies issued and the terms of the reinsurance contracts.  Accordingly, reinsurance premiums are reported as prepaid reinsurance premiums and amortized over the remaining contract period in proportion to the amount of insurance protection provided.
Premiums ceded and recoveries of losses and loss-adjustment expenses have been reported as a reduction of premiums earned and losses and loss-adjustment expenses incurred, respectively.  Property and casualty commission and expense allowances received in connection with reinsurance ceded have been accounted for as a reduction of the related policy acquisition costs and are deferred and amortized accordingly.  Amounts recoverable from reinsurers are estimated in a manner consistent with the claim liability associated with the reinsured policy.
Income Taxes
Income taxes are accounted for under the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards.  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.  The Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained.  Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized.  Changes in recognition or measurement are reflected in the period in which the change in circumstances occurs.
The Company records any interest and penalties related to unrecognized tax benefits within the operating expenses in the consolidated statement of earnings.
The holding company within the TSA group of companies is a U.S.-based company that has not recorded a U.S. deferred tax liability for the excess of the book basis over the tax basis of its investments in Puerto Rico corporations.  TSA has not recorded a deferred tax liability to the extent that the basis difference results from outside basis difference created as a result of the business combination and earnings that meet the indefinite reversal criteria. The indefinite reversal criteria is met if the Puerto Rico subsidiary has invested, or will invest, the undistributed earnings indefinitely. The decision as to the amount of undistributed earnings intended to be maintained in Puerto Rico corporations takes into account several items including, but not limited to, actual results of operations, forecasts and budgets of financial needs of cash for working capital, liquidity plans, capital improvement programs, merger and acquisition plans as well as expected cash requirements in the U.S. or in other Puerto Rico subsidiaries from the U.S.-based company.
Insurance-Related Assessments
The Company records a liability for insurance-related assessments when the following three conditions are met: (1) the assessment has been imposed or the information available prior to the issuance of the financial statements indicates it is probable that an assessment will be imposed; (2) the event obligating an entity to pay (underlying cause of) an imposed or probable assessment has occurred on or before the date of the financial statements; and (3) the amount of the assessment can be reasonably estimated.  A related asset is recognized when the paid or accrued assessment is recoverable through either premium taxes or policy surcharges.
Commitments and Contingencies
Liabilities for loss contingencies arising from claims, assessments, litigation, fines, and penalties and other sources are recorded when it is probable that a liability has been incurred and the amount of the assessment and/or remediation can be reasonably estimated.  Legal costs incurred in connection with loss contingencies are expensed as incurred.  Recoveries of costs from third parties, which are probable of realization, are separately recorded as assets, and are not offset against the related liability.
Share‑Based Compensation
Share-based compensation is measured at the fair value of the award and recognized as an expense in the financial statements over the vesting period.  The Company recognizes compensation expense for its stock options based on estimated grant date fair value using the Black-Scholes option‑pricing model.
Earnings Per Share
Basic earnings per share excludes dilution and is computed by dividing net income available to all classes of common stockholders by the weighted average number of all classes of common shares outstanding for the period, excluding non-vested restricted stocks.  Diluted earnings per share is computed in the same manner as basic earnings per share except that the number of shares is increased to include the number of additional common shares that would have been outstanding if the potentially dilutive common shares had been issued.  Dilutive common shares are included in the diluted earnings per share calculation using the treasury stock method.
Recently Issued 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 the year 2014 and recognized within the consolidated operating expenses.
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 condition.  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 pronouncements disclosed above, there were no other new accounting pronouncements issued that could have a material impact in the Company’s financial position, operating results or financials statement disclosures.

Investment_in_Securities

Investment in Securities	12 Months Ended
	Dec. 31, 2014
Investment in Securities [Abstract]
Investment in Securities	3	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 December 31, 2014 and 2013, were as follows:
			2014
						Gross			Gross			Estimated
			Amortized			Unrealized			Unrealized			Fair
			Cost			Gains			Losses			Value
	Securities available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises		$	129,649		$	1,014		$	(19	)	$	130,644
	U.S. Treasury securities and obligations of U.S. government instrumentalities			94,480			648			(28	)		95,100
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			35,115			138			-			35,253
	Municipal securities			585,088			49,181			(50	)		634,219
	Corporate bonds			147,224			17,744			(134	)		164,834
	Residential mortgage-backed securities			6,808			311			-			7,119
	Collateralized mortgage obligations			46,921			1,809			-			48,730
	Total fixed maturities			1,045,285			70,845			(231	)		1,115,899
	Equity securities-Mutual funds			150,799			47,049			(92	)		197,756
	Total		$	1,196,084		$	117,894		$	(323	)	$	1,313,655
			2013
						Gross			Gross			Estimated
			Amortized			Unrealized			Unrealized			Fair
			Cost			Gains			Losses			Value
	Securities available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises		$	104,317		$	1,854		$	(380	)	$	105,791
	U.S. Treasury securities and obligations of U.S. government instrumentalities			38,131			1,068			-			39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			49,557			262			(4,814	)		45,005
	Municipal securities			597,297			19,328			(5,182	)		611,443
	Corporate bonds			146,936			9,883			(879	)		155,940
	Residential mortgage-backed securities			7,388			324			(9	)		7,703
	Collateralized mortgage obligations			87,854			3,072			(133	)		90,793
	Total fixed maturities			1,031,480			35,791			(11,397	)		1,055,874
	Equity securities-Mutual funds			187,356			53,013			(436	)		239,933
	Total		$	1,218,836		$	88,804		$	(11,833	)	$	1,295,807
			2014
						Gross			Gross			Estimated
			Amortized			Unrealized			Unrealized			Fair
			Cost			Gains			Losses			Value
	Securities held to maturity
	U.S. Treasury securities and obligations of U.S. government instrumentalties		$	622		$	198		$	-		$	820
	Residential mortgage-backed securities			217			21			-			238
	Certificates of deposits			2,105			-			-			2,105
			$	2,944		$	219		$	-		$	3,163
			2013
						Gross			Gross			Estimated
			Amortized			Unrealized			Unrealized			Fair
			Cost			Gains			Losses			Value
	Securities held to maturity
	Obligations of government-sponsored enterprises		$	1,793		$	26		$	-		$	1,819
	U.S. Treasury securities and obligations of U.S. government instrumentalties			622			117			-			739
	Residential mortgage-backed securities			346			27			-			373
	Certificates of deposits			3,378			-			-			3,378
			$	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 December 31, 2014 and 2013 were as follows:
			2014
			Less than 12 months									12 months or longer							Total
						Gross								Gross							Gross
			Estimated			Unrealized			Number of			Estimated		Unrealized			Number of		Estimated		Unrealized			Number of
			Fair Value			Loss			Securities			Fair Value		Loss			Securities		Fair Value		Loss			Securities
	Securites available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises		$	43,105		$	(19	)		2		$	-	$	-			-	$	43,105	$	(19	)		2
	U.S. Treasury securities and obligations of U.S. governmental instrumentalities			39,966			(28	)		2			-		-			-		39,966		(28	)		2
	Municipal securities			6,749			(24	)		3			6,693		(26	)		3		13,442		(50	)		6
Corporate bonds			17,053			(50	)		4			20,405		(84	)		4		37,458		(134	)		8
Total fixed maturities			106,873			(121	)		11			27,098		(110	)		7		133,971		(231	)		18
Equity securities-Mutual funds			7,773			(92	)		2			-		-			-		7,773		(92	)		2
Total for securities available for sale		$	114,646		$	(213	)		13		$	27,098	$	(110	)		7	$	141,744	$	(323	)		20
		2013
		Less than 12 months									12 months or longer							Total
					Gross								Gross							Gross
		Estimated			Unrealized			Number of			Estimated		Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value		Loss			Securities		Fair Value		Loss			Securities
Securites available for sale
Fixed maturities
Obligations of government-sponsored enterprises		$	46,797		$	(380	)		4		$	-	$	-			-	$	46,797	$	(380	)		4
Obligations of the 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 amortized cost and estimated fair value of investments.  For investments with a fair value below amortized 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 reviews the investment portfolios under the Corporation’s impairment review policy.  Given market conditions and the significant judgments involved, there is a continuing risk that declines in fair value may occur and 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 Government Sponsored Enterprises and U.S. Government Instrumentalities 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 $22,335 and a gross unrealized gain of $5, (2) bonds issued by the Puerto Rico Sales Tax Financing Corporation (Cofina) with a fair value of $11,269; a gross unrealized gain of $65, and (3) bonds of various other Puerto Rico issuers with a fair value of $1,649 and a gross unrealized gain of $68.
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 senior lien bonds issued by 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 3.5% 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 3.5%.  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 Puerto Rico’s Government Development Bank (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 and 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 that 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 rating for senior lien bonds from AA- to BBB, combined with a negative outlook. 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, combined with a negative outlook.
The market price of longer dated Cofina bonds dropped below their par value in the second quarter of 2013. The bonds registered a further drop to current levels in July 2014, after the downgrades by both rating agencies. Some of our positions were acquired during this period, as part of a strategy to reduce the maturity of our Cofina holdings. This means that some of our positions have been at an unrealized loss for a shorter period, even though the Cofina credit has been under pressure for more than 6 quarters.
In the fourth quarter of 2014, the Corporation decided to sell a net amount of $8,627 (fair value) in order to reduce Cofina exposure, realizing a loss of $1,843.
The Corporation considered the Cofina positions other-than-temporary impaired as of December 31, 2014 because: (a) the decision to reduce exposure constitutes a change in intent, triggering an other-than-temporary impairment on any remaining positions at an unrealized loss, (b) the remaining positions have been at an unrealized loss for around 6 months, prices for longer Cofina bonds in general have been below par for more than 6 quarters, and we do not expect a recovery to book value in the near future, (c) the Cofina credit could be affected if the financial position of the Commonwealth of Puerto Rico as a whole does not show signs of improvement soon. As a result, the Corporation registered an other-than-temporary impairment for a total amount of $1,170.
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 GDB notes (BB-, B3 negative outlook). The position in GDB notes was at an unrealized loss of $27 as of December 31, 2014. In order to be consistent among the Puerto Rico credits, this amount was included in the impairment adjustment mentioned above.
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; because 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.
Mutual Funds: As of December 31, 2014, investments in mutual funds with unrealized losses are not considered other-than-temporarily impaired because the funds have been in an unrealized loss position for less than six months 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 December 31, 2014 were as follows:
		Amortized			Estimated
		Cost			Fair Value
Securities available for sale
Due in one year or less		$	50,050		$	50,191
Due after one year through five years			358,681			365,220
Due after five years through ten years			121,781			129,492
Due after ten years			461,044			515,147
Residential mortgage-backed securities			6,808			7,119
Collateralized mortgage obligations			46,921			48,730
		$	1,045,285		$	1,115,899
Securities held to maturity
Due in one year or less		$	2,105		$	2,105
Due after ten years			622			820
Residential mortgage-backed securities			217			238
		$	2,944		$	3,163
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.
Investments with an amortized cost of $4,383 and $5,389 (fair value of $4,582 and $4,487) at December 31, 2014 and 2013, respectively, were deposited with the Commissioner of Insurance to comply with the deposit requirements of the Insurance Code of the Commonwealth of Puerto Rico (the Insurance Code).  Investment with an amortized cost of $515 and $511 (fair value of $515 and $511) at December 31, 2014 and 2013, respectively, was deposited with the USVI Division of Banking and Insurance.
Information regarding realized and unrealized gains and losses from investments for the years ended December 31, 2014, 2013, and 2012 is as follows:
		2014			2013			2012
Realized gains (losses)
Fixed maturity securities
Securities available for sale
Gross gains from sales		$	5,118		$	5,408		$	1,988
Gross losses from sales			(5,884	)		(4,553	)		(460	)
Gross losses from other-than-temporary impairments			(1,170	)		-			-
Total fixed maturity securities			(1,936	)		855			1,528
Equity securities
Securities available for sale
Gross gains from sales			20,848			5,084			4,905
Gross losses from sales			(2,106	)		(2,310	)		(1,236	)
Gross losses from other-than-temporary impairments			-			(1,042	)		-
Total equity securities			18,742			1,732			3,669
Net realized gains on securities available for sale			16,806			2,587			5,197
Gross gain from other investment			1,425			-			-
Net realized gains on securities		$	18,231		$	2,587		$	5,197
The other-than-temporary impairments on fixed maturity securities are attributable to credit losses.
		2014			2013			2012
Changes in unrealized gains (losses)
Recognized in accumulated other comprehensive income (loss)
Fixed maturities – available for sale			46,220			(71,904	)		20,959
Equity securities – available for sale			(5,620	)		28,369			17,967
		$	40,600		$	(43,535	)	$	38,926
Not recognized in the consolidated financial statements
Fixed maturities – held to maturity		$	49		$	(207	)	$	(191	)
The deferred tax asset (liability) on unrealized gains change recognized in accumulated other comprehensive income during the years 2014, 2013, and 2012 was $(4,717), $6,604, and $(4,548), respectively.
As of December 31, 2014 and 2013 no individual investment in securities exceeded 10% of stockholders’ equity.

Net_Investment_Income

Net Investment Income	12 Months Ended
	Dec. 31, 2014
Net Investment Income [Abstract]
Net Investment Income	4	Net Investment Income
	Interest and/or dividend income from:
			Years ended December 31
			2014		2013		2012
	Fixed maturities		$	38,559	$	37,302	$	38,623
	Equity securities			7,660		8,640		6,831
	Policy loans			545		472		466
	Cash equivalents and interest-bearing deposits			117		84		115
	Other			659		790		755
	Total		$	47,540	$	47,288	$	46,790

Premium_and_Other_Receivables_

Premium and Other Receivables, Net	12 Months Ended
	Dec. 31, 2014
Premiums and Other Receivables, Net [Abstract]
Premiums and Other Receivables, Net	5	Premium and Other Receivables, Net
	Premium and other receivables, net as of December 31 were as follows:
			2014		2013
	Premium		$	131,496	$	108,963
	Self-funded group receivables			62,189		55,598
	FEHBP			12,384		11,804
	Agent balances			25,300		27,655
	Accrued interest			11,737		11,879
	Reinsurance recoverable			50,686		46,116
	Unsettled sales			10,456		-
	Other			47,742		34,473
				351,990		296,488
	Less allowance for doubtful receivables:
	Premium			28,983		14,403
	Others			7,385		7,146
				36,368		21,549
	Premium and other receivables, net		$	315,622	$	274,939

Deferred_Policy_Acquisition_Co

Deferred Policy Acquisition Costs and Value of Business Acquired	12 Months Ended
	Dec. 31, 2014
Deferred Policy Acquisition Costs and Value of Business Acquired [Abstract]
Deferred Policy Acquisition Costs and Value of Business Acquired	6	Deferred Policy Acquisition Costs and Value of Business Acquired
	The movement of deferred policy acquisition costs (DPAC) and value of business acquired (VOBA) for the years ended December 31, 2014, 2013, and 2012 is summarized as follows:
			DPAC			VOBA			Total
	Balance, December 31, 2011		$	115,340		$	40,448		$	155,788
	Additions			55,928			-			55,928
	VOBA interest at an average rate of 5.24%			-			2,184			2,184
	Amortization			(38,739	)		(6,504	)		(45,243	)
	Net change			17,189			(4,320	)		12,869
	Balance, December 31, 2012			132,529			36,128			168,657
	Additions			48,137			4,499			52,636
	VOBA interest at an average rate of 5.24%			-			1,951			1,951
	Amortization			(39,738	)		(6,217	)		(45,955	)
	Net change			8,399			233			8,632
	Balance, December 31, 2013			140,928			36,361			177,289
	Additions			48,723			-			48,723
	VOBA interest at an average rate of 5.17%			-			1,726			1,726
	Amortization			(37,895	)		(5,743	)		(43,638	)
	Net change			10,828			(4,017	)		6,811
	Balance, December 31, 2014		$	151,756		$	32,344		$	184,100
	The VOBA addition in 2013 is related to the TSB acquisition.  The amortization expense of the deferred policy acquisition costs and value of business acquired is included within the operating expenses in the accompanying consolidated statement of earnings.
	The estimated amount of the year-end VOBA balance expected to be amortized during the next five years is as follows:
	Year ending December 31:
	2015		$	4,208
	2016			3,213
	2017			2,815
	2018			2,489
	2019			2,498

Property_and_Equipment_Net

Property and Equipment, Net	12 Months Ended
	Dec. 31, 2014
Property and Equipment, Net [Abstract]
Property and Equipment, Net	7	Property and Equipment, Net
	Property and equipment, net as of December 31 are composed of the following:
			2014		2013
	Land		$	10,976	$	10,976
	Buildings and leasehold improvements			62,989		60,459
	Office furniture and equipment			20,240		18,681
	Computer equipment and software			109,445		112,679
	Automobiles			494		835
				204,144		203,630
	Less accumulated depreciation and amortization			125,801		114,544
	Property and equipment, net		$	78,343	$	89,086

Intangible_Asset

Intangible Asset	12 Months Ended
	Dec. 31, 2014
Intangible Asset [Abstract]
Intangible Asset	8	Intangible Asset
	Intangible assets, included within other assets, at December 31, 2014 and 2013 consist of:
			2014		2013
	Trade name		$	5,476	$	5,529
	Membership base			41,188		41,188
	Provider networks			1,681		2,808
	Other			760		3,480
				49,105		53,005
	Accumulated amortization			39,898		34,741
	Intangible assets, net		$	9,207	$	18,264
	Trade name and provider networks are amortized over the expected life of 3 and 5 years, respectively.  Membership base is amortized over the expected life between 1 and 13 years, or using determined percentages, ranging from 25% to 30%.
	Amortization expense of intangible assets recorded for the years ended December 31, 2014, 2013, and 2012 amounted to $5,745, $8,638, and $10,443, respectively.
	Estimated amortization expense for the following five years is as follows:
	Year ending December 31:
	2015		$	2,868
	2016			1,735
	2017			1,200
	2018			894
	2019			709

Fair_Value_Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2014
Fair Value Measurements [Abstract]
Fair Value Measurements	9	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 Definition:
		Level 1	Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
		Level 2	Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date.
		Level 3	Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.
	The Corporation uses observable inputs when available. Fair value is based upon quoted market prices when available. The Corporation limits valuation adjustments to those deemed necessary to ensure that the security’s fair value adequately represents the price that would be received or paid in the marketplace. Valuation adjustments may include consideration of counterparty credit quality and liquidity as well as other criteria.  The estimated fair value amounts are subjective in nature and may involve uncertainties and matters of significant judgment for certain financial instruments. Changes in the underlying assumptions used in estimating fair value could affect the results.  The fair value measurement levels are not indicative of risk of investment.
	The fair value of investment securities is estimated based on quoted market prices for those or similar investments.  Additional information pertinent to the estimated fair value of investment in securities is included in note 3.
	The following table summarizes fair value measurements by level at December 31, 2014 and 2013 for assets measured at fair value on a recurring basis:
			2014
			Level 1			Level 2		Level 3		Total
	Securities available for sale
	Fixed maturity securities
	Obligations of government-sponsored enterprises		$	-		$	130,644	$	-	$	130,644
	U.S. Treasury securities and obligations of U.S. government instrumentalities			95,100			-		-		95,100
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities			-			35,253		-		35,253
	Municipal securities			-			634,219		-		634,219
	Corporate Bonds			-			164,834		-		164,834
	Residential agency mortgage-backed securities			-			7,119		-		7,119
	Collaterized mortgage obligations			-			48,730		-		48,730
	Total fixed maturities			95,100			1,020,799		-		1,115,899
	Equity securities - Mutual funds			160,461			23,946		13,349		197,756
			$	255,561		$	1,044,745	$	13,349	$	1,313,655
			2013
			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
	Collaterized 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
			$	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 investments in partnerships 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 these partnerships.
	Transfers into or out of the Level 3 category occur when unobservable inputs, such as the Company’s best estimate of what a market participant would use to determine a current transaction price, become more or less significant to the fair value measurement.  Transfers between levels, if any, are recorded as of the actual date of the event or change in circumstance that caused the transfer.  There were no transfers between Levels 1 and 2 during the years ended December 31, 2014 and 2013.
	A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the years ended December 31, 2014 and 2013 is as follows:
			Level 3
	Ending balance December 31, 2012		$	12,822
	Realized gains			192
	Unrealized in other accumulated comprehensive income			2,756
	Purchases			2,439
	Sales			(299	)
	Ending balance December 31, 2013		$	17,910
	Realized gains			2,552
	Unrealized in other accumulated comprehensive income			(2,937	)
	Purchases			501
	Distributions received			(4,677	)
	Ending balance December 31, 2014		$	13,349
	In addition to the preceding disclosures on assets recorded at fair value in the consolidated balance sheets, accounting guidance also requires the disclosure of fair values for certain other financial instruments for which it is practicable to estimate fair value, whether or not such values are recognized in the consolidated balance sheets.
	Non-financial instruments such as property and equipment, other assets, deferred income taxes and intangible assets, and certain financial instruments such as claim liabilities are excluded from the fair value disclosures. Therefore, the fair value amounts cannot be aggregated to determine our underlying economic value.
	The carrying amounts reported in the consolidated balance sheets for cash and cash equivalents, receivables, accounts payable and accrued liabilities, and short-term borrowings approximate fair value because of the short term nature of these items.  These assets and liabilities are not listed in the table below.
	The following methods, assumptions and inputs were used to estimate the fair value of each class of financial instrument:
	(i)  Policy Loans
	Policy loans have no stated maturity dates and are part of the related insurance contract. The carrying amount of policy loans approximates fair value because their interest rate is reset periodically in accordance with current market rates.
	(ii)  Policyholder Deposits
	The fair value of policyholder deposits is the amount payable on demand at the reporting date, and accordingly, the carrying value amount approximates fair value.
	(iii)  Long-term Borrowings
	The carrying amount of the loans payable to bank – variable approximates fair value due to its floating interest-rate structure.  The fair value of the loans payable to bank – fixed and senior unsecured notes payable was determined using broker quotations.
	(iv) Repurchase Agreement
	The value of the repurchase agreement with a long term maturity is based on the discontinued value of the contractual cash flows using current estimated market discount rates for instruments with similar terms.
A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at December 31, 2014 and 2013 are as follows:
		2014
		Carrying			Fair Value
		Value			Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	7,260		$	-	$	7,260	$	-	$	7,260
Liabilities:
Policyholder deposits		$	118,912		$	-	$	118,912	$	-	$	118,912
Long-term borrowings:
Loans payable to bank - variable			14,467			-		14,467		-		14,467
6.6% senior unsecured notes payable			35,000			-		33,513		-		33,513
Repurchase agreement			25,000			-		25,337		-		25,337
Total long-term borrowings			74,467			-		73,317		-		73,317
Total liabilities		$	193,379		$	-	$	192,229	$	-	$	192,229
		2013
		Carrying			Fair Value
		Value			Level 1		Level 2		Level 3		Total
Assets:
Policy loans		$	6,705		$	-	$	6,705	$	-	$	6,705
Liabilities:
Policyholder deposits		$	115,923		$	-	$	115,923	$	-	$	115,923
Long-term borrowings:
Loans payable to bank - variable			16,107			-		16,107		-		16,107
Loans payable to bank - fixed			13,195			-		13,195		-		13,195
6.6% senior unsecured notes payable			35,000			-		33,775		-		33,775
Repurchase agreement			25,000			-		25,638		-		25,638
Total long-term borrowings			89,302			-		88,715		-		88,715
Total liabilities		$	205,225		$	-	$	204,638	$	-	$	204,638

Claim_Liabilities

Claim Liabilities	12 Months Ended
	Dec. 31, 2014
Claim Liabilities [Abstract]
Claim Liabilities	10	Claim Liabilities
	The activity in claim liabilities during 2014, 2013, and 2012 is as follows:
			2014			2013			2012
	Claim liabilities at beginning of year		$	420,421		$	416,918		$	391,259
	Reinsurance recoverable on claim liabilities			(37,557	)		(39,051	)		(37,234	)
	Net claim liabilities at beginning of year			382,864			377,867			354,025
	Claim liabilities acquired from business acquisitions			-			1,048			-
	Claims incurred
	Current period insured events			1,761,199			1,832,414			1,900,053
	Prior period insured events			(37,411	)		(19,203	)		(2,978	)
	Total			1,723,788			1,813,211			1,897,075
	Payments of losses and loss-adjustment expenses
	Current period insured events			1,499,646			1,507,302			1,579,970
	Prior period insured events			257,555			301,960			293,263
	Total			1,757,201			1,809,262			1,873,233
	Net claim liabilities at end of year			349,451			382,864			377,867
	Reinsurance recoverable on claim liabilities			40,635			37,557			39,051
	Claim liabilities at end of year		$	390,086		$	420,421		$	416,918
	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 credits in the claims incurred and loss-adjustment expenses for prior period insured events for 2014, 2013 and 2012 are due primarily to better than expected utilization trends.  Reinsurance recoverable on unpaid claims is reported as 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 amounting to $23,807, $22,990, and $22,784 that is included within the consolidated claims incurred during the years ended December 31, 2014, 2013 and 2012, respectively.

Federal_Employees_Health_Benef

Federal Employees' Health Benefits Program (FEHBP)	12 Months Ended
	Dec. 31, 2014
Federal Employees' Health Benefits Program (FEHBP) [Abstract]
Federal Employees' Health Benefits Program (FEHBP)	11	Federal Employees’ Health Benefits Program (FEHBP)
	TSS entered into a contract, renewable annually, with the Office of Personnel Management (OPM) as authorized by the Federal Employees’ Health Benefits Act of 1959, as amended, to provide health benefits under the FEHBP.  The FEHBP covers postal and federal employees residing in the Commonwealth of Puerto Rico and the United States Virgin Islands as well as retirees and eligible dependents.  The FEHBP is financed through a negotiated contribution made by the federal government and employees’ payroll deductions.
	The accounting policies for the FEHBP are the same as those described in the Company’s summary of significant accounting policies.  Premium rates are determined annually by TSS and approved by the federal government.  Claims are paid to providers based on the guidelines determined by the federal government.  Operating expenses are allocated from TSS’s operations to the FEHBP based on applicable allocation guidelines (such as, the number of claims processed for each program) and are subject to contractual expense limitations.
	The operations of the FEHBP do not result in any excess or deficiency of revenue or expense as this program has a special account available to compensate any excess or deficiency on its operations to the benefit or detriment of the federal government.  Any transfer to/from the special account necessary to cover any excess or deficiency in the operations of the FEHBP is recorded as a reduction/increment to the premiums earned.  The contract with OPM provides that the cumulative excess of the FEHBP earned income over health benefits charges and expenses represents a restricted fund balance denoted as the special account.  Upon termination of the contract and satisfaction of all the FEHBP’s obligations, any unused remainder of the special reserve would revert to the Federal Employees Health Benefit Fund.  In the event that the contract terminates and the special reserve is not sufficient to meet the FEHBP’s obligations, the FEHBP contingency reserve will be used to meet such obligations.  If the contingency reserve is not sufficient to meet such obligations, the Company is at risk for the amount not covered by the contingency reserve.
	The contract with OPM allows for the payment to the Company of service fees as negotiated between TSS and OPM.  Service fees, which are included within the other income, net in the accompanying consolidated statements of earnings, for each of the years in the three-year period ended December 31, 2014 amounted to $1,229, $1,204, and $1,117, respectively.
	The Company also has funds available related to the FEHBP amounting to $39,835 and $31,326  as of December 31, 2014 and 2013, respectively and are included within the cash and cash equivalents in the accompanying consolidated balance sheets.  Such funds are used to cover health benefits charges, administrative expenses and service charges required by the FEHBP.
	A contingency reserve is maintained by the OPM at the U.S. Treasury, and is available to the Company under certain conditions as specified in government regulations.  Accordingly, such reserve is not reflected in the consolidated balance sheets.  The balance of such reserve as of December 31, 2014 and 2013 was $24,824 and $31,328, respectively.  The Company received $12,766, $634, and $3,463, of payments made from the contingency reserve fund of OPM during 2014, 2013, and 2012, respectively.
	The claim payments and operating expenses charged to the FEHBP are subject to audit by the U.S. government.  Management is of the opinion that an adjustment, if any, resulting from such audits will not have a significant effect on the accompanying financial statements.  The claim payments and operating expenses reimbursed in connection with the FEHBP have been audited through 2011 by OPM.

LongTerm_Borrowings

Long-Term Borrowings	12 Months Ended
	Dec. 31, 2014
Long-Term Borrowings [Abstract]
Long-Term Borrowings	12	Long-Term Borrowings
	A summary of the borrowings entered by the Company at December 31, 2014 and 2013 is as follows:
			2014		2013
	Senior unsecured notes payable of $60,000 issued on December 2005; Interest is due December 2020. payable monthly at a fixed rate of 6.60%.		$	35,000	$	35,000
	Secured loan payable of $41,000, payable in monthly installments of $137 through July 1, 2024, plus interest at a rate reset periodically of 100 basis points over selected LIBOR maturity (which was 1.24% and 1.25% at December 31, 2014, and 2013, respectively).			14,467		16,107
	Repurchase agreement of $25,000 entered on November 2010, due November 2015.  Interest is payable quarterly at a fixed rate of 1.96%.			25,000		25,000
	Secured loan payable of $14,138, payable in 35 monthly installments of $81 of principal and interest at a fixed rate of 4.75% and a last payment of $12,931 in December 2014.			-		13,195
	Total borrowings		$	74,467	$	89,302
	Aggregate maturities of the Company’s borrowings as of December 31, 2014 are summarized as follows:
	Year ending December 31
	2015		$	26,640
	2016			1,640
	2017			1,640
	2018			1,640
	2019			1,640
	Thereafter			41,267
			$	74,467
	All of the Company’s senior notes may be prepaid at par, in total or partially, five years after issuance as determined by the Company.  The Company’s senior unsecured notes contain certain non-financial covenants with which the Company has complied at December 31, 2014.  During 2013 and 2012, we repaid $10,000 and $25,000, respectively of the principal of the 6.70% senior unsecured note.
	Debt issuance costs related to each of the Company’s senior unsecured notes were deferred and are being amortized over the term of its respective senior note.  Unamortized debt issuance costs related to these senior unsecured notes as of December 31, 2014 and 2013 amounted to $132 and $157, respectively and are included within other assets in the accompanying consolidated balance sheets.
	The secured loan payable with original principal balance of $41,000 is guaranteed by a first mortgage held by the bank on the Company’s land, building, and substantially all leasehold improvements, as collateral for the term of the loan under a continuing general security agreement.  This secured loan contains certain non-financial covenants, which are customary for this type of facility, including but not limited to, restrictions on the granting of certain liens, limitations on acquisitions and limitations on changes in control.
	The secured loan payable with original principal balance of $14,138 was paid in full on December 23, 2014 and was guaranteed by a first position held by the bank on the health clinic’s premises (land and building) and all of the health clinic's assets as collateral for the term of the loan under a continuing general security agreement.  This secured loan contained certain financial and non-financial covenants, which are customary for this type of facility, including but not limited to, restrictions on the granting of certain liens, limitations on acquisitions and limitations on changes in control.
	The repurchase agreement has pledged as collateral investment securities available for sale with fair value of $27,135 (face value of $27,110) and $27,915 (face value of $27,835) as of December 31, 2014 and 2013, respectively.  The investment securities underlying such agreements were delivered to the financial institution with whom the agreement was transacted.  The dealers may have loaned, or used as collateral securities in the normal course of business operations.  We maintain effective control over the investment securities pledged as collateral and accordingly, such securities continue to be carried on the accompanying consolidated balance sheets.
	Interest expense on the above borrowings amounted to $3,639, $4,106, and $5,554, for the years ended December 31, 2014, 2013, and 2012, respectively.

Agency_Contract_and_Expense_Re

Agency Contract and Expense Reimbursement	12 Months Ended
	Dec. 31, 2014
Agency Contract and Expense Reimbursement [Abstract]
Agency Contract and Expense Reimbursement	13	Agency Contract and Expense Reimbursement
	On March 1, 2009, the Centers for Medicare and Medicaid Services (CMS) awarded to First Coast Service Options (FCSO), a non-affiliated third party organization based in Jacksonville, Florida, the Medicare Administrative Contract (MAC) for Jurisdiction 9 (Florida, Puerto Rico and the U.S. Virgin Islands).  FCSO proposed TSS as a subcontractor in MAC Jurisdiction 9 to perform certain provider customer service functions, subject to terms and conditions negotiated between FSCO and TSS.  Pursuant to this, TSS billed reimbursements of expenses of $2,644, $2,663 and $2,982 for performing the customer service functions during the years ended December 31, 2014, 2013 and 2012, respectively.
	The operating expense reimbursements in connection with processing Medicare claims have been audited through 2009 by federal government representatives.  Management is of the opinion that no significant adjustments will be made affecting cost reimbursements through December 31, 2014.

Reinsurance_Activity

Reinsurance Activity	12 Months Ended
	Dec. 31, 2014
Reinsurance Activity [Abstract]
Reinsurance Activity	14	Reinsurance Activity
	The effect of reinsurance on premiums earned and claims incurred is as follows:
						Premiums Earned									Claims Incurred(1)
			2014			2013			2012			2014			2013			2012
	Gross		$	2,199,351		$	2,281,697		$	2,335,942		$	1,748,972		$	1,841,695		$	1,928,191
	Ceded			(70,785	)		(78,662	)		(82,588	)		(25,184	)		(28,484	)		(31,116	)
	Net		$	2,128,566		$	2,203,035		$	2,253,354		$	1,723,788		$	1,813,211		$	1,897,075
		-1	The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $23,806, $22,990, and $22,784 that is included within the consolidated claims incurred during the years ended December 31, 2014, 2013 and 2012, respectively.
	TSS, TSP and TSV, in accordance with general industry practices, annually purchase reinsurance to protect them from the impact of large unforeseen losses and prevent sudden and unpredictable changes in net income and stockholders’ equity of the Company.  Reinsurance contracts do not relieve any of the subsidiaries from their obligations to policyholders.  In the event that all or any of the reinsuring companies might be unable to meet their obligations under existing reinsurance agreements, the subsidiaries would be liable for such defaulted amounts.  During 2014, 2013, and 2012 TSP placed 13.26%, 12.54%, and 11.47% of its reinsurance business with one reinsurance company.
	TSS has excess of loss reinsurance treaties whereby it cedes a portion of its premiums to third parties.  Reinsurance contracts are primarily for periods of one year, and are subject to modifications and negotiations in each renewal date.  Premiums ceded under these contracts amounted to $4,901, $10,930, and $11,119, in 2014, 2013 and 2012, respectively.  Claims ceded amounted to $5,487, $9,745, and $8,303, in 2014, 2013 and 2012, respectively.  Principal reinsurance agreements include an organ transplant excess of loss treaty, which covers:
		·	For group policies, 80% of the claims up to a maximum of $800 (80% of $1,000), per person, per life. For other group policies with other options, the agreement covers 80% of the claims up to a maximum of $400 (80% of $500), per person, per life, or 80% of the claims up to a maximum of $200 (80% of $250), per person, per life.
		·	For policies provided to the active and retired employees of the Commonwealth of Puerto Rico and its instrumentalities, the treaty covers 100% of the claims up to a maximum of $500 per person, per life with a basic coverage, and $1,000 per person, per life with Major medical coverage.
		·	For policies provided to the municipalities of Puerto Rico, the treaty covers 100% of the claims up to a maximum of $250 with plans with lifetime limits and all other plans 100% of the claims up to a maximum of $1,000.
		·	For U.S. Virgin Islands policies, the treaty covers 100% of the claims up to a maximum of $2,000 per person, per life.  The first $150 are retained by Triple-S and the excess up to $1,850 are reinsured.
	TSP has a number of pro rata and excess of loss reinsurance treaties whereby the subsidiary retains for its own account all loss payments for each occurrence that does not exceed the stated amount in the agreements and a catastrophe cover, whereby it protects itself from a loss or disaster of a catastrophic nature.  Under these treaties, TSP ceded premiums of $52,058, $57,643, and $63,515, in 2014, 2013, and 2012, respectively.
	Reinsurance cessions are made on excess of loss and on a proportional basis.  Principal reinsurance agreements are as follows:
		·	Property quota share treaty covering for a maximum of $20,000 for any one risk.  Under this treaty 30% of the risk is ceded to reinsurers.  The remaining exposure is covered by a property per risk excess of loss treaty that provides reinsurance in excess of $500 up to a maximum of $14,000, or the remaining 70% for any one risk.  In addition, TSP has an additional property catastrophe excess of loss contract that provides protection for losses in excess of $8,000 resulting from any catastrophe, subject to a maximum loss of $15,000.
		·	Personal property catastrophe excess of loss.  This treaty provides protection for losses in excess of $5,000 resulting from any catastrophe, subject to a maximum loss of $40,000.
		·	Commercial property catastrophe excess of loss.  This treaty provides protection for losses in excess of $10,000 resulting from any catastrophe, subject to a maximum loss of $150,000.
		·	Property catastrophe excess of loss.  This treaty provides protection in excess of $40,000 and $150,000 with respect to personal and commercial lines, respectively, resulting from any catastrophe, subject to a maximum loss of $165,000 in respect of the ceded portion of the Commercial Lines Quota Share.
		·	Reinstatement premium protection.  This treaty provides a maximum limit of approximately $2,300 for personal lines and $12,000 in commercial lines to cover the necessity of reinstating the catastrophe program in the event it is activated.
		·	Casualty excess of loss treaty.  This treaty provides reinsurance for losses in excess of $225 up to a maximum of $12,000.
		·	Medical malpractice excess of loss.  This treaty provides reinsurance in excess of $150 up to a maximum of $1,500 per incident.
		·	Builders’ risk quota share and first surplus covering contractors’ risk.  This treaty provides protection on a 20/80 quota share basis for the initial $2,500 and a first surplus of $12,500 for a maximum of $14,500 for any one risk.
		·	Surety quota share treaty covering contract and miscellaneous surety bond business. This treaty provides reinsurance of up to $5,000 for contract surety bonds, subject to an aggregate of $10,000 per contractor and $3,000 per miscellaneous surety bond.
	Facultative reinsurance is obtained when coverage per risk is required. All principal reinsurance contracts are for a period of one year, on a calendar basis, and are subject to modifications and negotiations in each renewal.
	The ceded unearned reinsurance premiums on TSP arising from these reinsurance transactions amounted to $11,374 and $14,009 at December 31, 2014 and 2013, respectively, and are reported as other assets in the accompanying consolidated balance sheets.
	TSV also cedes insurance with various reinsurance companies under a number of pro rata, excess of loss and catastrophe treaties. Under these treaties, TSV ceded premiums of $10,328, $8,874, and $7,954, in 2014, 2013, and 2012, respectively. Principal reinsurance agreements are as follows:
		·	Group life insurance facultative agreement, reinsuring risk in excess of $25 of certain group life policies and a combined pro rata and excess of loss agreement effective July 1, 2008, reinsuring 50% of the risk up to $200 and ceding the excess.
		·	Facultative pro rata agreements for the long‑term disability insurance, reinsuring 65% of the risk.
		·	Several reinsurance agreements, mostly on an excess of loss basis up to a maximum retention of $50. For certain new life products that have been issued after 1999, the retention limit is $175.
		·	A quota share agreement for group major medical and an excess of loss agreements for group and individual major medical, where TSV cedes 65% of the premiums and benefits.

Income_Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2014
Income Taxes [Abstract]
Income Taxes	15	Income Taxes
	The Company and its subsidiaries are subject to Puerto Rico income taxes. Under Puerto Rico income tax law, the Company is not allowed to file consolidated tax returns with its subsidiaries. The Company’s insurance subsidiaries are also subject to U.S. federal income taxes for foreign source dividend income.
	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. The corporations are also 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 Company, 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. Internal Revenue Code.  The branch operations in the 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.
	Federal income taxes recognized by the Company’s insurance subsidiaries amounted to approximately $451, $790, and $820, in 2014, 2013, and 2012, respectively.
	All other corporations within the group are subject to Puerto Rico income taxes as regular corporations, 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, 2014 and 2013 is estimated at $54,000 and $56,000, respectively.  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 practical to determine the U.S. federal income tax liability if such outside basis difference was reversed.
	On June 30, 2013 the Governor of Puerto Rico signed into law Puerto Rico’s Act No.40, 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 that provided additional changes and transitional provisions in connection with Act 40 and clarified that gross income does not include dividends received from a 100% controlled domestic subsidiary and income attributable to a trade or 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 had 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 rate on long-term capital gains, which was increased from 15% to 20% for all transactions occurring after June 30, 2014.  During the year ended December 31, 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.
	Act No. 77 of 2014 also included 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 on the Corporation’s 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 was not significant to the results of operations.
	Act No. 77 also allowed corporations to elect, during the period running from July 1, 2014 to October 31, 2014, to prepay at a reduced income tax rate of 12% the increase in value of long-term capital assets.  On December 22, 2014, the Governor of Puerto Rico signed into law Act No. 238 providing further amendments to the provisions set forth by Act No.77, extending the period to prepay at the reduced tax rate of 12%, the increase in value of long-term capital assets until January 31, 2015.  In connection with this law, on December 31, 2014, the group of corporations that comprise TSM entered into a Closing Agreement with the Puerto Rico Department of Treasury.  The Closing Agreement, among other matters, was related with the payment of the preferential tax rate on the increase in value of some of its long-term capital assets, as permitted by Act No. 238 of 2014.  The agreement also covered certain tax attributes of the Corporation.  As a result of the aforementioned tax laws and the Closing Agreement, the Company benefited from the lower tax rate provided under these statutes, reassessed the realizability of some of its deferred taxes and recorded a tax benefit of $17,049 in 2014.
	Pursuant to the provisions of the Puerto Rico Insurance Code and Regulations, TSP is a member of the Compulsory Vehicle Liability Insurance Joint Underwriting Association (the Association).  As a participant, TSP shares the risk, proportionately with other members, based on a formula established by the Puerto Rico Insurance Code, of the results and financial condition of the Association, and accordingly, may be subject to assessments to cover obligations of the Association or may receive refund distributions for good experience.  On July 15, 2013, the Governor of Puerto Rico signed into law Act No. 60, which authorized the Association to declare during the year 2013 an extraordinary dividend to its members of up to $200,000 subject to the payment of a special tax rate of 50%.  During the year ended December 31, 2013, TSP received from the Association a special distribution of $12,811, net of a tax of $12,811, which is included as other income in the accompanying consolidated statements of earnings.
	The income tax expense differs from the amount computed by applying the Puerto Rico statutory income tax rate to the income before income taxes as a result of the following:
			2014			2013			2012
	Income before taxes		$	66,051		$	57,787		$	66,372
	Statutory tax rate			39	%		39	%		30	%
	Income tax expense at statutory rate			25,760			22,537			19,912
	Increase (decrease) in taxes resulting from
	Exempt interest income, net			(7,139	)		(5,850	)		(6,079	)
	Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation			(5,572	)		(3,819	)		(3,155	)
	Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP			-			123			417
	Effect of taxing capital gains at a preferential rate			(14,248	)		(708	)		(224	)
	Effect of using the 1994 tax code instead of the 2011 tax code			-			-			380
	Dividends received deduction			173			202			(3	)
	Adjustment to deferred tax assets and liabilities for changes in effective tax rates			5,466			(8,285	)		-
	Other adjustments to deferred tax assets and liabilities			(707	)		279			286
	Effect of extraordinary dividend distribution from the Association - reported net of taxes in other income			-			(4,996	)		-
	Tax credit benefit			(1,482	)		72			(1,445	)
	Effect of reassessment of unused credits for alternative minimum taxes paid			(6,486	)		-			-
	Other permanent disallowances, net:
	Disallowance of expenses related to exempt interest income			46			40			228
	Disallowed dividend received deduction			4,815			2,502			1,028
	Disallowed interest expense			21			21			118
	Other			282			794			658
	Total other permanent differences			5,164			3,357			2,032
	Other adjustments			(184	)		(631	)		351
	Total Income Tax Expense		$	745		$	2,281		$	12,472
	Deferred income taxes reflect the tax effects of temporary differences between carrying amounts of assets and liabilities for financial reporting purposes and income tax purposes. The net deferred tax asset at December 31, 2014 and 2013 of the Company and its subsidiaries is composed of the following:
			2014			2013
	Deferred tax assets
	Allowance for doubtful receivables		$	13,115		$	7,419
	Liability for pension benefits			31,541			19,242
	Employee benefits plan			2,283			3,290
	Postretirement benefits			1,238			54
	Deferred compensation			1,589			2,062
	Accumulated depreciation			1,142			376
	Impairment loss on investments			661			563
	Contingency reserves			273			-
	Share-based compensation			3,174			2,461
	Alternative minimum income tax credit			8,673			1,990
	Purchased tax credits			1,682			10,193
	Net operating loss			11,953			7,007
	Unrealized loss on securities available for sale			3			129
	Difference in tax basis of investments portfolio			5,000			-
	Accrued liabilities			1,195			-
	Other			538			-
	Gross deferred tax assets			84,060			54,786
	Less: valuation allowance			(6,754	)		(2,984	)
	Deferred tax assets			77,306			51,802
	Deferred tax liabilities
	Deferred policy acquisition costs			(3,946	)		(3,691	)
	Catastrophe loss reserve trust fund			(7,128	)		(6,949	)
	Unrealized gain upon acquisition			(101	)		(118	)
Unrealized gain on securities available for sale			(21,540	)		(10,531	)
Unamortized bond issue costs			(52	)		(61	)
Intangible asset			(4,172	)		(6,179	)
Accumulated depreciation			(25	)		(10,687	)
Other			(103	)		(850	)
Gross deferred tax liabilities			(37,067	)		(39,066	)
Net deferred tax asset		$	40,239		$	12,736
The net deferred tax asset shown in the table above at December 31, 2014 and 2013 is reflected in the consolidated balance sheets as $68,695 and $33,519, respectively, in deferred tax assets and $28,456 and $20,783, in deferred tax liabilities, respectively, reflecting the aggregate deferred tax assets or liabilities of individual tax-paying subsidiaries of the Company.
In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management believes that it is more likely than not that the Company will realize the benefits of these deductible differences.  The valuation allowance is mostly related with the net operating losses generated by the Company’s U.S. Virgin Islands and health clinic's operations that based on the available evidence are not considered to be realizable at the reporting dates.
At December 31, 2014, the Company and its subsidiaries has net operating loss carry-forwards for Puerto Rico income tax purposes of approximately $21,260, which are available to offset future taxable income for up to December 2024. Except for the valuation allowance described in the previous paragraph, the corporation concluded that as of December 31, 2014,  it is more likely than not that the entities that have these net operating loss carry-forwards will generate sufficient taxable income within  the applicable  net operating loss carry-forward periods  to realize its deferred tax asset. This conclusion is  based on the historical results of each entity, adjusted to exclude non recurring conditions, and  the forecast of future profitability. Management will continue to evaluate, on a quarterly basis, if there are any significant events that will affect the corporation’s ability to utilize these deferred tax assets.

Pension_Plans

Pension Plans	12 Months Ended
	Dec. 31, 2014
Pension Plans [Abstract]
Pension Plans	16	Pension Plans
	Noncontributory Defined‑Benefit Pension Plan
	The Company sponsors a noncontributory defined-benefit pension plan for its employees and for the employees of certain subsidiaries.  Pension benefits begin to vest after five years of vesting service, as defined, and are based on years of service and final average salary, as defined. The funding policy is to contribute to the plan as necessary to meet the minimum funding requirements set forth in the Employee Retirement Income Security Act of 1974, as amended, plus such additional amounts as the Company may determine to be appropriate from time to time.  The measurement date used to determine pension benefit for the pension plan is December 31.
	The following table sets forth the plan’s benefit obligations, fair value of plan assets, and funded status as of December 31, 2014 and 2013, accordingly:
			2014			2013
	Change in benefit obligation
	Benefit obligation at beginning of year		$	163,487		$	177,334
	Service cost			3,589			4,254
	Interest cost			8,287			7,915
	Benefit payments			(5,858	)		(4,393	)
	Actuarial (gain) loss			35,749			(21,623	)
	Benefit obligation at end of year		$	205,254		$	163,487
	Accumulated benefit obligation at end of year		$	167,564		$	132,076
	Change in fair value of plan assets
	Fair value of plan assets at beginning of year		$	116,727		$	101,754
	Actual return on assets			9,239			11,866
	Employer contributions			8,000			7,500
	Benefit payments			(5,858	)		(4,393	)
	Fair value of plan assets at end of year		$	128,108		$	116,727
	Funded status at end of year		$	(77,146	)	$	(46,760	)
	Amounts in accumulated other comprehensive income not yet recognized as a component of net periodic pension cost
	Development of prior service credit
	Balance at beginning of year		$	(3,123	)	$	(3,573	)
	Amortization			450			450
	Net prior service credit			(2,673	)		(3,123	)
	Development of actuarial loss
	Balance at beginning of year			50,247			84,285
	Amortization			(4,134	)		(7,308	)
	(Gain)/Loss arising during the year			34,005			(26,730	)
	Actuarial net loss			80,118			50,247
	Sum of deferrals		$	77,445		$	47,124
	Net amount recognized		$	299		$	364
	The following assumptions were used on a weighted average basis to determine benefits obligations of the plan as of December 31, 2014 and 2013.
			2014			2013
	Discount rate			4.25	%		5.25	%
	Rate of compensation increase		Graded; 3.50%			Graded; 3.50%
			to 8.00%			to 8.00%
	The assumed discount rate of 4.25% at December 31, 2014 reflects the hypothetical rate at which the projected benefit obligations could be effectively settled or paid out to participants on that date. The Company determined the discount rate based on a range of factors, including a yield curve comprised of the rates of return on high-quality, fixed-income corporate bonds available at the measurement date and the related expected duration for the obligations.
	The amounts recognized in the balance sheets as of December 31, 2014 and 2013 consist of the following:
			2014			2013
	Pension liability		$	77,146		$	46,760
	Accumulated other comprehensive loss, net of a deferred tax of $26,841 and $15,016 in 2014 and 2013, respectively			50,604			32,107
	The components of net periodic benefit cost for 2014, 2013, and 2012 were as follows:
			2014			2013			2012
	Components of net periodic benefit cost
	Service cost		$	3,589		$	4,254		$	5,525
	Interest cost			8,287			7,915			7,543
	Expected return on plan assets			(7,496	)		(6,758	)		(6,298	)
	Prior service benefit			(450	)		(450	)		(450	)
	Actuarial loss			4,134			7,308			6,135
	Net periodic benefit cost		$	8,064		$	12,269		$	12,455
	Net periodic benefit cost may include settlement charges as a result of retirees selecting lump-sum distributions. Settlement charges may increase in the future if the number of eligible participants deciding to receive distributions and the amount of their benefits increases.  There were no settlement charges during the years ended December 31, 2014, 2013 and 2012.
	The estimated net loss and prior service benefit that will be amortized from accumulated other comprehensive loss into net periodic pension benefits cost during the next twelve months is as follows:
	Prior service cost		$	(450	)
	Actuarial loss			7,105
	The following assumptions were used on a weighted average basis in computing the periodic benefit cost for the years ended December 31, 2014, 2013, and 2012:
			2014			2013			2012
	Discount rate			5.25	%		4.5	%		5	%
	Expected return on plan assets			7	%		7	%		7.25	%
	Rate of compensation increase		Graded; 3.50%			Graded; 3.50%			Graded; 3.50%
			to 8.00%			to 8.00%			to 8.00%
	The basis of the overall expected long-term rate of return on assets assumption is a forward-looking approach based on the current long-term capital market outlook assumptions of the assets categories in which the trust invests and the trust’s target asset allocation. At December 31, 2014, the assumed target asset allocation for the program is: 44% to 56% in equity securities, 34% to 46% in debt securities, and 6% to 14% in other securities. Using a mean-variance model to project returns over a 30-year horizon under the target asset allocation, the 35% to 65% percentile range of annual rates of return is 5.7% to 7.4%. The Company selected a rate from within this range of 7.00% for 2014 and 2013, which reflects the Company’s best estimate for this assumption based on the data described above, information on the historical returns on assets invested in the pension trust, and expected future conditions. This rate is net of both investment related expenses and a 0.10% reduction for other administrative expenses charged to the trust.
	Plan Assets
	Plan assets recorded at fair value are categorized based upon the level of judgment associated with the inputs used to measure their fair value. For level inputs and input definition, see note 9.
The following table summarizes fair value measurements by level at December 31, 2014 and 2013 for assets measured at fair value on a recurring basis:
		2014
		Level 1			Level 2			Level 3			Total
Government obligations		$	3,433		$	2,629		$	-		$	6,062
Corporate obligations			-			10,672			-			10,672
Partnership/Joint venture			-			-			1,097			1,097
Limited Liability Corporations			-			29,423			-			29,423
Real estate			-			-			6,197			6,197
Registered investments			14,994			11,759			-			26,753
Common/Collective trusts			-			29,022			-			29,022
Hedge funds			-			9,025			-			9,025
Common stocks			5,970			-			-			5,970
Preferred stocks			306			-			-			306
Forward foreign currency contracts			-			15			-			15
Interest-bearing cash			4,045			-			-			4,045
Derivatives			-			4			-			4
		$	28,748		$	92,549		$	7,294		$	128,591
		2013
		Level 1			Level 2			Level 3			Total
Government obligations		$	2,151		$	5,329		$	67		$	7,547
Corporate obligations			-			5,289			2			5,291
Partnership/Joint venture			-			-			1,631			1,631
Limited Liability Corporations			-			6,400			-			6,400
Real estate			-			-			4,523			4,523
Registered investments			9,415			22,559			-			31,974
Common/Collective trusts			-			42,591			-			42,591
Hedge funds			-			7,765			-			7,765
Common stocks			8,492			-			-			8,492
Preferred stocks			202			-			-			202
Forward foreign currency contracts			4			-			-			4
Interest-bearing cash			541			-			-			541
Derivatives			(1	)		8			-			7
		$	20,804		$	89,941		$	6,223		$	116,968
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 year ended December 31, 2014 and 2013 is as follows:
								Partnership/
		Government			Corporate			Joint			Real			Hedge
		Obligations			Obligations			Venture			Estate			Funds			Total
Beginning balance at December 31, 2012		$	69			-			1,431			3,953			1,874		$	7,327
Actual return on program assets:
Relating to assets still held at the reporting date			(6	)		(18	)		87			552			206			821
Relating to assets sold during the period			-			-			-			42			359			401
Purchases, issuances, and settlements			4			20			113			(24	)		(954	)		(841	)
Transfer in and/or out			-			-			-			-			(1,485	)		(1,485	)
Ending balance at December 31, 2013			67			2			1,631			4,523			-			6,223
Actual return on program assets:
Relating to assets still held at the reporting date			1			-			207			515			-			723
Relating to assets sold during the period			-			1			(115	)		145			-			31
Purchases, issuances, and settlements			4			(3	)		(626	)		1,014			-			389
Transfer in and/or out			(72	)		-			-			-			-			(72	)
Ending balance at December 31, 2014		$	-		$	-		$	1,097		$	6,197		$	-		$	7,294
The Company’s plan assets are invested in the National Retirement Trust. The National Retirement Trust was formed to provide financial and legal resources to help members of the BCBSA offer retirement benefits to their employees.
The investment program for the National Retirement Trust is based on the precepts of capital market theory that are generally accepted and followed by institutional investors, who by definition are long‑term oriented investors. This philosophy holds that:
	·	Increasing risk is rewarded with compensating returns over time, and therefore, prudent risk taking is justifiable for long-term investors.
	·	Risk can be controlled through diversification of asset classes and investment approaches, as well as diversification of individual securities.
	·	Risk is reduced by time, and over time the relative performance of different asset classes is reasonably consistent. Over the long-term, equity investments have provided and should continue to provide superior returns over other security types. Fixed-income securities can dampen volatility and provide liquidity in periods of depressed economic activity.  Lengthening duration of fixed income securities may reduce surplus volatility.
	·	The strategic or long-term allocation of assets among various asset classes is an important driver of long‑term returns.
	·	Relative performance of various asset classes is unpredictable in the short‑term and attempts to shift tactically between asset classes are unlikely to be rewarded.
Investments will be made for the sole interest of the participants and beneficiaries of the programs participating in the National Retirement Trust. Accordingly, the assets of the National Retirement Trust shall be invested in accordance with these objectives:
	·	To ensure assets are available to meet current and future obligations of the participating programs when due.
	·	To earn the maximum return that can be realistically achieved in the markets over the long‑term at a specified and controlled level of risk in order to minimize future contributions.
	·	To invest assets with consideration of the liability characteristics in order to better align assets and liabilities.
	·	To invest the assets with the care, skill, and diligence that a prudent person acting in a like capacity would undertake. In the process, the Administration of the Trust has the objective of controlling the costs involved with administering and managing the investments of the National Retirement Trust.
Cash Flows
The Company expects to contribute $8,000 to its pension program in 2015.
The following benefit payments, which reflect expected future service, as appropriate, are expected to be paid:
Year ending December 31
2015		$	8,477
2016			9,855
2017			10,520
2018			11,825
2019			12,470
2020 – 2024			67,402
Noncontributory Supplemental Pension Plan
In addition, the Company sponsors a noncontributory supplemental pension plan. This plan covers employees with qualified defined benefit retirement plan benefits limited by the U.S. Internal Revenue Code maximum compensation and benefit limits.  At December 31, 2014 and 2013, the Company has recorded a pension liability of $9,570 and $7,937, respectively.  The charge to accumulated other comprehensive loss related to the noncontributory pension plan at December 31, 2014 and 2013 amounted to $2,087 and $1,348, respectively, net of a deferred tax asset of $1,339 and $866, respectively.

Catastrophe_Loss_Reserve_and_T

Catastrophe Loss Reserve and Trust Fund	12 Months Ended
	Dec. 31, 2014
Catastrophe Loss Reserve and Trust Fund [Abstract]
Catastrophe Loss Reserve and Trust Fund	17	Catastrophe Loss Reserve and Trust Fund
	In accordance with Chapter 25 of the Puerto Rico Insurance Code, as amended, TSP is required to record a catastrophe loss reserve. This catastrophe loss reserve is supported by a trust fund for the payment of catastrophe losses. The reserve increases by amounts determined by applying a contribution rate, not in excess of 5%, to catastrophe written premiums as instructed annually by the Commissioner of Insurance, unless the level of the reserve exceeds 8% of catastrophe exposure, as defined. The reserve also increases by an amount equal to the resulting return in the supporting trust fund and decreases by payments on catastrophe losses or authorized withdrawals from the trust fund. Additions to the catastrophe loss reserve are deductible for income tax purposes.
	This trust may invest its funds in securities authorized by the Insurance Code, but not in investments whose value may be affected by hazards covered by the catastrophic insurance losses. The interest earned on these investments and any realized gains (loss) on investment transactions are part of the trust fund and are recorded as income (expense) of the Company. An amount equal to the investment returns is recorded as an addition to the trust fund.
	The interest earning assets in this fund, which amounted to $42,324 and $40,127 as of December 31, 2014 and 2013, respectively, are to be used solely and exclusively to pay catastrophe losses covered under policies written in Puerto Rico.
	TSP is required to contribute to the trust fund, if needed or necessary, on or before January 31 of the following year. Contributions are determined by a rate determined or established by the Commissioner of Insurance for the catastrophe policies written in that year. No contribution was required for 2014 and 2013 since the level of the catastrophe reserve exceeds 8% of the catastrophe exposure.
	The amount in the trust fund may be withdrawn or released in the case that TSP ceases to underwrite risks subject to catastrophe losses. Also, authorized withdrawals are allowed when the catastrophe loss reserve exceeds 8% of the catastrophe exposure, as defined.
	Retained earnings are restricted in the accompanying consolidated balance sheets by the total catastrophe loss reserve balance, which as of December 31, 2014 and 2013 amounted to $40,457 and $39,463, respectively.

Stockholders_Equity

Stockholders' Equity	12 Months Ended
	Dec. 31, 2014
Stockholders' Equity [Abstract]
Stockholders' Equity	18	Stockholders’ Equity
		a.	Common Stock
	On December 8, 2008, the Company converted 7 million issued and outstanding Class A shares into Class B shares, in conjunction with the expiration of the lockup agreements signed by holders of Class A shares at the time of the Company’s initial public offering.
	For a period of five years after the completion of the Initial Public Offering (IPO) on December 7, 2007, each holder of Class B common stock benefits from anti-dilution protections provided in the Company’s amended and restated certificate of incorporation.
	On May 16, 2013, the Company, in connection with a registered underwritten secondary public offering of its Class B common stock (the Offering), entered into an underwriting agreement (the Underwriting Agreement) with certain shareholders of the Corporation (the Selling Shareholders), pursuant to which the Selling Shareholders sold to the underwriters an aggregate of 6,210,423 shares (the Shares) of Class B common stock at a price of $18.25 per share.  The Shares included 810,055 shares of Class B common stock purchased pursuant to the over-allotment option granted to the Underwriters pursuant to the Underwriting Agreement.
		b.	Stock Repurchase Programs
	In September 2010, the Company’s Board approved a repurchase program (“2010 stock repurchase program”) of its common stock amounting to $30,000.  Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended.  On March 23, 2013, we discontinued our 2010 stock repurchase program.  During 2012, the Company repurchased and retired 136,222 shares at an average per share price of $16.88, for an aggregate cost of $2,299.  During 2011, the Company repurchased and retired 653,399 shares at an average per share price of $17.28, for an aggregate cost of $11,289.  During 2010, the Company repurchased and retired 352,791 shares at an average per share price of $17.67, for an aggregate cost of $6,235.
	On March 6, 2013, the Company’s Board authorized the repurchase of up to $30,000 of Class B shares concurrent with the conversion of 7 million Class A shares into Class B shares and the public offering of a substantial majority of such converted shares. As part of the Offering, on May 17, 2013, the Company repurchased and retired 1,000,000 shares at a price of $18.25 per share.
	In July 2013 the Company’s Board of Directors authorized a $11,500 repurchase program (“2013 stock repurchase program”) of its Class B common stock.  Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended.  On October 28, 2014, we discontinued our 2013 stock repurchase program.  During 2014, the Company repurchased and retired under this program 367,700 shares at an average per share price of $16.32, for an aggregate cost of $5,995.
	In October 2014 the Company’s Board of Directors authorized a $50,000 repurchase program of its Class B common stock. Repurchases are conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended.  During 2014, the Company repurchased and retired under this program 228,525 shares at an average per share price of $23.55, for an aggregate cost of $5,341.
		c.	Preferred Stock
	Authorized capital stock includes 100,000,000 of preferred stock with a par value of $1.00 per share. As of December 31, 2014 and 2013, there are no issued and outstanding preferred shares.
		d.	Liquidity Requirements
	As members of the BCBSA, the Company, TSS, and TSA are required by membership standards of the association to maintain liquidity as defined by BCBSA. That is, to maintain net worth exceeding the Company Action Level as defined in the National Association of Insurance Commissioners’ (NAIC) Risk-Based Capital for Insurers Model Act. The companies are in compliance with this requirement.
		e.	Dividends
	As a holding company, the Company’s most significant assets are the common shares of its subsidiaries.  The principal sources of funds available to the Company are rental income and dividends from its subsidiaries, which are used to fund our debt service and operating expenses.
	The Company is subject to the provisions of the General Corporation Law of Puerto Rico, which restricts the declaration and payment of dividends by corporations organized pursuant to the laws of Puerto Rico.  These provisions provide that Puerto Rico corporations may only declare dividends charged to their retained earnings or, in the absence of retained earnings, net profits of the fiscal year in which the dividend is declared and/or the preceding fiscal year.
	The Company’s ability to pay dividends is dependent, among other factors, on its ability to collect cash dividends from its subsidiaries, which are subject to regulatory requirements, which may restrict their ability to declare and pay dividends or distributions.  In addition, an outstanding secured term loan restricts our ability to pay dividends in the event of default (see note 13).
	The accumulated earnings of TSS, TSA, TSV, and TSP are restricted as to the payment of dividends by statutory limitations applicable to domestic insurance companies. Under Puerto Rico insurance regulations, the regulated subsidiaries are permitted, without requesting prior regulatory approval, to pay dividends as long as the aggregate amount of all such dividends in any calendar year does not exceed the lesser of: (i) 10% of its surplus as of the end of the immediately preceding calendar year; or (ii) its statutory net gain from operations for the immediately preceding calendar year (excluding realized capital gains).  Regulated subsidiaries will be permitted to pay dividends in excess of the lesser of such two amounts only if notice of its intent to declare such a dividend and the amount thereof is filed with the Commissioner of Insurance and such dividend is not disapproved within 30 days of its filing. As of December 31, 2014, the dividends permitted to be distributed in 2014 by the regulated subsidiaries without prior regulatory approval from the Commissioner of Insurance amounted to approximately $34,100.  This amount excludes any dividend from TSA because as stated in note 15, we do not intend to repatriate earnings from this subsidiary nor do any transaction that would cause a reversal 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 Company has not declared any dividends subsequent to its IPO on December 7, 2007.

Comprehensive_Income

Comprehensive Income	12 Months Ended
	Dec. 31, 2014
Comprehensive Income [Abstract]
Comprehensive Income	19	Comprehensive Income
	The accumulated balances for each classification of other comprehensive income (loss) are as follows:
									Accumulated
			Unrealized			Liability			Other
			Gains on			for Pension			Comprehensive
			securities			Benefits			Income
	Beginning balance at December 31, 2013		$	65,584		$	(33,455	)	$	32,129
	Net current period change			50,670			(21,516	)		29,154
	Reclassification adjustments for gains and losses reclassified in income			(14,787	)		2,280			(12,507	)
	Ending balance at December 31, 2014		$	101,467		$	(52,691	)	$	48,776
	The related deferred tax effects allocated to each component of other comprehensive income in the accompanying consolidated statements of stockholders’ equity and comprehensive income in 2014, 2013 and 2012 are as follows:
			2014
						Deferred Tax
			Before-Tax			(Expense)			Net-of-Tax
			Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period		$	58,831		$	(8,161	)	$	50,670
	Less reclassification adjustment for gains and losses realized in income			(18,231	)		3,444			(14,787	)
	Net change in unrealized gain			40,600			(4,717	)		35,883
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs			3,737			(1,457	)		2,280
	Net change arising from assumptions and plan changes and experience			(35,271	)		13,755			(21,516	)
	Net change in liability for pension benefits			(31,534	)		12,298			(19,236	)
	Net current period change		$	9,066		$	7,581		$	16,647
			2013
						Deferred Tax
			Before-Tax			(Expense)			Net-of-Tax
			Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period		$	(40,948	)	$	6,142		$	(34,806	)
	Less reclassification adjustment for gains and losses realized in income			(2,587	)		462			(2,125	)
	Net change in unrealized gain			(43,535	)		6,604			(36,931	)
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs			7,108			(2,772	)		4,336
	Net change arising from assumptions and plan changes and experience			25,608			(9,988	)		15,620
	Net change in liability for pension benefits			32,716			(12,760	)		19,956
	Net current period change		$	(10,819	)	$	(6,156	)	$	(16,975	)
			2012
						Deferred Tax
			Before-Tax			(Expense)			Net-of-Tax
			Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period		$	44,123		$	(6,619	)	$	37,504
	Less reclassification adjustment for gains and losses realized in income			(5,197	)		2,071			(3,126	)
	Net change in unrealized gain			38,926			(4,548	)		34,378
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs			6,112			(1,835	)		4,277
	Net change arising from assumptions and plan changes and experience			(11,592	)		3,478			(8,114	)
	Net change in liability for pension benefits			(5,480	)		1,643			(3,837	)
	Net current period change		$	33,446		$	(2,905	)	$	30,541

ShareBased_Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2014
Share-Based Compensation [Abstract]
Share-Based Compensation	20	Share-Based Compensation
	In December 2007 the Company adopted the 2007 Incentive Plan (the Plan), which permits the Board to grant stock options, restricted stock awards and performance awards to eligible officers, directors and employees. The Plan authorizes the granting of up to 4,700,000 of Class B common shares of authorized but unissued stock. At December 31, 2014 and 2013, there were 2,174,711 and 2,584,863 shares available for the Company to grant under the Plan, respectively. Stock options can be granted with an exercise price at least equal to the stock’s fair market value at the grant date. The stock option awards vest in equal annual installments over 3 years and their expiration date cannot exceed 7 years. The restricted stock and performance awards are issued at the fair value of the stock on the grant date with vesting periods ranging from one to three years. Restricted stock awards vest in installments, as stipulated in each restricted stock agreement. Performance awards vest on the last day of the performance period, provided that at least minimum performance standards are achieved.
	The fair value of each option award is estimated on the grant date using the Black‑Scholes option-pricing model that uses the weighted average assumptions in the following table. In absence of adequate historical data, the Company estimates the expected life of the option using the simplified method allowed by Staff Accounting Bulletin (SAB) No. 107. Since the Company was a newly public entity, expected volatility was computed based on the average historical volatility of similar entities with publicly traded shares. The risk-free rate for the expected term of the option was based on the U.S. Treasury zero-coupon bonds yield curve in effect at the time of grant.
	Stock option activity during the year ended December 31, 2014 is as follows:
						Weighted		Weighted
						Average		Average			Aggregate
			Number of			Exercise		Contractual			Intrinsic
			Shares			Price		Term (Years)			Value
	Outstanding balance at January 1, 2014			238,079		$	14.43
	Exercised during the year			(199,002	)	$	14.5
	Canceled during the year			(21,724	)	$	14.5
	Outstanding balance at December 31, 2014			17,353		$	13.5		1.41		$	180,592
	Exercisable at December 31, 2014			17,353		$	13.5		1.41		$	180,592
	No options were granted during the three years ended December 31 2014, 2013 and 2012.  There were 199,002, 21,724 and 206,896 exercised options during 2014, 2013 and 2012, respectively.  No cash was received from stock options exercises during the years ended December 31, 2014 and 2013.  During the year ended December 31, 2012, cash received from stock options exercises was $316 and is presented within the cash flows from financing activities in the accompanying consolidated statement of cash flows.  During the years ended December 31, 2014, 2013 and 2012, 174,090, 14,095 and 140,666 shares, respectively, were repurchased and retired as a result of non-cash exercise of stock options.
	A summary of the status of the Company’s nonvested restricted and performance shares as of December 31, 2014, and changes during the year ended December 31, 2014, are presented below:
			Restricted Awards					Performance Awards
						Weighted					Weighted
						Average					Average
			Number of			Fair		Number of			Exercise
			Shares			Value		Shares			Price
	Outstanding balance at January 1, 2014			131,784		$	19.49		324,604		$	19.89
	Granted			128,017			16.46		282,135			16.47
	Lapsed			(70,486	)		19.85		(53,341	)		23.71
	Forfeited (due to termination)			(10,289	)		17.32		(36,368	)		17.63
	Forfeited (due to performance payout less than 100%)			-			-		(57,131	)		22.99
	Outstanding balance at December 31, 2014			179,026		$	17.31		459,899		$	17.14
	The weighted average grant date fair value of restricted shares granted during the year 2014, 2013 and 2012 were $16.46, $18.43, and $21.98, respectively. Total fair value of restricted stock vested during the year ended December 31, 2014, 2013 and 2012 was $1,146, $865 and $685, respectively.
	At December 31, 2014 there was $4,613 of total unrecognized compensation cost related to nonvested share‑based compensation arrangements granted under the Plan. That cost is expected to be recognized over a weighted average period of 1.03 years. The Company currently uses authorized and unissued Class B common shares to satisfy share award exercises.

Net_Income_Available_to_Stockh

Net Income Available to Stockholders and Basic Net Income per Share	12 Months Ended
	Dec. 31, 2014
Net Income Available to Stockholders and Basic Net Income per Share [Abstract]
Net Income Available to Stockholders and Basic Net Income per Share	21	Net Income Available to Stockholders and Basic Net Income per Share
	The following table sets forth the computation of basic and diluted earnings per share for the three-year period ended December 31, 2014:
			2014		2013		2012
	Numerator for earnings per share
	Net income attributable to TSM available to stockholders		$	65,660	$	55,924	$	54,032
	Denominator for basic earnings per share – Weighted average of common shares			27,102,127		27,692,937		28,340,122
	Effect of dilutive securities			86,705		99,872		115,459
	Denominator for diluted earnings per share		$	27,188,832	$	27,792,809	$	28,455,581
	Basic net income per share attributable to TSM		$	2.42	$	2.02	$	1.91
	Diluted net income per share attributable to TSM		$	2.41	$	2.01	$	1.9

Commitments

Commitments	12 Months Ended
	Dec. 31, 2014
Commitments [Abstract]
Commitments	22	Commitments
	The Company leases its regional offices, certain equipment, and warehouse facilities under non-cancelable operating leases. Minimum annual rental commitments at December 31, 2014 under existing agreements are summarized as follows:
	Year ending December 31
	2015		$	3,710
	2016			3,122
	2017			2,294
	2018			1,496
	2019			1,365
	Thereafter			251
	Total		$	12,238
	Rental expense for 2014, 2013, and 2012 was $8,738, $10,287, and $12,517 respectively, after deducting the amount of $50, $21, and $117, respectively, reimbursed by CMS for the administration of the Medicare Part B Program (see note 13).

Contingencies

Contingencies	12 Months Ended
	Dec. 31, 2014
Contingencies [Abstract]
Contingencies	23	Contingencies
	Our business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla 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, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla 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 December 31, 2014, we are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below.  Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible 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 agreements previously entered by our predecessor managed care subsidiary, Seguros de Servicios de Salud de Puerto Rico, Inc. (SSS), with physicians or dentists who joined our provider network to sell such new provider shares of SSS at a future date (“Share Acquisition Agreements”) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.
	Claims by Heirs of Former Shareholders
	The Company and TSS are defending eight individual lawsuits, all filed in state court, from persons who claim to have inherited a total of 113 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 Puerto Rico’s Court of First Instance dismissed the claim and determined it was time barred under the local securities law. On January 2012, Puerto Rico’s Court of Appeals upheld the dismissal. On March 28, 2012 the plaintiffs filed a petition for writ of certiorari before the Puerto Rico’s Supreme Court that was granted on May 31, 2012, and on October 1, 2013, reversed the dismissal, holding that the two-year statute of limitations contained in the local securities law did not apply and returning it to the Court of First Instance. Discovery is ongoing. Continuance of hearings is set for June 24, 2015.
	In the second case, entitled Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al, Puerto Rico’s 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’s Supreme Court which was granted on January 20, 2012. On January 8, 2013, Puerto Rico’s Supreme Court ruled that the applicable statute of limitations is the fifteen-year period of the Puerto Rico’s 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 Puerlo Rico's 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 Puerlo Rico's Court of Appeals confirmed the decision of the Puerlo Rico's Court of First Instance Our request for reconsideration was denied in December 2011. A pretrial conference is set for August 10, 2015.
	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 and pretrial conference is set for May 27, 2015.
	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. On November 6, 2014, plaintiffs filed their opposition and a motion for summary judgment.  On February 3, 2015, TSS replied the opposition and opposed to the motion for summary judgment. The limited discovery is currently ongoing and the parties are awaiting court’s decision on their respective pleads.
	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 Puerto Rico’s 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, which was granted by the court. 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, which the Company replied 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 plaintiff’s motion for summary judgment. On September 18, 2014, the court denied our motion to dismiss. On September 29, 2014, the Company filed a motion for reconsideration, which was denied by the court on November 4, 2014.  On December 4, 2014, the Company filed a petition of Certiorari to the Court of Appeals of Puerto Rico. Discovery is ongoing.
	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 is set to begin on or before April 30, 2015. A hearing is set for August 5, 2015.
	The eighth case, entitled Gallardo Mendez, et al, v. Triple-S Management Corporation, was filed on December 30, 2014.  The Company will file its response and will defend this case vigorously.
	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 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 has been completed. On November 3, 2014, all defendants, including TSP, filed a joint motion to decertify the class and, on November 17, 2014, a joint motion for summary judgment requesting the dismissal of the claim.  We are awaiting plaintiffs’ response and further court proceedings.
	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 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 these agencies, ASES and OCR, concerning this matter. In accordance with its legal obligations under HIPAA, TSS issued a breach notification through the local media and notified all affected beneficiaries by mail, notifying them of certain protective measures as well.
	On April 16, 2014, ASES received a complaint submitted by an American Health Medicare (now “TSA”) Platino product beneficiary alleging that a pamphlet distributed by TSA had Protected Health Information (“PHI”) visible on its external cover. TSA 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 TSA to its members. This number combined with the name and address of the member identified each individual as an TSA 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 HIPAA-related 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 September 2013 breach described above involving 13,336 dual eligible Medicare/Medicaid beneficiaries. The sanctions include the suspension of all new enrollments of dual eligible Medicare/Medicaid 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 with corrective action plan. On March 11, 2014, TSS filed an answer challenging the monetary civil monetary penalty and requesting an administrative hearing and simultaneously filed a notice of removal in the federal District Court for the District of Puerto Rico. 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 which are the 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 the September 30, 2013 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. Discovery is ongoing. 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. Discovery is ongoing. In the fourth case, filed on September 19, 2014, an individual asserts emotional damages in connection with this matter. The Company filed its response and discovery is ongoing.
	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.
	On December 30, 2014, ASES sent a letter to TSS requesting the reimbursement of approximately $1,300 and, consequently, withheld service fees. On January 16, 2015, the Company filed suit and a preliminary injunction on the Court of First Instance of Puerto Rico requesting the payment of service fees and asserting various claims, including the validity of the agreement signed by the parties in 2011.  On January 29, 2015, a hearing was held in which ASES committed to deliver TSS services fees until March 31, 2015 in consideration of the negotiations being conducted by the parties.

Statutory_Accounting

Statutory Accounting	12 Months Ended
	Dec. 31, 2014
Statutory Accounting [Abstract]
Statutory Accounting	24	Statutory Accounting
	TSS, TSA, TSV and TSP (collectively known as the regulated subsidiaries) are regulated by the Commissioner of Insurance. The regulated subsidiaries are required to prepare financial statements using accounting practices prescribed or permitted by the Commissioner of Insurance, which uses a comprehensive basis of accounting other than GAAP. Specifically, the Commissioner of Insurance has adopted the NAIC’s Statutory Accounting Principles (NAIC SAP) as the basis of its statutory accounting practices, as long as they do not contravene the provisions of the Puerto Rico Insurance Code, its regulations and the Circular Letters issued by the Commissioner of Insurance. The Commissioner of Insurance may permit other specific practices that may deviate from prescribed practices and NAIC SAP. Statutory accounting principles that are established by state laws and permitted practices mandated by the Commissioner of Insurance may cause the statutory capital and surplus of the regulated subsidiaries to differ from that calculated under the NAIC SAP.
	Prescribed statutory accounting practices in Puerto Rico allow TSP to disregard a deferred tax liability resulting from additions to the catastrophe loss reserve trust fund that would otherwise be required under NAIC SAP. The use of prescribed and permitted accounting practices, both individually and in the aggregate, did not change significantly the combined statutory capital and surplus that would have been reported following NAIC SAP, which as of December 31, 2014 and 2013 is approximately 1.1% lower than the combined reported statutory capital and surplus.
	The regulated subsidiaries are required by the NAIC and the Commissioner of Insurance to submit risk-based capital (RBC) reports following the NAIC’s RBC Model Act and accordingly, are subject to certain regulatory actions if their capital levels do not meet minimum specific RBC requirements.  RBC is a method developed by the NAIC to determine the minimum amount of statutory capital appropriate for an insurance company to support its overall business operations in consideration of its size and risk profile. The RBC is calculated by applying capital requirement factors to various assets, premiums and reserve items. The factor is higher for those items with greater underlying risk and lower for less risky items. The adequacy of an organization’s actual capital can then be measured by a comparison to its RBC as determined by the formula.
	The RBC Model Act requires increasing degrees of regulatory oversight and intervention as an organization’s risk-based capital declines. The level of regulatory oversight ranges from requiring organizations to inform and obtain approval from the domiciliary insurance commissioner of a comprehensive financial plan for increasing its RBC, to mandatory regulatory intervention requiring an insurance company to be placed under regulatory control, in a rehabilitation or liquidation proceeding.
	The Commissioner of Insurance adopted in 2009 an RBC policy that requires that the regulated entities maintain statutory reserves at or above the “Company Action Level,” which is currently equal to 200% of their RBC, in order to avoid regulatory monitoring and intervention.  In addition, at the time of adoption the Commissioner of Insurance established five-year gradual compliance provisions for those entities whose RBC was below the 200% requirement. As of December 31, 2014 and 2013 all regulated subsidiaries comply with minimum statutory reserve requirements.
	The following table sets forth the combined net admitted assets, capital and surplus, RBC requirement, which is our statutory capital and surplus requirement, and net income for the regulated subsidiaries at December 31, 2014, 2013 and 2012:
	(dollar amounts in millions)		2014		2013		2012
	Net admitted assets		$	1,734	$	1,672	$	1,593
	Capital and surplus			659		646		563
	RBC requirement			209		205		187
	Net income			88		63		44
	As more fully described in note 17, a portion of the accumulated earnings and admitted assets of TSP are restricted by the catastrophe loss reserve and the trust fund balance as required by the Insurance Code.  The total catastrophe loss reserve and trust fund amounted to $40,457 and $42,324 as of December 31, 2014, respectively. The catastrophe loss reserve and trust fund balances were $39,463 and $40,127 as of December 31, 2013, respectively.  In addition, the admitted assets of the regulated subsidiaries are restricted by the investments deposited with the Commissioner of Insurance to comply with requirements of the Insurance Code (see note 3).  Investments with an amortized cost of $4,383 and $5,389 (fair value of $4,582 and $4,487) at December 31, 2014 and 2013, respectively, were deposited with the Commissioner of Insurance. Investment with an amortized cost of $515 and $511 (fair value of $515 and $511) at December 31, 2014 and 2013, respectively, was deposited with the USVI Division of Banking and Insurance.  As a result, the combined restricted assets for our regulated subsidiaries were $47,222 and $46,027 as of December 31, 2014 and 2013, respectively.

Supplementary_Information_on_C

Supplementary Information on Cash Flow Activities	12 Months Ended
	Dec. 31, 2014
Supplementary Information on Cash Flow Activities [Abstract]
Supplementary Information on Cash Flow Activities	25	Supplementary Information on Cash Flow Activities
			2014			2013			2012
	Supplementary information
	Noncash transactions affecting cash flow activities
	Change in net unrealized (gain) loss on securities available for sale, including deferred income tax (asset)/liability of $4,717, $(6,604), and $4,548 in 2014, 2013, and 2012, respectively		$	(35,883	)	$	36,931		$	(34,378	)
	Change in liability for pension benefits, and deferred income tax (asset)/liability of $(12,298), $12,760, $(1,643), in 2014, 2013, and 2012, respectively		$	19,236		$	(19,956	)	$	3,837
	Repurchase and retirement of common stock		$	(3,049	)	$	(321	)	$	(2,953	)
	Exercise of stock options		$	2,885		$	315		$	2,685
	Unsettled sales		$	10,456		$	-		$	-
	Other
	Income taxes paid		$	16,069		$	19,007		$	16,678
	Interest paid		$	5,764		$	6,257		$	8,310

Business_Combination

Business Combination	12 Months Ended
	Dec. 31, 2014
Business Combination [Abstract]
Business Combination	26	Business Combination
	2013 Acquisition
	Effective November 7, 2013, the Company’s subsidiary TSV completed the acquisition of 100% of the outstanding capital stock of ASICO (now TSB), an insurer dedicated to the sale of individual life and cancer insurance in Puerto Rico, as well as individual and group health insurance in the U.S. Virgin Islands, British Virgin Islands, Anguilla and Costa Rica. After this acquisition the Company expects to solidify its position in the life insurance business in Puerto Rico. The Company accounted for this acquisition in accordance with the provisions of Accounting Standard Codification Topic 805, Business Combinations. The results of operations and financial condition of this acquisition 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 and were included in the consolidated operating expenses during the year ended December 31, 2013.
	Although the closing date of the transaction was November 7, 2013, the consideration amount was determined using TSB’s financial position as of October 31, 2013.  Therefore, we have recorded an allocation of the purchase price to TSB’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 TSB 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 and pension termination costs			3,600
	Due to seller			3,704
	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 in the consolidated balance sheet, resulting from the TSB transaction. During the years ended December 31, 2014 and 2013, we recognized $616 and $108, respectively, of amortization expense related to the VOBA asset.
	The consolidated statement of earnings for the year ended December 31, 2013 includes $1,511 in operating revenues and a $187 net loss related to TSB. The following unaudited pro forma financial information presents the combined results of operations of the Company and TSB as if the acquisition had occurred at the beginning of 2012. The unaudited pro forma financial information is not intended to represent or be indicative of the Company’s consolidated results of operations that would have been reported had the acquisition been completed as of the beginning of the periods presented and should not be taken as indicative of the Company’s future consolidated results of operations.
	(unaudited)		2013			2012
	Operating revenues		$	2,373,199		$	2,423,310
	Net Income		$	54,729		$	52,494
	Basic net income per share		$	1.98		$	1.85
	Diluted net income per share		$	1.97		$	1.84
	The above unaudited pro forma operating revenues and net income considers the following estimated acquisition adjustments: (1) Amortization of VOBA asset – we considered an amortization expense of $365 and $459 for the years ended December 31, 2013 and 2012, respectively; (2) Acquisition costs – we recognized $435 of expenses for the year ended December 31, 2012 related to the acquisition.
	2012 Acquisition
	On January 18, 2012, TSM completed the acquisition of 90.8% of the outstanding capital stock of a health clinic in Puerto Rico.  The cost of this acquisition was approximately $3,501, funded with unrestricted cash.  The following table summarizes the net assets acquired as a result of this acquisition:
	Cash		$	816
	Accounts receivable			1,466
	Property and equipment			12,289
	Intangible asset			2,730
	Other assets			296
	Accounts payable and accrued liabilities			(2,233	)
	Loans payable			(13,838	)
	Total net assets			1,526
	Fair value of noncontrolling interest			(372	)
	Total net assets		$	1,154
	The acquisition is being accounted for under the purchase method of accounting and the health clinic is included in the Company's consolidated financial statements from the January 18, 2012 acquisition date. The allocation of purchase price to the fair value of the acquired assets less the liabilities assumed indicated goodwill of approximately $2,369.  Goodwill will not be deductible for tax purposes and is attributable to synergies and economies of scale expected from the acquisition.  During the year 2013, the Company recorded a goodwill impairment charge of $2,369, and there is no remaining carrying value of the health clinic goodwill as of December 31, 2013.  The goodwill impairment charge is included within the consolidated operating expenses.
	During the year 2014, the Company recorded an intangible asset impairment charge of $2,221, and there is no remaining carrying value of the acquired intangible asset as of December 31, 2014.  The intangible asset impairment charge is included within the consolidated operating expenses.

Segment_Information

Segment Information	12 Months Ended
	Dec. 31, 2014
Segment Information [Abstract]
Segment Information	27	Segment Information
	The operations of the Company are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance. Business segments were identified according to the type of insurance products offered and consistent with the information provided to the chief operating decision maker. These segments and a description of their respective operations are as follows:
		·	Managed Care segment – This segment is engaged in the sale of managed care products to the Commercial, Medicare and Medicaid market sectors.  The Commercial accounts sector includes corporate accounts, U.S. federal government employees, individual accounts, local government employees, and Medicare supplement. The following represents a description of the major contracts by sector:
		–	The segment is a qualified contractor to provide health coverage to federal government employees within Puerto Rico. Earned premiums revenue related to this contract amounted to $152,659, $155,302, and $143,287 for the three-year period ended December 31, 2014, 2013, and 2012, respectively (see note 11).
		–	Under its commercial business, the segment also provides health coverage to certain employees of the Commonwealth of Puerto Rico and its instrumentalities. Earned premium revenue related to such health plans amounted to $37,748, $43,211, and $46,969 for the three-year period ended December 31, 2014, 2013, and 2012, respectively.
		–	The segment provides services through its Medicare health plans pursuant to a limited number of contracts with CMS. Earned premium revenue related to the Medicare business amounted to $1,013,746, $1,038,852, and $1,073,454 for the three-year period ended December 31, 2014, 2013, and 2012, respectively.
		–	The segment also participates in the Medicaid program to provide health coverage to medically indigent citizens in Puerto Rico, as defined by the laws of the government of Puerto Rico.  Effective November 1, 2011, the segment commenced the administration of the physical health component of this program in designated service regions in Puerto Rico.  On July 1, 2013, the segment amended and restated its contract extending the administration of the provision of the physical health component of the Medicaid program in service regions in the Commonwealth of Puerto Rico currently administered by TSS for a 12-month period. This amendment also transferred the administration of the three remaining service regions to TSS upon completion of a transition period, which ended on October 1, 2013.  In accordance with the terms of the contract, TSS receives a monthly per-member, per-month administrative fee for its services and does not bear the insurance risk of the program.  Administrative service fees for each of the years in the three-year period ended December 31, 2014, 2013, and 2012 amounted to $95,908, $83,180, and $86,565, respectively.
		·	Life Insurance segment – This segment offers primarily life and accident and health insurance coverage, and annuity products. The premiums for this segment are mainly subscribed through an internal sales force and a network of independent brokers and agents.
		·	Property and Casualty Insurance segment –The predominant insurance lines of business of this segment are commercial multiple peril, auto physical damage, auto liability, and dwelling. The premiums for this segment are originated through a network of independent insurance agents and brokers. Agents or general agencies collect the premiums from the insureds, which are subsequently remitted to the segment, net of commissions. Remittances are due 60 days after the closing date of the general agent’s account current.
	The Company evaluates performance based primarily on the operating revenues and operating income of each segment.  Operating revenues include premiums earned, net, administrative service fees and net investment income.  Operating costs include claims incurred and operating expenses.  The Company calculates operating income or loss as operating revenues less operating costs.
	The accounting policies for the segments are the same as those described in the summary of significant accounting policies included in the notes to consolidated financial statements.  The financial data of each segment is accounted for separately; therefore no segment allocation is necessary. However, certain operating expenses are centrally managed, therefore requiring an allocation to each segment. Most of these expenses are distributed to each segment based on different parameters, such as payroll hours, processed claims, or square footage, among others. In addition, some depreciable assets are kept by one segment, while allocating the depreciation expense to other segments. The allocation of the depreciation expense is based on the proportion of assets used by each segment. Certain expenses are not allocated to the segments and are kept within TSM’s operations.
	The following tables summarize the operations by operating segment for each of the years in the three‑year period ended December 31, 2014, 2013, and 2012.
			2014			2013			2012
	Operating revenues
	Managed care
	Premiums earned, net		$	1,894,791		$	1,973,160		$	2,031,983
	Fee revenue			119,302			108,680			110,110
	Intersegment premiums/fee revenue			5,681			5,629			6,251
	Net investment income			15,010			16,353			16,349
	Total managed care			2,034,784			2,103,822			2,164,693
	Life
	Premiums earned, net			142,245			130,170			124,279
	Intersegment premiums			240			391			408
	Net investment income			23,717			22,212			20,857
	Total life			166,202			152,773			145,544
	Property and casualty
	Premiums earned, net			91,530			99,705			97,092
	Intersegment premiums			613			613			613
	Net investment income			8,600			8,281			8,851
	Total property and casualty			100,743			108,599			106,556
	Other segments*
	Intersegment service revenues			9,100			8,847			15,080
	Operating revenues from external sources			4,234			4,780			4,360
	Total other segments			13,334			13,627			19,440
	Total business segments			2,315,063			2,378,821			2,436,233
	TSM operating revenues from external sources			95			341			588
	Elimination of intersegment premiums			(6,534	)		(6,633	)		(7,272	)
	Elimination of intersegment service revenue			(9,100	)		(8,847	)		(15,080	)
	Other intersegment eliminations			116			99			141
	Consolidated operating revenues		$	2,299,640		$	2,363,781		$	2,414,610
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
			2014			2013			2012
	Operating income
	Managed care		$	31,445		$	36,130		$	47,025
	Life			22,561			16,156			16,712
	Property and casualty			10,044			2,216			6,760
	Other segments*			(4,440	)		(4,777	)		(134	)
	Total business segments			59,610			49,725			70,363
	TSM operating revenues from external sources			95			341			588
	TSM unallocated operating expenses			(14,571	)		(9,913	)		(10,440	)
	Elimination of TSM charges			9,717			9,258			9,067
	Consolidated operating income			54,851			49,411			69,578
	Consolidated net realized investment gains			18,231			2,587			5,197
	Consolidated interest expense			(9,274	)		(9,474	)		(10,599	)
	Consolidated other income, net			2,243			15,263			2,196
	Consolidated income before taxes		$	66,051		$	57,787		$	66,372
			2014			2013			2012
	Depreciation and amortization expense
	Managed care		$	17,935		$	19,993		$	21,082
	Life			1,394			891			746
	Property and casualty			994			528			568
	Other segments*			3,264			3,314			992
	Total business segments			23,587			24,726			23,388
	TSM depreciation expense			813			863			854
Consolidated depreciation and amortization expense		$	24,400		$	25,589		$	24,242
*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
		2014			2013			2012
Assets
Managed care		$	975,999		$	934,467		$	916,712
Life			764,268			698,650			691,425
Property and casualty			362,620			346,212			356,161
Other segments*			22,682			28,407			31,480
Total business segments			2,125,569			2,007,736			1,995,778
Unallocated amounts related to TSM
Cash, cash equivalents, and investments			44,157			28,316			41,334
Property and equipment, net			20,415			21,278			21,430
Other assets			37,851			26,406			29,858
			102,423			76,000			92,622
Elimination entries – intersegment receivables and others			(82,256	)		(36,112	)		(29,056	)
Consolidated total assets		$	2,145,736		$	2,047,624		$	2,059,344
		2014			2013			2012
Significant noncash items
Net change in unrealized gain (loss) on securities available for sale
Managed care		$	6,055		$	(1,898	)	$	11,750
Life			22,349			(29,867	)		15,189
Property and casualty			7,789			(3,765	)		6,268
Other segments*			-			-			(194	)
Total business segments			36,193			(35,530	)		33,013
Amount related to TSM			(310	)		(1,401	)		1,365
Consolidated net change in unrealized gain (loss) on securities available for sale		$	35,883		$	(36,931	)	$	34,378
*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Subsequent_Events

Subsequent Events	12 Months Ended
	Dec. 31, 2014
Subsequent Events [Abstract]
Subsequent Events	28	Subsequent Events
	The Company evaluated subsequent events through the date the financial statements were issued.  No events, other than those described in these notes, have occurred that require adjustment or disclosure pursuant to current Accounting Standard Codification.

Significant_Accounting_Policie1

Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2014
Significant Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation
	The accompanying consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America (GAAP).
	The consolidated financial statements include the financial statements of the Company and its subsidiaries.  All significant intercompany balances and transactions have been eliminated in consolidation.
Use of Estimates	Use of Estimates
	The preparation of the consolidated financial statements in conformity with GAAP requires the Company to make a number of estimates and assumptions relating to the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenue and expenses during the period.  Actual results could differ from those estimates.  The most significant items on the consolidated balance sheets that involve a greater degree of accounting estimates and actuarial determinations subject to changes in the near future are the assessment of claim liabilities, the liability for future policy benefits, other-than-temporary impairments, allowance for doubtful receivables, deferred policy acquisition costs and value of business acquired, goodwill, intangible assets, and liability for pension benefits.  As additional information becomes available (or actual amounts are determinable), the recorded estimates are revised and reflected in operating results of the period they are determined.  Although some variability is inherent in these estimates, the Company believes the amounts provided represent management’s best estimate.
Cash Equivalents	Cash Equivalents
	The Company considers all highly liquid debt instruments with maturities of three months or less at the date of acqusition to be cash equivalents.  Cash equivalents of $26,091 and $32,646 at December 31, 2014 and 2013, respectively, consist principally of money market funds, obligations of government‑sponsored enterprises and certificates of deposit with original maturities of three months or less.
Investment	Investments
	Investment in securities at December 31, 2014 and 2013 consists mainly of obligations of government‑sponsored enterprises, U.S. Treasury securities and obligations of U.S. government instrumentalities, obligations of the Commonwealth of Puerto Rico and its instrumentalities, municipal securities, corporate bonds, residential mortgage-backed securities, collateralized mortgage obligations, and equity securities.  The Company classifies its debt and equity securities in one of three categories: trading, available for sale, or held to maturity.  Trading securities are bought and held principally for the purpose of selling them in the near term.  Securities classified as held to maturity are those securities in which the Company has the ability and intent to hold the security until maturity.  All other securities not included in trading or held to maturity are classified as available for sale.
	Trading and available-for-sale securities are recorded at fair value.  The fair values of debt securities (both available for sale and held to maturity investments) and equity securities are based on quoted market prices for those or similar investments at the reporting date.  Held-to-maturity debt securities are recorded at amortized cost, adjusted for the amortization or accretion of premiums and discounts, respectively.  Unrealized holding gains and losses on trading securities are included in earnings.  Unrealized holding gains and losses, net of the related tax effect, on available-for-sale securities are excluded from earnings and are reported as a separate component of other comprehensive income until realized.  Realized gains and losses from the sale of available-for-sale securities are included in earnings and are determined on a specific‑identification basis.
	Transfers of securities between categories are recorded at fair value at the date of transfer.  Unrealized holding gains and losses are recognized in earnings for transfers into trading securities.  Unrealized holding gains or losses associated with transfers of securities from held to maturity to available for sale are recorded as a separate component of other comprehensive income.  The unrealized holding gains or losses included in the separate component of other comprehensive income for securities transferred from available for sale to held to maturity, are maintained and amortized into earnings over the remaining life of the security as an adjustment to yield in a manner consistent with the amortization or accretion of premium or discount on the associated security.
	If a fixed maturity security is in an unrealized loss position and the Company has the intent to sell the fixed maturity security, or it is more likely than not that the Company will have to sell the fixed maturity security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings.  For impaired fixed maturity securities that the Company does not intend to sell or it is more likely than not that such securities will not have to be sold, but the Company expects not to fully recover the amortized cost basis, the credit component of the other-than temporary impairment is recognized in other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.  Furthermore, unrealized losses entirely caused by non-credit related factors related to fixed maturity securities for which the Company expects to fully recover the amortized cost basis continue to be recognized in accumulated other comprehensive income.
	The credit component of an other-than-temporary impairment is determined by comparing the net present value of projected future cash flows with the amortized cost basis of the fixed maturity security. The net present value is calculated by discounting the Company’s best estimate of projected future cash flows at the effective interest rate implicit in the fixed maturity security at the date of acquisition.
	The unrealized gains or losses on the Company’s equity securities classified as available-for-sale are included in accumulated other comprehensive income as a separate component of  stockholders’ equity, unless the decline in value is deemed to be other-than-temporary and the Company does not have the intent and ability to hold such equity securities until their full cost can be recovered, in which case such equity securities are written down to fair value and the loss is charged to other-than-temporary impairment losses recognized in earnings.
	A decline in the fair value of any available-for-sale or held-to-maturity security below cost that is deemed to be other-than-temporary results in an impairment to reduce the carrying amount to fair value.  The impairment is charged to earnings and a new cost basis for the security is established.  To determine whether an impairment is other-than-temporary, the Company considers whether it has the ability and intent to hold the investment until a market price recovery and considers whether evidence indicating the cost of the investment is recoverable outweighs evidence to the contrary.  Evidence considered in this assessment includes the reasons for the impairment, the severity and duration of the impairment, market conditions, changes in value subsequent to year-end, forecasted performance of the investee, and the general market condition in the geographic area or industry the investee operates in.
	Premiums and discounts are amortized or accreted over the life of the related held-to-maturity or available-for-sale security as an adjustment to yield using the effective interest method.  Dividend and interest income are recognized when earned.
	The Company regularly invests in mortgaged-backed securities and other securities subject to prepayment and call risk.  Significant changes in prevailing interest rates may adversely affect the timing and amount of cash flows on such securities.  In addition, the amortization of market premium and accretion of market discount for mortgaged-backed securities is based on historical experience and estimates of future payment speeds on the underlying mortgage loans.  Actual prepayment speeds may differ from original estimates and may result in material adjustments to amortization or accretion recorded in future periods.
Revenue Recognition	Revenue Recognition
	a.  Managed Care
	Subscriber premiums on the managed care business are billed in advance of their respective coverage period and the related revenue is recorded as earned during the coverage period.  Managed care premiums are billed in the month prior to the effective date of the policy with a grace period of up to two months.  If the insured fails to pay, the policy can be canceled at the end of the grace period at the option of the Company.  Managed care premiums are reported as earned when due.
	Premiums for the Medicare Advantage (MA) business are based on a bid contract with the Centers for Medicare and Medicaid Services (CMS) and billed in advance of the coverage period.  MA contracts provide for a risk factor to adjust premiums paid for members that represent a higher or lower risk to the Company.  Retroactive rate adjustments are made periodically based on the aggregate health status and risk scores of the Company’s MA membership.  These risk adjustments are evaluated quarterly, based on actuarial estimates.  Actual results could differ from these estimates.  As additional information becomes available, the recorded estimate is revised and reflected in operating results in the period in which it becomes available.
	Prescription drug coverage is offered to Medicare eligible beneficiaries as part of MA plans (MA-PD) and on a stand-alone basis (stand-alone PDP).  Premiums are based on a bid contract with CMS that considers the estimated costs of providing prescription drug benefits to enrolled participants.  MA-PD and stand-alone PDP premiums are subject to adjustment, positive or negative, based upon the application of risk corridors that compare the estimated prescription drug costs included in the bids to CMS to actual prescription drug costs.  Variances exceeding certain thresholds may result in CMS making additional payments or in CMS requesting a refund for a portion of the premiums collected.  The Company estimates and records adjustments to earned premiums related to estimated risk corridor payments based upon actual prescription drug costs for each reporting period as if the annual contract were to end at the end of each reporting period.
	Administrative service fees include revenue from certain groups which have managed care contracts that provide for the group to be at risk for all or a portion of their claims experience.  For these groups, the Company is not at risk and only handles the administration of managed care coverage for an administrative service fee.  The Company pays claims under commercial self-funded arrangements from its own funds, and subsequently receives reimbursement from these groups.  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.  Claims paid under self-funded arrangements are excluded from the claims incurred in the accompanying consolidated financial statements.  Administrative service fees under the self-funded arrangements are recognized based on the group’s membership or incurred claims for the period multiplied by an administrative fee rate plus other fees.  In addition, some of these self-funded groups purchase aggregate and/or specific stop-loss coverage.  In exchange for a premium, the group’s aggregate liability or the group’s liability on any one episode of care is capped for the year.  Premiums for the stop-loss coverage are actuarially determined based on experience and other factors and are recorded as earned over the period of the contract in proportion to the coverage provided.  This fully insured portion of premiums is included within the premiums earned, net in the accompanying consolidated statements of earnings.  The Medicaid contract with the Government of Puerto Rico contains a savings-sharing provision whereby the Government of Puerto Rico shares with TSS a portion of the medical cost savings obtained with the administration of the regions served on an administrative service basis.  Any savings-sharing amount is recorded when earned as administrative service fees in the accompanying consolidated statements of earnings.
	b.  Life and Accident and Health Insurance
	Premiums on life insurance policies are billed in advance of their respective coverage period and the related revenue is recorded as earned when due.  Premiums on accident and health and other short‑term policies are recognized as earned primarily on a pro rata basis over the contract period.  Premiums on credit life policies are recognized as earned in proportion to the amounts of insurance in‑force.  Revenues from universal life and interest sensitive policies represent amounts assessed against policyholders, including mortality charges, surrender charges actually paid, and earned policy service fees.  The revenues for limited payment contracts are recognized over the period that benefits are provided rather than on collection of premiums.
	c.  Property and Casualty Insurance
	Premiums on property and casualty contracts are billed in advance of their respective coverage period and they are recognized as earned on a pro rata basis over the policy term.  The portion of premiums related to the period prior to the end of coverage is recorded in the consolidated balance sheets as unearned premiums and is transferred to premium revenue as earned.
Allowance for Doubtful Receivables	Allowance for Doubtful Receivables
	The allowance for doubtful receivables is based on management’s evaluation of the aging of accounts and such other factors, which deserve current recognition.  Actual losses could differ from these estimates.  Receivables are charged-off against their respective allowance accounts when deemed to be uncollectible.
Deferred Policy Acquisition Costs and Value of Business Acquired	Deferred Policy Acquisition Costs and Value of Business Acquired
	Certain direct costs for acquiring successful life and accident and health, and property and casualty insurance business are deferred by the Company.  Substantially all acquisition costs related to the managed care business are expensed as incurred.
	In the life and accident and health business deferred acquisition costs consist of commissions and certain expenses related to the production of life, annuity, accident and health, and credit business.  In the event that future premiums, in combination with policyholder reserves and anticipated investment income, could not provide for all future maintenance and settlement expenses, the amount of deferred policy acquisition costs would be reduced to provide for such amount.  The related amortization is provided over the anticipated premium-paying period of the related policies in proportion to the ratio of annual premium revenue to expected total premium revenue to be received over the life of the policies.  Interest is considered in the amortization of deferred policy acquisition cost and value of business acquired.  For these contracts interest is considered at a level rate at the time of issue of each contract, 4.90% for 2014, 2013 and 2012, and, in the case of the value of business acquired, at the time of any acquisition.  For certain other long-duration contracts, deferred amounts are amortized at historical and forecasted credited interest rates.  Expected premium revenue is estimated by using the same mortality and withdrawal assumptions used in computing liabilities for future policy benefits.  The method followed in computing deferred policy acquisition costs limits the amount of such deferred costs to their estimated net realizable value.  In determining estimated net realizable value, the computations give effect to the premiums to be earned, related investment income, losses and loss-adjustment expenses, and certain other costs expected to be incurred as the premium is earned.  Costs deferred on universal life and interest sensitive products are amortized as a level percentage of the present value of anticipated gross profits from investment yields, mortality, expenses and surrender charges.  Estimates used are based on the Company’s experience as adjusted to provide for possible adverse deviations.  These estimates are periodically reviewed and compared with actual experience.  When it is determined that future expected experience differs significantly from that assumed, the estimates are revised for current and future issues.
	The value assigned to the life insurance in-force at the date of the acquisition is amortized using methods similar to those used to amortize the deferred policy acquisition costs of the life and accident and health business.
	In the property and casualty business, acquisition costs consist of commissions incurred during the production of business and are deferred and amortized ratably over the terms of the policies.
Property and Equipment	Property and Equipment
	Property and equipment are stated at cost.  Maintenance and repairs are expensed as incurred.  Depreciation is calculated on the straight-line method over the estimated useful lives of the assets.  Costs of computer equipment, programs, systems, installations, and enhancements are capitalized and amortized straight-line over their estimated useful lives.  The following is a summary of the estimated useful lives of the Company’s property and equipment:
		Estimated
	Asset Category	Useful Life
	Buildings	20 to 50 years
	Building improvements	3 to 5 years
	Leasehold improvements	Shorter of estimated useful
		life or lease term
	Office furniture	5 years
	Computer software	3 to 10 years
	Computer equipment, equipment,
	and automobiles	3 years
Software Development Costs	Software Development Costs
	Costs related to software developed or obtained for internal use that is incurred in the preliminary project stage are expensed as incurred.  Once capitalization criteria are met, directly attributable development costs are capitalized and amortized over the expected useful life of the software.  Upgrade and maintenance costs are expensed as incurred.  During the year ended December 31, 2013, the Company capitalized approximately $3,811 associated with the implementation of new software. During the year ended December 31, 2014, there were no development costs capitalized associated with the implementation of new software.
Long-Lived Assets, including Goodwill	Long-Lived Assets, including goodwill
	Long‑lived assets, such as property and equipment, and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable.  Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to estimated undiscounted future cash flows expected to be generated by the asset.  If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized by the amount by which the carrying amount of the asset exceeds the fair value of the asset.  Assets to be disposed of would be separately presented in the balance sheets and reported at the lower of the carrying amount or fair value less costs to sell, and are no longer depreciated.  The assets and liabilities of a disposal group classified as held for sale would be presented separately in the appropriate asset and liability sections of the consolidated balance sheets.
	During 2014, the Company identified events that indicate that the carrying amount of the intangible assets purchased as part of the health clinic acquisition may not be recoverable.  As such, the Company performed an impairment analysis on those intangible assets and based on the results of the test, an impairment charge of $2,221 was recorded caused by the carrying value being greater than its fair value.  After the impairment charge, which is included within the consolidated operating expenses, there is no remaining carrying value of the acquired intangible asset as of December 31, 2014. During 2013 and 2012, annual impairment tests on intangible assets were performed and based on the results of the tests no impairment was recorded.
	Goodwill and intangible assets that have indefinite useful lives are tested annually for impairment, and are tested for impairment more frequently if events and circumstances indicate that the asset might be impaired.  An impairment loss is recognized to the extent that the carrying amount exceeds the asset’s fair value.  For goodwill, the impairment determination is made at the reporting unit level.  The Company first assesses qualitative factors to determine whether it is necessary to perform the two-step goodwill impairment test.  The Company assesses qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount, including goodwill.  If determined to be necessary, the two-step impairment test is used to identify potential goodwill impairment and measure the amount of a goodwill impairment loss to be recognized (if any).   First, the Company determines the fair value of a reporting unit and compares it to its carrying amount.  Second, if the carrying amount of a reporting unit exceeds its fair value, an impairment loss is recognized for any excess of the carrying amount of the reporting unit’s goodwill over the implied fair value of that goodwill.  The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation.  The residual fair value after this allocation is the implied fair value of the reporting unit goodwill.
	The 2014 and 2012 annual goodwill impairment tests were performed and based on the results of the tests no impairment was recorded. If the Company does not achieve its earnings objectives or the cost of capital raises significantly, the assumptions and estimates underlying these impairment tests could be adversely affected and result in future impairment charges that would negatively impact its operating results.
	The Company performed its annual goodwill impairment analysis in the fourth quarter of year 2013 and based on the results of the test, an impairment charge for the health clinic reporting unit disclosed below was recorded.
	The Company concluded that fair value was below carrying value for the health clinic reporting unit acquired in January 2012. The fair value of the health clinic reporting unit was based on the income approach.  The decline in the estimated fair value of the health clinic reporting unit results from lower projected revenue growth rates and profitability levels used to calculate the discounted cash flows. The lower projected operating results reflect changes in assumptions related to organic revenue growth rates, market trends, business mix, cost structure, expected deal synergies and other expectations about the anticipated short-term and long-term operating results of the health clinic business.   The decline in the fair value of the health clinic reporting unit in the step two goodwill impairment test, resulted in an implied fair value that indicated the book value should be reduced to zero. As a result, the Company recorded a goodwill impairment charge of $2,369 during the year December 31, 2013.  The goodwill impairment charge is included within the consolidated operating expenses.
Claim Liabilities	Claim Liabilities
	Claim liabilities for managed care policies represent the estimated amounts to be paid to providers based on experience and accumulated statistical data.  Loss-adjustment expenses related to such claims are currently accrued based on estimated future expenses necessary to process such claims.
	The Company contracts with various independent practice associations (IPAs) for certain medical care services provided to some policies subscribers.  The IPAs are compensated on a capitation basis.  In the Medicaid business and certain MA policies, a portion of the capitation payments is retained to provide for incurred but not reported losses.  At December 31, 2014 and 2013, total withholdings and capitation payable amounted to $40,072 and $42,298, respectively, which are recorded as part of the claim liabilities in the accompanying consolidated balance sheets.
	Claim liabilities include unpaid claims and loss-adjustment expenses of the life and accident and health business based on a case-basis estimate for reported claims, and on estimates, based on experience, for unreported claims and loss-adjustment expenses.  The liability for policy and contract claims and claims expenses has been established to cover the estimated net cost of insured claims.
	Also included within the claim liabilities is the liability for losses and loss-adjustment expenses for the property and casualty business which represents individual case estimates for reported claims and estimates for unreported losses, net of any salvage and subrogation based on past experience modified for current trends and estimates of expenses for investigating and settling claims.
	Claim liabilities are necessarily based on estimates and, while management believes that the amounts are adequate, the ultimate liability may be in excess of or less than the amounts provided.  The methods for making such estimates and for establishing the resulting liability are continually reviewed, and any adjustments are reflected in the consolidated statements of earnings in the period determined.
Future Policy Benefits	Future Policy Benefits
	The liability for future policy benefits has been computed using the level‑premium method based on estimated future investment yield, mortality, morbidity and withdrawal experience.  The interest rate assumption ranges between 4.90% and 5.75% for all years in issue.  Mortality has been calculated principally on select and ultimate tables in common usage in the industry.  Withdrawals have been estimated principally based on industry tables, modified by Company’s experience.
Policyholder Deposits	Policyholder Deposits
	Amounts received for annuity contracts are considered deposits and recorded as a liability along with the accrued interest and reduced for charges and withdrawals.  Interest incurred on such deposits, which amounted to $3,510, $3,217, and $2,889, during the years ended December 31, 2014, 2013, and 2012, respectively, is included within the interest expense in the accompanying consolidated statements of earnings.
Reinsurance	Reinsurance
	In the normal course of business, the insurance-related subsidiaries seek to limit their exposure that may arise from catastrophes or other events that cause unfavorable underwriting results by reinsuring certain levels of risk in various areas of exposure with other insurance enterprises or reinsurers.
	Reinsurance premiums, commissions, and expense reimbursements, related to reinsured business are accounted for on bases consistent with those used in accounting for the original policies issued and the terms of the reinsurance contracts.  Accordingly, reinsurance premiums are reported as prepaid reinsurance premiums and amortized over the remaining contract period in proportion to the amount of insurance protection provided.
	Premiums ceded and recoveries of losses and loss-adjustment expenses have been reported as a reduction of premiums earned and losses and loss-adjustment expenses incurred, respectively.  Property and casualty commission and expense allowances received in connection with reinsurance ceded have been accounted for as a reduction of the related policy acquisition costs and are deferred and amortized accordingly.  Amounts recoverable from reinsurers are estimated in a manner consistent with the claim liability associated with the reinsured policy.
Income Taxes	Income Taxes
	Income taxes are accounted for under the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards.  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.  The Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained.  Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized.  Changes in recognition or measurement are reflected in the period in which the change in circumstances occurs.
	The Company records any interest and penalties related to unrecognized tax benefits within the operating expenses in the consolidated statement of earnings.
	The holding company within the TSA group of companies is a U.S.-based company that has not recorded a U.S. deferred tax liability for the excess of the book basis over the tax basis of its investments in Puerto Rico corporations.  TSA has not recorded a deferred tax liability to the extent that the basis difference results from outside basis difference created as a result of the business combination and earnings that meet the indefinite reversal criteria. The indefinite reversal criteria is met if the Puerto Rico subsidiary has invested, or will invest, the undistributed earnings indefinitely. The decision as to the amount of undistributed earnings intended to be maintained in Puerto Rico corporations takes into account several items including, but not limited to, actual results of operations, forecasts and budgets of financial needs of cash for working capital, liquidity plans, capital improvement programs, merger and acquisition plans as well as expected cash requirements in the U.S. or in other Puerto Rico subsidiaries from the U.S.-based company.
Insurance Related Assessments	Insurance-Related Assessments
	The Company records a liability for insurance-related assessments when the following three conditions are met: (1) the assessment has been imposed or the information available prior to the issuance of the financial statements indicates it is probable that an assessment will be imposed; (2) the event obligating an entity to pay (underlying cause of) an imposed or probable assessment has occurred on or before the date of the financial statements; and (3) the amount of the assessment can be reasonably estimated.  A related asset is recognized when the paid or accrued assessment is recoverable through either premium taxes or policy surcharges.
Commitments And Contingencies	Commitments and Contingencies
	Liabilities for loss contingencies arising from claims, assessments, litigation, fines, and penalties and other sources are recorded when it is probable that a liability has been incurred and the amount of the assessment and/or remediation can be reasonably estimated.  Legal costs incurred in connection with loss contingencies are expensed as incurred.  Recoveries of costs from third parties, which are probable of realization, are separately recorded as assets, and are not offset against the related liability.
Share-Based Compensation	Share‑Based Compensation
	Share-based compensation is measured at the fair value of the award and recognized as an expense in the financial statements over the vesting period.  The Company recognizes compensation expense for its stock options based on estimated grant date fair value using the Black-Scholes option‑pricing model.
Earnings Per Share	Earnings Per Share
	Basic earnings per share excludes dilution and is computed by dividing net income available to all classes of common stockholders by the weighted average number of all classes of common shares outstanding for the period, excluding non-vested restricted stocks.  Diluted earnings per share is computed in the same manner as basic earnings per share except that the number of shares is increased to include the number of additional common shares that would have been outstanding if the potentially dilutive common shares had been issued.  Dilutive common shares are included in the diluted earnings per share calculation using the treasury stock method.
Recently Issued Accounting Standards	Recently Issued 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 the year 2014 and recognized within the consolidated operating expenses.
	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 condition.  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 pronouncements disclosed above, there were no other new accounting pronouncements issued that could have a material impact in the Company’s financial position, operating results or financials statement disclosures.

Significant_Accounting_Policie2

Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2014
Significant Accounting Policies [Abstract]
Property and Equipment	The following is a summary of the estimated useful lives of the Company’s property and equipment:
		Estimated
	Asset Category	Useful Life
	Buildings	20 to 50 years
	Building improvements	3 to 5 years
	Leasehold improvements	Shorter of estimated useful
		life or lease term
	Office furniture	5 years
	Computer software	3 to 10 years
	Computer equipment, equipment,
	and automobiles	3 years

Investment_in_Securities_Table

Investment in Securities (Tables)	12 Months Ended
	Dec. 31, 2014
Investment in Securities [Abstract]
Amortized cost and estimated fair value for trading, 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 December 31, 2014 and 2013, were as follows:
		2014
					Gross			Gross			Estimated
		Amortized			Unrealized			Unrealized			Fair
		Cost			Gains			Losses			Value
	Securities available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises	$	129,649		$	1,014		$	(19	)	$	130,644
	U.S. Treasury securities and obligations of U.S. government instrumentalities		94,480			648			(28	)		95,100
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		35,115			138			-			35,253
	Municipal securities		585,088			49,181			(50	)		634,219
	Corporate bonds		147,224			17,744			(134	)		164,834
	Residential mortgage-backed securities		6,808			311			-			7,119
	Collateralized mortgage obligations		46,921			1,809			-			48,730
	Total fixed maturities		1,045,285			70,845			(231	)		1,115,899
	Equity securities-Mutual funds		150,799			47,049			(92	)		197,756
	Total	$	1,196,084		$	117,894		$	(323	)	$	1,313,655
		2013
					Gross			Gross			Estimated
		Amortized			Unrealized			Unrealized			Fair
		Cost			Gains			Losses			Value
	Securities available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises	$	104,317		$	1,854		$	(380	)	$	105,791
	U.S. Treasury securities and obligations of U.S. government instrumentalities		38,131			1,068			-			39,199
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		49,557			262			(4,814	)		45,005
	Municipal securities		597,297			19,328			(5,182	)		611,443
	Corporate bonds		146,936			9,883			(879	)		155,940
	Residential mortgage-backed securities		7,388			324			(9	)		7,703
	Collateralized mortgage obligations		87,854			3,072			(133	)		90,793
	Total fixed maturities		1,031,480			35,791			(11,397	)		1,055,874
	Equity securities-Mutual funds		187,356			53,013			(436	)		239,933
	Total	$	1,218,836		$	88,804		$	(11,833	)	$	1,295,807
		2014
					Gross			Gross			Estimated
		Amortized			Unrealized			Unrealized			Fair
		Cost			Gains			Losses			Value
	Securities held to maturity
	U.S. Treasury securities and obligations of U.S. government instrumentalties	$	622		$	198		$	-		$	820
	Residential mortgage-backed securities		217			21			-			238
	Certificates of deposits		2,105			-			-			2,105
		$	2,944		$	219		$	-		$	3,163
		2013
					Gross			Gross			Estimated
		Amortized			Unrealized			Unrealized			Fair
		Cost			Gains			Losses			Value
	Securities held to maturity
	Obligations of government-sponsored enterprises	$	1,793		$	26		$	-		$	1,819
	U.S. Treasury securities and obligations of U.S. government instrumentalties		622			117			-			739
	Residential mortgage-backed securities		346			27			-			373
	Certificates of deposits		3,378			-			-			3,378
		$	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 December 31, 2014 and 2013 were as follows:
		2014
		Less than 12 months									12 months or longer							Total
					Gross								Gross							Gross
		Estimated			Unrealized			Number of			Estimated		Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value		Loss			Securities		Fair Value		Loss			Securities
	Securites available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises	$	43,105		$	(19	)		2		$	-	$	-			-	$	43,105	$	(19	)		2
	U.S. Treasury securities and obligations of U.S. governmental instrumentalities		39,966			(28	)		2			-		-			-		39,966		(28	)		2
	Municipal securities		6,749			(24	)		3			6,693		(26	)		3		13,442		(50	)		6
	Corporate bonds		17,053			(50	)		4			20,405		(84	)		4		37,458		(134	)		8
	Total fixed maturities		106,873			(121	)		11			27,098		(110	)		7		133,971		(231	)		18
	Equity securities-Mutual funds		7,773			(92	)		2			-		-			-		7,773		(92	)		2
	Total for securities available for sale	$	114,646		$	(213	)		13		$	27,098	$	(110	)		7	$	141,744	$	(323	)		20
		2013
		Less than 12 months									12 months or longer							Total
					Gross								Gross							Gross
		Estimated			Unrealized			Number of			Estimated		Unrealized			Number of		Estimated		Unrealized			Number of
		Fair Value			Loss			Securities			Fair Value		Loss			Securities		Fair Value		Loss			Securities
	Securites available for sale
	Fixed maturities
	Obligations of government-sponsored enterprises	$	46,797		$	(380	)		4		$	-	$	-			-	$	46,797	$	(380	)		4
	Obligations of the 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 December 31, 2014 were as follows:
		Amortized			Estimated
		Cost			Fair Value
	Securities available for sale
	Due in one year or less	$	50,050		$	50,191
	Due after one year through five years		358,681			365,220
	Due after five years through ten years		121,781			129,492
	Due after ten years		461,044			515,147
	Residential mortgage-backed securities		6,808			7,119
	Collateralized mortgage obligations		46,921			48,730
		$	1,045,285		$	1,115,899
	Securities held to maturity
	Due in one year or less	$	2,105		$	2,105
	Due after ten years		622			820
	Residential mortgage-backed securities		217			238
		$	2,944		$	3,163
Realized gains and losses from investments	Information regarding realized and unrealized gains and losses from investments for the years ended December 31, 2014, 2013, and 2012 is as follows:
		2014			2013			2012
	Realized gains (losses)
	Fixed maturity securities
	Securities available for sale
	Gross gains from sales	$	5,118		$	5,408		$	1,988
	Gross losses from sales		(5,884	)		(4,553	)		(460	)
	Gross losses from other-than-temporary impairments		(1,170	)		-			-
	Total fixed maturity securities		(1,936	)		855			1,528
	Equity securities
	Securities available for sale
	Gross gains from sales		20,848			5,084			4,905
	Gross losses from sales		(2,106	)		(2,310	)		(1,236	)
	Gross losses from other-than-temporary impairments		-			(1,042	)		-
	Total equity securities		18,742			1,732			3,669
	Net realized gains on securities available for sale		16,806			2,587			5,197
	Gross gain from other investment		1,425			-			-
	Net realized gains on securities	$	18,231		$	2,587		$	5,197
Changes in net unrealized gains (losses)		2014			2013			2012
	Changes in unrealized gains (losses)
	Recognized in accumulated other comprehensive income (loss)
	Fixed maturities – available for sale		46,220			(71,904	)		20,959
	Equity securities – available for sale		(5,620	)		28,369			17,967
		$	40,600		$	(43,535	)	$	38,926
	Not recognized in the consolidated financial statements
	Fixed maturities – held to maturity	$	49		$	(207	)	$	(191	)

Net_Investment_Income_Tables

Net Investment Income (Tables)	12 Months Ended
	Dec. 31, 2014
Net Investment Income [Abstract]
Components of net investment income	Interest and/or dividend income from:
		Years ended December 31
		2014		2013		2012
	Fixed maturities	$	38,559	$	37,302	$	38,623
	Equity securities		7,660		8,640		6,831
	Policy loans		545		472		466
	Cash equivalents and interest-bearing deposits		117		84		115
	Other		659		790		755
	Total	$	47,540	$	47,288	$	46,790

Premium_and_Other_Receivables_1

Premium and Other Receivables, Net (Tables)	12 Months Ended
	Dec. 31, 2014
Premiums and Other Receivables, Net [Abstract]
Premiums and other receivables, net	Premium and other receivables, net as of December 31 were as follows:
		2014		2013
	Premium	$	131,496	$	108,963
	Self-funded group receivables		62,189		55,598
	FEHBP		12,384		11,804
	Agent balances		25,300		27,655
	Accrued interest		11,737		11,879
	Reinsurance recoverable		50,686		46,116
	Unsettled sales		10,456		-
	Other		47,742		34,473
			351,990		296,488
	Less allowance for doubtful receivables:
	Premium		28,983		14,403
	Others		7,385		7,146
			36,368		21,549
	Premium and other receivables, net	$	315,622	$	274,939

Deferred_Policy_Acquisition_Co1

Deferred Policy Acquisition Costs and Value of Business Acquired (Tables)	12 Months Ended
	Dec. 31, 2014
Deferred Policy Acquisition Costs and Value of Business Acquired [Abstract]
Schedule of movement of deferred policy acquisition costs and value of business acquired	The movement of deferred policy acquisition costs (DPAC) and value of business acquired (VOBA) for the years ended December 31, 2014, 2013, and 2012 is summarized as follows:
		DPAC			VOBA			Total
	Balance, December 31, 2011	$	115,340		$	40,448		$	155,788
	Additions		55,928			-			55,928
	VOBA interest at an average rate of 5.24%		-			2,184			2,184
	Amortization		(38,739	)		(6,504	)		(45,243	)
	Net change		17,189			(4,320	)		12,869
	Balance, December 31, 2012		132,529			36,128			168,657
	Additions		48,137			4,499			52,636
	VOBA interest at an average rate of 5.24%		-			1,951			1,951
	Amortization		(39,738	)		(6,217	)		(45,955	)
	Net change		8,399			233			8,632
	Balance, December 31, 2013		140,928			36,361			177,289
	Additions		48,723			-			48,723
	VOBA interest at an average rate of 5.17%		-			1,726			1,726
	Amortization		(37,895	)		(5,743	)		(43,638	)
	Net change		10,828			(4,017	)		6,811
	Balance, December 31, 2014	$	151,756		$	32,344		$	184,100
Schedule of expected amortized cost of VOBA	The estimated amount of the year-end VOBA balance expected to be amortized during the next five years is as follows:
	Year ending December 31:
	2015	$	4,208
	2016		3,213
	2017		2,815
	2018		2,489
	2019		2,498

Property_and_Equipment_Net_Tab

Property and Equipment, Net (Tables)	12 Months Ended
	Dec. 31, 2014
Property and Equipment, Net [Abstract]
Property and equipment, net	Property and equipment, net as of December 31 are composed of the following:
		2014		2013
	Land	$	10,976	$	10,976
	Buildings and leasehold improvements		62,989		60,459
	Office furniture and equipment		20,240		18,681
	Computer equipment and software		109,445		112,679
	Automobiles		494		835
			204,144		203,630
	Less accumulated depreciation and amortization		125,801		114,544
	Property and equipment, net	$	78,343	$	89,086

Intangible_Asset_Tables

Intangible Asset (Tables)	12 Months Ended
	Dec. 31, 2014
Intangible Asset [Abstract]
Intangible assets	Intangible assets, included within other assets, at December 31, 2014 and 2013 consist of:
		2014		2013
	Trade name	$	5,476	$	5,529
	Membership base		41,188		41,188
	Provider networks		1,681		2,808
	Other		760		3,480
			49,105		53,005
	Accumulated amortization		39,898		34,741
	Intangible assets, net	$	9,207	$	18,264
Estimated amortization expense	Estimated amortization expense for the following five years is as follows:
	Year ending December 31:
	2015	$	2,868
	2016		1,735
	2017		1,200
	2018		894
	2019		709

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2014
Fair Value Measurements [Abstract]
Fair value measurements by level	The following table summarizes fair value measurements by level at December 31, 2014 and 2013 for assets measured at fair value on a recurring basis:
		2014
		Level 1			Level 2		Level 3		Total
	Securities available for sale
	Fixed maturity securities
	Obligations of government-sponsored enterprises	$	-		$	130,644	$	-	$	130,644
	U.S. Treasury securities and obligations of U.S. government instrumentalities		95,100			-		-		95,100
	Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-			35,253		-		35,253
	Municipal securities		-			634,219		-		634,219
	Corporate Bonds		-			164,834		-		164,834
	Residential agency mortgage-backed securities		-			7,119		-		7,119
	Collaterized mortgage obligations		-			48,730		-		48,730
	Total fixed maturities		95,100			1,020,799		-		1,115,899
	Equity securities - Mutual funds		160,461			23,946		13,349		197,756
		$	255,561		$	1,044,745	$	13,349	$	1,313,655
		2013
		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
	Collaterized 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
		$	197,480		$	1,080,417	$	17,910	$	1,295,807
Reconciliation of the beginning and ending balances 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 years ended December 31, 2014 and 2013 is as follows:
		Level 3
	Ending balance December 31, 2012	$	12,822
	Realized gains		192
	Unrealized in other accumulated comprehensive income		2,756
	Purchases		2,439
	Sales		(299	)
	Ending balance December 31, 2013	$	17,910
	Realized gains		2,552
	Unrealized in other accumulated comprehensive income		(2,937	)
	Purchases		501
	Distributions received		(4,677	)
	Ending balance December 31, 2014	$	13,349
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 December 31, 2014 and 2013 are as follows:
		2014
		Carrying			Fair Value
		Value			Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	7,260		$	-	$	7,260	$	-	$	7,260
	Liabilities:
	Policyholder deposits	$	118,912		$	-	$	118,912	$	-	$	118,912
	Long-term borrowings:
	Loans payable to bank - variable		14,467			-		14,467		-		14,467
	6.6% senior unsecured notes payable		35,000			-		33,513		-		33,513
	Repurchase agreement		25,000			-		25,337		-		25,337
	Total long-term borrowings		74,467			-		73,317		-		73,317
	Total liabilities	$	193,379		$	-	$	192,229	$	-	$	192,229
		2013
		Carrying			Fair Value
		Value			Level 1		Level 2		Level 3		Total
	Assets:
	Policy loans	$	6,705		$	-	$	6,705	$	-	$	6,705
	Liabilities:
	Policyholder deposits	$	115,923		$	-	$	115,923	$	-	$	115,923
	Long-term borrowings:
	Loans payable to bank - variable		16,107			-		16,107		-		16,107
	Loans payable to bank - fixed		13,195			-		13,195		-		13,195
	6.6% senior unsecured notes payable		35,000			-		33,775		-		33,775
	Repurchase agreement		25,000			-		25,638		-		25,638
	Total long-term borrowings		89,302			-		88,715		-		88,715
	Total liabilities	$	205,225		$	-	$	204,638	$	-	$	204,638

Claim_Liabilities_Tables

Claim Liabilities (Tables)	12 Months Ended
	Dec. 31, 2014
Claim Liabilities [Abstract]
Activity in the total claim liabilities	The activity in claim liabilities during 2014, 2013, and 2012 is as follows:
		2014			2013			2012
	Claim liabilities at beginning of year	$	420,421		$	416,918		$	391,259
	Reinsurance recoverable on claim liabilities		(37,557	)		(39,051	)		(37,234	)
	Net claim liabilities at beginning of year		382,864			377,867			354,025
	Claim liabilities acquired from business acquisitions		-			1,048			-
	Claims incurred
	Current period insured events		1,761,199			1,832,414			1,900,053
	Prior period insured events		(37,411	)		(19,203	)		(2,978	)
	Total		1,723,788			1,813,211			1,897,075
	Payments of losses and loss-adjustment expenses
	Current period insured events		1,499,646			1,507,302			1,579,970
	Prior period insured events		257,555			301,960			293,263
	Total		1,757,201			1,809,262			1,873,233
	Net claim liabilities at end of year		349,451			382,864			377,867
	Reinsurance recoverable on claim liabilities		40,635			37,557			39,051
	Claim liabilities at end of year	$	390,086		$	420,421		$	416,918

LongTerm_Borrowings_Tables

Long-Term Borrowings (Tables)	12 Months Ended
	Dec. 31, 2014
Long-Term Borrowings [Abstract]
Summary of long-term borrowings	A summary of the borrowings entered by the Company at December 31, 2014 and 2013 is as follows:
		2014		2013
	Senior unsecured notes payable of $60,000 issued on December 2005; Interest is due December 2020. payable monthly at a fixed rate of 6.60%.	$	35,000	$	35,000
	Secured loan payable of $41,000, payable in monthly installments of $137 through July 1, 2024, plus interest at a rate reset periodically of 100 basis points over selected LIBOR maturity (which was 1.24% and 1.25% at December 31, 2014, and 2013, respectively).		14,467		16,107
	Repurchase agreement of $25,000 entered on November 2010, due November 2015.  Interest is payable quarterly at a fixed rate of 1.96%.		25,000		25,000
	Secured loan payable of $14,138, payable in 35 monthly installments of $81 of principal and interest at a fixed rate of 4.75% and a last payment of $12,931 in December 2014.		-		13,195
	Total borrowings	$	74,467	$	89,302
Aggregate maturities of Company's long term borrowings	Aggregate maturities of the Company’s borrowings as of December 31, 2014 are summarized as follows:
	Year ending December 31
	2015	$	26,640
	2016		1,640
	2017		1,640
	2018		1,640
	2019		1,640
	Thereafter		41,267
		$	74,467

Reinsurance_Activity_Tables

Reinsurance Activity (Tables)	12 Months Ended
	Dec. 31, 2014
Reinsurance Activity [Abstract]
Effect of reinsurance on premiums earned and claims incurred	The effect of reinsurance on premiums earned and claims incurred is as follows:
						Premiums Earned									Claims Incurred(1)
			2014			2013			2012			2014			2013			2012
	Gross		$	2,199,351		$	2,281,697		$	2,335,942		$	1,748,972		$	1,841,695		$	1,928,191
	Ceded			(70,785	)		(78,662	)		(82,588	)		(25,184	)		(28,484	)		(31,116	)
	Net		$	2,128,566		$	2,203,035		$	2,253,354		$	1,723,788		$	1,813,211		$	1,897,075
		-1	The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $23,806, $22,990, and $22,784 that is included within the consolidated claims incurred during the years ended December 31, 2014, 2013 and 2012, respectively.

Income_Taxes_Tables

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2014
Income Taxes [Abstract]
Components of income tax expense (benefit)	The income tax expense differs from the amount computed by applying the Puerto Rico statutory income tax rate to the income before income taxes as a result of the following:
		2014			2013			2012
	Income before taxes	$	66,051		$	57,787		$	66,372
	Statutory tax rate		39	%		39	%		30	%
	Income tax expense at statutory rate		25,760			22,537			19,912
	Increase (decrease) in taxes resulting from
	Exempt interest income, net		(7,139	)		(5,850	)		(6,079	)
	Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation		(5,572	)		(3,819	)		(3,155	)
	Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP		-			123			417
	Effect of taxing capital gains at a preferential rate		(14,248	)		(708	)		(224	)
	Effect of using the 1994 tax code instead of the 2011 tax code		-			-			380
	Dividends received deduction		173			202			(3	)
	Adjustment to deferred tax assets and liabilities for changes in effective tax rates		5,466			(8,285	)		-
	Other adjustments to deferred tax assets and liabilities		(707	)		279			286
	Effect of extraordinary dividend distribution from the Association - reported net of taxes in other income		-			(4,996	)		-
	Tax credit benefit		(1,482	)		72			(1,445	)
	Effect of reassessment of unused credits for alternative minimum taxes paid		(6,486	)		-			-
	Other permanent disallowances, net:
	Disallowance of expenses related to exempt interest income		46			40			228
	Disallowed dividend received deduction		4,815			2,502			1,028
	Disallowed interest expense		21			21			118
	Other		282			794			658
	Total other permanent differences		5,164			3,357			2,032
	Other adjustments		(184	)		(631	)		351
	Total Income Tax Expense	$	745		$	2,281		$	12,472
Summary of deferred tax assets and liabilities	The net deferred tax asset at December 31, 2014 and 2013 of the Company and its subsidiaries is composed of the following:
		2014			2013
	Deferred tax assets
	Allowance for doubtful receivables	$	13,115		$	7,419
	Liability for pension benefits		31,541			19,242
	Employee benefits plan		2,283			3,290
	Postretirement benefits		1,238			54
	Deferred compensation		1,589			2,062
	Accumulated depreciation		1,142			376
	Impairment loss on investments		661			563
	Contingency reserves		273			-
	Share-based compensation		3,174			2,461
	Alternative minimum income tax credit		8,673			1,990
	Purchased tax credits		1,682			10,193
	Net operating loss		11,953			7,007
	Unrealized loss on securities available for sale		3			129
	Difference in tax basis of investments portfolio		5,000			-
	Accrued liabilities		1,195			-
	Other		538			-
	Gross deferred tax assets		84,060			54,786
	Less: valuation allowance		(6,754	)		(2,984	)
	Deferred tax assets		77,306			51,802
	Deferred tax liabilities
	Deferred policy acquisition costs		(3,946	)		(3,691	)
	Catastrophe loss reserve trust fund		(7,128	)		(6,949	)
	Unrealized gain upon acquisition		(101	)		(118	)
	Unrealized gain on securities available for sale		(21,540	)		(10,531	)
	Unamortized bond issue costs		(52	)		(61	)
	Intangible asset		(4,172	)		(6,179	)
	Accumulated depreciation		(25	)		(10,687	)
	Other		(103	)		(850	)
	Gross deferred tax liabilities		(37,067	)		(39,066	)
	Net deferred tax asset	$	40,239		$	12,736

Pension_Plans_Tables

Pension Plans (Tables)	12 Months Ended
	Dec. 31, 2014
Pension Plans [Abstract]
Schedule of plan's benefit obligations, fair value of plan assets, and funded status	The following table sets forth the plan’s benefit obligations, fair value of plan assets, and funded status as of December 31, 2014 and 2013, accordingly:
		2014			2013
	Change in benefit obligation
	Benefit obligation at beginning of year	$	163,487		$	177,334
	Service cost		3,589			4,254
	Interest cost		8,287			7,915
	Benefit payments		(5,858	)		(4,393	)
	Actuarial (gain) loss		35,749			(21,623	)
	Benefit obligation at end of year	$	205,254		$	163,487
	Accumulated benefit obligation at end of year	$	167,564		$	132,076
	Change in fair value of plan assets
	Fair value of plan assets at beginning of year	$	116,727		$	101,754
	Actual return on assets		9,239			11,866
	Employer contributions		8,000			7,500
	Benefit payments		(5,858	)		(4,393	)
	Fair value of plan assets at end of year	$	128,108		$	116,727
	Funded status at end of year	$	(77,146	)	$	(46,760	)
	Amounts in accumulated other comprehensive income not yet recognized as a component of net periodic pension cost
	Development of prior service credit
	Balance at beginning of year	$	(3,123	)	$	(3,573	)
	Amortization		450			450
	Net prior service credit		(2,673	)		(3,123	)
	Development of actuarial loss
	Balance at beginning of year		50,247			84,285
	Amortization		(4,134	)		(7,308	)
	(Gain)/Loss arising during the year		34,005			(26,730	)
	Actuarial net loss		80,118			50,247
	Sum of deferrals	$	77,445		$	47,124
	Net amount recognized	$	299		$	364
Assumptions used on weighted average basis to determine benefits obligations and computing the periodic benefit cost	The following assumptions were used on a weighted average basis to determine benefits obligations of the plan as of December 31, 2014 and 2013.
		2014			2013
	Discount rate		4.25	%		5.25	%
	Rate of compensation increase	Graded; 3.50%			Graded; 3.50%
		to 8.00%			to 8.00%
	The following assumptions were used on a weighted average basis in computing the periodic benefit cost for the years ended December 31, 2014, 2013, and 2012:
		2014			2013			2012
	Discount rate		5.25	%		4.5	%		5	%
	Expected return on plan assets		7	%		7	%		7.25	%
	Rate of compensation increase	Graded; 3.50%			Graded; 3.50%			Graded; 3.50%
		to 8.00%			to 8.00%			to 8.00%
Schedule of amounts recognized in balance sheet	The amounts recognized in the balance sheets as of December 31, 2014 and 2013 consist of the following:
		2014			2013
	Pension liability	$	77,146		$	46,760
	Accumulated other comprehensive loss, net of a deferred tax of $26,841 and $15,016 in 2014 and 2013, respectively		50,604			32,107
Schedule of components of net periodic benefit	The components of net periodic benefit cost for 2014, 2013, and 2012 were as follows:
		2014			2013			2012
	Components of net periodic benefit cost
	Service cost	$	3,589		$	4,254		$	5,525
	Interest cost		8,287			7,915			7,543
	Expected return on plan assets		(7,496	)		(6,758	)		(6,298	)
	Prior service benefit		(450	)		(450	)		(450	)
	Actuarial loss		4,134			7,308			6,135
	Net periodic benefit cost	$	8,064		$	12,269		$	12,455
Schedule of amounts in accumulated other comprehensive income (loss) to be recognized over next fiscal year	The estimated net loss and prior service benefit that will be amortized from accumulated other comprehensive loss into net periodic pension benefits cost during the next twelve months is as follows:
	Prior service cost	$	(450	)
	Actuarial loss		7,105
Schedule of fair value measurements by level	The following table summarizes fair value measurements by level at December 31, 2014 and 2013 for assets measured at fair value on a recurring basis:
		2014
		Level 1			Level 2			Level 3			Total
	Government obligations	$	3,433		$	2,629		$	-		$	6,062
	Corporate obligations		-			10,672			-			10,672
	Partnership/Joint venture		-			-			1,097			1,097
	Limited Liability Corporations		-			29,423			-			29,423
	Real estate		-			-			6,197			6,197
	Registered investments		14,994			11,759			-			26,753
	Common/Collective trusts		-			29,022			-			29,022
	Hedge funds		-			9,025			-			9,025
	Common stocks		5,970			-			-			5,970
	Preferred stocks		306			-			-			306
	Forward foreign currency contracts		-			15			-			15
	Interest-bearing cash		4,045			-			-			4,045
	Derivatives		-			4			-			4
		$	28,748		$	92,549		$	7,294		$	128,591
		2013
		Level 1			Level 2			Level 3			Total
	Government obligations	$	2,151		$	5,329		$	67		$	7,547
	Corporate obligations		-			5,289			2			5,291
	Partnership/Joint venture		-			-			1,631			1,631
	Limited Liability Corporations		-			6,400			-			6,400
	Real estate		-			-			4,523			4,523
	Registered investments		9,415			22,559			-			31,974
	Common/Collective trusts		-			42,591			-			42,591
	Hedge funds		-			7,765			-			7,765
	Common stocks		8,492			-			-			8,492
	Preferred stocks		202			-			-			202
	Forward foreign currency contracts		4			-			-			4
	Interest-bearing cash		541			-			-			541
	Derivatives		(1	)		8			-			7
		$	20,804		$	89,941		$	6,223		$	116,968
Schedule 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 year ended December 31, 2014 and 2013 is as follows:
								Partnership/
		Government			Corporate			Joint			Real			Hedge
		Obligations			Obligations			Venture			Estate			Funds			Total
	Beginning balance at December 31, 2012	$	69			-			1,431			3,953			1,874		$	7,327
	Actual return on program assets:
	Relating to assets still held at the reporting date		(6	)		(18	)		87			552			206			821
	Relating to assets sold during the period		-			-			-			42			359			401
	Purchases, issuances, and settlements		4			20			113			(24	)		(954	)		(841	)
	Transfer in and/or out		-			-			-			-			(1,485	)		(1,485	)
	Ending balance at December 31, 2013		67			2			1,631			4,523			-			6,223
	Actual return on program assets:
	Relating to assets still held at the reporting date		1			-			207			515			-			723
	Relating to assets sold during the period		-			1			(115	)		145			-			31
	Purchases, issuances, and settlements		4			(3	)		(626	)		1,014			-			389
	Transfer in and/or out		(72	)		-			-			-			-			(72	)
	Ending balance at December 31, 2014	$	-		$	-		$	1,097		$	6,197		$	-		$	7,294
Schedule of expected benefit payments	The following benefit payments, which reflect expected future service, as appropriate, are expected to be paid:
	Year ending December 31
	2015	$	8,477
	2016		9,855
	2017		10,520
	2018		11,825
	2019		12,470
	2020 – 2024		67,402

Comprehensive_Income_Tables

Comprehensive Income (Tables)	12 Months Ended
	Dec. 31, 2014
Comprehensive Income [Abstract]
Accumulated balances of other comprehensive income (loss)	The accumulated balances for each classification of other comprehensive income (loss) are as follows:
								Accumulated
		Unrealized			Liability			Other
		Gains on			for Pension			Comprehensive
		securities			Benefits			Income
	Beginning balance at December 31, 2013	$	65,584		$	(33,455	)	$	32,129
	Net current period change		50,670			(21,516	)		29,154
	Reclassification adjustments for gains and losses reclassified in income		(14,787	)		2,280			(12,507	)
	Ending balance at December 31, 2014	$	101,467		$	(52,691	)	$	48,776
Summary of related deferred tax effects allocated to each component of other comprehensive income	The related deferred tax effects allocated to each component of other comprehensive income in the accompanying consolidated statements of stockholders’ equity and comprehensive income in 2014, 2013 and 2012 are as follows:
		2014
					Deferred Tax
		Before-Tax			(Expense)			Net-of-Tax
		Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period	$	58,831		$	(8,161	)	$	50,670
	Less reclassification adjustment for gains and losses realized in income		(18,231	)		3,444			(14,787	)
	Net change in unrealized gain		40,600			(4,717	)		35,883
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs		3,737			(1,457	)		2,280
	Net change arising from assumptions and plan changes and experience		(35,271	)		13,755			(21,516	)
	Net change in liability for pension benefits		(31,534	)		12,298			(19,236	)
	Net current period change	$	9,066		$	7,581		$	16,647
		2013
					Deferred Tax
		Before-Tax			(Expense)			Net-of-Tax
		Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period	$	(40,948	)	$	6,142		$	(34,806	)
	Less reclassification adjustment for gains and losses realized in income		(2,587	)		462			(2,125	)
	Net change in unrealized gain		(43,535	)		6,604			(36,931	)
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs		7,108			(2,772	)		4,336
	Net change arising from assumptions and plan changes and experience		25,608			(9,988	)		15,620
	Net change in liability for pension benefits		32,716			(12,760	)		19,956
	Net current period change	$	(10,819	)	$	(6,156	)	$	(16,975	)
		2012
					Deferred Tax
		Before-Tax			(Expense)			Net-of-Tax
		Amount			Benefit			Amount
	Unrealized holding gains on securities arising during the period	$	44,123		$	(6,619	)	$	37,504
	Less reclassification adjustment for gains and losses realized in income		(5,197	)		2,071			(3,126	)
	Net change in unrealized gain		38,926			(4,548	)		34,378
	Liability for pension benefits:
	Reclassification adjustment for amortization of net losses from past experience and prior service costs		6,112			(1,835	)		4,277
	Net change arising from assumptions and plan changes and experience		(11,592	)		3,478			(8,114	)
	Net change in liability for pension benefits		(5,480	)		1,643			(3,837	)
	Net current period change	$	33,446		$	(2,905	)	$	30,541

ShareBased_Compensation_Tables

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2014
Share-Based Compensation [Abstract]
Summary of stock option activity	Stock option activity during the year ended December 31, 2014 is as follows:
					Weighted		Weighted
					Average		Average			Aggregate
		Number of			Exercise		Contractual			Intrinsic
		Shares			Price		Term (Years)			Value
	Outstanding balance at January 1, 2014		238,079		$	14.43
	Exercised during the year		(199,002	)	$	14.5
	Canceled during the year		(21,724	)	$	14.5
	Outstanding balance at December 31, 2014		17,353		$	13.5		1.41		$	180,592
	Exercisable at December 31, 2014		17,353		$	13.5		1.41		$	180,592
Status of entity's nonvested shares	A summary of the status of the Company’s nonvested restricted and performance shares as of December 31, 2014, and changes during the year ended December 31, 2014, are presented below:
		Restricted Awards					Performance Awards
					Weighted					Weighted
					Average					Average
		Number of			Fair		Number of			Exercise
		Shares			Value		Shares			Price
	Outstanding balance at January 1, 2014		131,784		$	19.49		324,604		$	19.89
	Granted		128,017			16.46		282,135			16.47
	Lapsed		(70,486	)		19.85		(53,341	)		23.71
	Forfeited (due to termination)		(10,289	)		17.32		(36,368	)		17.63
	Forfeited (due to performance payout less than 100%)		-			-		(57,131	)		22.99
	Outstanding balance at December 31, 2014		179,026		$	17.31		459,899		$	17.14

Net_Income_Available_to_Stockh1

Net Income Available to Stockholders and Basic Net Income per Share (Tables)	12 Months Ended
	Dec. 31, 2014
Net Income Available to Stockholders and Basic 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-year period ended December 31, 2014:
		2014		2013		2012
	Numerator for earnings per share
	Net income attributable to TSM available to stockholders	$	65,660	$	55,924	$	54,032
	Denominator for basic earnings per share – Weighted average of common shares		27,102,127		27,692,937		28,340,122
	Effect of dilutive securities		86,705		99,872		115,459
	Denominator for diluted earnings per share	$	27,188,832	$	27,792,809	$	28,455,581
	Basic net income per share attributable to TSM	$	2.42	$	2.02	$	1.91
	Diluted net income per share attributable to TSM	$	2.41	$	2.01	$	1.9

Commitments_Tables

Commitments (Tables)	12 Months Ended
	Dec. 31, 2014
Commitments [Abstract]
Minimum annual rental commitments	Minimum annual rental commitments at December 31, 2014 under existing agreements are summarized as follows:
	Year ending December 31
	2015	$	3,710
	2016		3,122
	2017		2,294
	2018		1,496
	2019		1,365
	Thereafter		251
	Total	$	12,238

Statutory_Accounting_Tables

Statutory Accounting (Tables)	12 Months Ended
	Dec. 31, 2014
Statutory Accounting [Abstract]
Unassigned surplus and net income of the regulated subsidiaries	(dollar amounts in millions)	2014		2013		2012
	Net admitted assets	$	1,734	$	1,672	$	1,593
	Capital and surplus		659		646		563
	RBC requirement		209		205		187
	Net income		88		63		44

Supplementary_Information_on_C1

Supplementary Information on Cash Flow Activities (Tables)	12 Months Ended
	Dec. 31, 2014
Supplementary Information on Cash Flow Activities [Abstract]
Supplementary information on cash flow activities		2014			2013			2012
	Supplementary information
	Noncash transactions affecting cash flow activities
	Change in net unrealized (gain) loss on securities available for sale, including deferred income tax (asset)/liability of $4,717, $(6,604), and $4,548 in 2014, 2013, and 2012, respectively	$	(35,883	)	$	36,931		$	(34,378	)
	Change in liability for pension benefits, and deferred income tax (asset)/liability of $(12,298), $12,760, $(1,643), in 2014, 2013, and 2012, respectively	$	19,236		$	(19,956	)	$	3,837
	Repurchase and retirement of common stock	$	(3,049	)	$	(321	)	$	(2,953	)
	Exercise of stock options	$	2,885		$	315		$	2,685
	Unsettled sales	$	10,456		$	-		$	-
	Other
	Income taxes paid	$	16,069		$	19,007		$	16,678
	Interest paid	$	5,764		$	6,257		$	8,310

Business_Combination_Tables

Business Combination (Tables)	12 Months Ended
	Dec. 31, 2014
Business Acquisition [Line Items]
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.
	(unaudited)	2013			2012
	Operating revenues	$	2,373,199		$	2,423,310
	Net Income	$	54,729		$	52,494
	Basic net income per share	$	1.98		$	1.85
	Diluted net income per share	$	1.97		$	1.84
2013 Acquisition [Member]
Business Acquisition [Line Items]
Consideration paid and allocation of purchase price to assets acquired and liabilities assumed	The following table summarizes the consideration paid to acquire TSB 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 and pension termination costs		3,600
	Due to seller		3,704
	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
2012 Acquisition [Member]
Business Acquisition [Line Items]
Consideration paid and allocation of purchase price to assets acquired and liabilities assumed	The following table summarizes the net assets acquired as a result of this acquisition:
	Cash	$	816
	Accounts receivable		1,466
	Property and equipment		12,289
	Intangible asset		2,730
	Other assets		296
	Accounts payable and accrued liabilities		(2,233	)
	Loans payable		(13,838	)
	Total net assets		1,526
	Fair value of noncontrolling interest		(372	)
	Total net assets	$	1,154

Segment_Information_Tables

Segment Information (Tables)	12 Months Ended
	Dec. 31, 2014
Segment Information [Abstract]
Operating revenues by major operating segment	The following tables summarize the operations by operating segment for each of the years in the three‑year period ended December 31, 2014, 2013, and 2012.
			2014			2013			2012
	Operating revenues
	Managed care
	Premiums earned, net		$	1,894,791		$	1,973,160		$	2,031,983
	Fee revenue			119,302			108,680			110,110
	Intersegment premiums/fee revenue			5,681			5,629			6,251
	Net investment income			15,010			16,353			16,349
	Total managed care			2,034,784			2,103,822			2,164,693
	Life
	Premiums earned, net			142,245			130,170			124,279
	Intersegment premiums			240			391			408
	Net investment income			23,717			22,212			20,857
	Total life			166,202			152,773			145,544
	Property and casualty
	Premiums earned, net			91,530			99,705			97,092
	Intersegment premiums			613			613			613
	Net investment income			8,600			8,281			8,851
	Total property and casualty			100,743			108,599			106,556
	Other segments*
	Intersegment service revenues			9,100			8,847			15,080
	Operating revenues from external sources			4,234			4,780			4,360
	Total other segments			13,334			13,627			19,440
	Total business segments			2,315,063			2,378,821			2,436,233
	TSM operating revenues from external sources			95			341			588
	Elimination of intersegment premiums			(6,534	)		(6,633	)		(7,272	)
	Elimination of intersegment service revenue			(9,100	)		(8,847	)		(15,080	)
	Other intersegment eliminations			116			99			141
	Consolidated operating revenues		$	2,299,640		$	2,363,781		$	2,414,610
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Operating income (loss)			2014			2013			2012
	Operating income
	Managed care		$	31,445		$	36,130		$	47,025
	Life			22,561			16,156			16,712
	Property and casualty			10,044			2,216			6,760
	Other segments*			(4,440	)		(4,777	)		(134	)
	Total business segments			59,610			49,725			70,363
	TSM operating revenues from external sources			95			341			588
	TSM unallocated operating expenses			(14,571	)		(9,913	)		(10,440	)
	Elimination of TSM charges			9,717			9,258			9,067
	Consolidated operating income			54,851			49,411			69,578
	Consolidated net realized investment gains			18,231			2,587			5,197
	Consolidated interest expense			(9,274	)		(9,474	)		(10,599	)
	Consolidated other income, net			2,243			15,263			2,196
	Consolidated income before taxes		$	66,051		$	57,787		$	66,372
			2014			2013			2012
	Depreciation and amortization expense
	Managed care		$	17,935		$	19,993		$	21,082
	Life			1,394			891			746
	Property and casualty			994			528			568
	Other segments*			3,264			3,314			992
	Total business segments			23,587			24,726			23,388
	TSM depreciation expense			813			863			854
	Consolidated depreciation and amortization expense		$	24,400		$	25,589		$	24,242
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets			2014			2013			2012
	Assets
	Managed care		$	975,999		$	934,467		$	916,712
	Life			764,268			698,650			691,425
	Property and casualty			362,620			346,212			356,161
	Other segments*			22,682			28,407			31,480
	Total business segments			2,125,569			2,007,736			1,995,778
	Unallocated amounts related to TSM
	Cash, cash equivalents, and investments			44,157			28,316			41,334
	Property and equipment, net			20,415			21,278			21,430
	Other assets			37,851			26,406			29,858
				102,423			76,000			92,622
	Elimination entries – intersegment receivables and others			(82,256	)		(36,112	)		(29,056	)
	Consolidated total assets		$	2,145,736		$	2,047,624		$	2,059,344
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Significant noncash items			2014			2013			2012
	Significant noncash items
	Net change in unrealized gain (loss) on securities available for sale
	Managed care		$	6,055		$	(1,898	)	$	11,750
	Life			22,349			(29,867	)		15,189
	Property and casualty			7,789			(3,765	)		6,268
	Other segments*			-			-			(194	)
	Total business segments			36,193			(35,530	)		33,013
	Amount related to TSM			(310	)		(1,401	)		1,365
	Consolidated net change in unrealized gain (loss) on securities available for sale		$	35,883		$	(36,931	)	$	34,378
	*	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Nature_of_Business_Details

Nature of Business (Details)	12 Months Ended
	Dec. 31, 2014
	Subsidiary
Business Acquisition [Line Items]
Number of other wholly owned subsidiaries	2
TSS [Member]
Business Acquisition [Line Items]
Current administration period	12 months
Number of service regions administration transferred in amendment	3
ASICO [Member]
Business Acquisition [Line Items]
Percentage of capital stock acquired (in hundredths)	100.00%

Significant_Accounting_Policie3

Significant Accounting Policies (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Cash and Cash Equivalents [Abstract]
Cash equivalents	$26,091	$32,646
Revenue Recognition [Abstract]
Managed care premiums grace period	2 months
Interest rate associated with amortization of deferred policy acquisition cost (in hundredths)	4.90%	4.90%	4.90%
Software Development Costs [Abstract]
New software implementation cost	0	3,811
Long-Lived Assets [Abstract]
Impairment charge	2,221
Goodwill impairment charge		2,369
Claim Liability [Abstract]
Withholdings and capitation payable amount of claim liabilities	40,072	42,298
Future Policy Benefit [Abstract]
Interest rate for future policy benefits, low range (in hundredths)	4.90%
Interest rate for future policy benefits, high range (in hundredths)	5.75%
Policyholder Funds [Abstract]
Interest on policy holder deposits	3,510	3,217	2,889
Income Tax [Abstract]
Recognized income tax positions percentage (in hundredths)	50.00%
Recent Accounting Standards [Abstract]
Health insurer's portion of annual fee - Patient Protection and Affordable Care Act	28,500
Final annual fee assessment	$27,700
Building [Member] | Maximum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	50 years
Building [Member] | Minimum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	20 years
Building improvements [Member] | Maximum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	5 years
Building improvements [Member] | Minimum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	3 years
Leasehold improvements [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated useful life leasehold improvement	Shorter of estimated useful life or lease term
Office furniture [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	5 years
Computer software [Member] | Maximum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	10 years
Computer software [Member] | Minimum [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	3 years
Computer equipment, equipment, and automobiles [Member]
Summary of the estimated useful lives of the entity's property and equipment [Abstract]
Estimated Useful Life	3 years

Investment_in_Securities_Detai

Investment in Securities (Details) (USD $)	0 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Oct. 31, 2013	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
		Security	Security
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		$1,045,285	$1,031,480
Gross Unrealized Gains		70,845	35,791
Gross Unrealized Losses		-231	-11,397
Estimated Fair Value		1,115,899	1,055,874
Available-for-sale equity securities, amortized cost basis [Abstract]
Amortized Cost		150,799	187,356
Estimated Fair Value		197,756	239,933
Available-for-sale securities, amortized cost basis [Abstract]
Amortized Cost		1,196,084	1,218,836
Gross Unrealized Gains		117,894	88,804
Gross Unrealized Losses		-323	-11,833
Estimated Fair Value		1,313,655	1,295,807
Securities held to maturity [Abstract]
Amortized Cost		2,944	6,139
Gross Unrealized Gains		219	170
Gross Unrealized Losses		0	0
Estimated Fair Value		3,163	6,309
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		114,646	375,240
12 months or longer, Estimated Fair Value		27,098	14,115
Total, Estimated Fair Value		141,744	389,355
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-213	-11,669
12 months or longer, Gross Unrealized Loss		-110	-164
Total, Gross Unrealized Loss		-323	-11,833
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		13	103
12 months or longer, Number of Securities		7	4
Total, Number of Securities		20	107
Minimum percentage of gross unrealized investment losses as cost (in hundredths)		20.00%
Minimum unrealized loss of investment as indicator of other-than-temporary impairment		100
Percentage of sales tax levied on bonds (in hundredths)		7.00%
Percentage of portion on sales tax bonds belongs to municipalities (in hundredths)		1.50%
Percentage of remaining portion on sales tax bonds (in hundredths)		5.50%
Covenant percentage pledged on sales tax bond (in hundredths)		3.50%
Percentage of pledged amount on sales tax bond (in hundredths)	3.50%	2.75%
Securities available for sale, Amortized Cost [Abstract]
Due in one year or less, Amortized Cost		50,050
Due after one year through five, Amortized Cost		358,681
Due after five year through ten years, Amortized Cost		121,781
Due after ten years, Amortized Cost		461,044
Residential mortgage-backed securities, Amortized Cost		6,808
Collateralized mortgage obligations, Amortized Cost		46,921
Amortized Cost		1,045,285	1,031,480
Securities available for sale, Estimated Fair Value [Abstract]
Due in one year or less, Estimated Fair Value		50,191
Due after one year through five, Estimated Fair Value		365,220
Due after five year through ten years, Estimated Fair Value		129,492
Due after ten years, Estimated Fair Value		515,147
Residential mortgage-backed securities, Estimated Fair Value		7,119
Collateralized mortgage obligations, Estimated Fair Value		48,730
Total, Estimated Fair Value		1,115,899	1,055,874
Securities held to maturity, Amortized Cost [Abstract]
Due in one year or less, Amortized Cost		2,105
Due after ten years, Amortized Cost		622
Residential mortgage-backed securities, Amortized Cost		217
Amortized Cost		2,944	6,139
Securities held to maturity, Estimated Fair Value [Abstract]
Due in one year or less, Estimated Fair Value		2,105
Due after ten years, Estimated Fair Value		820
Residential mortgage-backed securities, Estimated Fair Value		238
Total, Estimated fair value		3,163	6,309
Amortized cost of deposited with commissioner of insurance code		4,383	5,389
Fair value of deposited with commissioner of insurance code		4,582	4,487
Amortized cost of commissioner of insurance of government of domestic U.S. Virgin Islands		515	511
Fair value of commissioner of insurance of government of U.S. Virgin Islands		515	511
Other-than-temporary impairment for a total amount		1,170
Realized loss		27
Securities available for sale [Abstract]
Net realized gains on securities available for sale		16,806	2,587	5,197
Gross gain from other investment		1,425	0	0
Total net realized investment gains		18,231	2,587	5,197
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities		40,600	-43,535	38,926
Not recognized in the consolidated financial statements [Abstract]
Deferred tax (liability) related to unrealized gains		-4,717	6,604	-4,548
Percentage of individual investment in securities to stockholders' equity (in hundredths)		10.00%
Obligations of government-sponsored enterprises [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		129,649	104,317
Gross Unrealized Gains		1,014	1,854
Gross Unrealized Losses		-19	-380
Estimated Fair Value		130,644	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 Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		43,105	46,797
12 months or longer, Estimated Fair Value		0	0
Total, Estimated Fair Value		43,105	46,797
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-19	-380
12 months or longer, Gross Unrealized Loss		0	0
Total, Gross Unrealized Loss		-19	-380
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		2	4
12 months or longer, Number of Securities		0	0
Total, Number of Securities		2	4
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		129,649	104,317
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		130,644	105,791
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost			1,793
Securities held to maturity, Estimated Fair Value [Abstract]
Total, 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		94,480	38,131
Gross Unrealized Gains		648	1,068
Gross Unrealized Losses		-28	0
Estimated Fair Value		95,100	39,199
Securities held to maturity [Abstract]
Amortized Cost		622	622
Gross Unrealized Gains		198	117
Gross Unrealized Losses		0	0
Estimated Fair Value		820	739
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		39,966
12 months or longer, Estimated Fair Value		0
Total, Estimated Fair Value		39,966
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-28
12 months or longer, Gross Unrealized Loss		0
Total, Gross Unrealized Loss		-28
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		2
12 months or longer, Number of Securities		0
Total, Number of Securities		2
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		94,480	38,131
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		95,100	39,199
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost		622	622
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value		820	739
Obligations of the Commonwealth of Puerto Rico and its instrumentalities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		35,115	49,557
Gross Unrealized Gains		138	262
Gross Unrealized Losses		0	-4,814
Estimated Fair Value		35,253	45,005
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			22,285
12 months or longer, Estimated Fair Value			0
Total, Estimated Fair Value			22,285
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss			-4,814
12 months or longer, Gross Unrealized Loss			0
Total, Gross Unrealized Loss			-4,814
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities			13
12 months or longer, Number of Securities			0
Total, Number of Securities			13
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		35,115	49,557
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		35,253	45,005
Municipal securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		585,088	597,297
Gross Unrealized Gains		49,181	19,328
Gross Unrealized Losses		-50	-5,182
Estimated Fair Value		634,219	611,443
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		6,749	234,594
12 months or longer, Estimated Fair Value		6,693	4,646
Total, Estimated Fair Value		13,442	239,240
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-24	-5,145
12 months or longer, Gross Unrealized Loss		-26	-37
Total, Gross Unrealized Loss		-50	-5,182
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		3	51
12 months or longer, Number of Securities		3	1
Total, Number of Securities		6	52
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		585,088	597,297
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		634,219	611,443
Corporate bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		147,224	146,936
Gross Unrealized Gains		17,744	9,883
Gross Unrealized Losses		-134	-879
Estimated Fair Value		164,834	155,940
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		17,053	45,203
12 months or longer, Estimated Fair Value		20,405	0
Total, Estimated Fair Value		37,458	45,203
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-50	-879
12 months or longer, Gross Unrealized Loss		-84	0
Total, Gross Unrealized Loss		-134	-879
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		4	19
12 months or longer, Number of Securities		4	0
Total, Number of Securities		8	19
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		147,224	146,936
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		164,834	155,940
Residential mortgage-backed securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		6,808	7,388
Gross Unrealized Gains		311	324
Gross Unrealized Losses		0	-9
Estimated Fair Value		7,119	7,703
Securities held to maturity [Abstract]
Amortized Cost		217	346
Gross Unrealized Gains		21	27
Gross Unrealized Losses		0	0
Estimated Fair Value		238	373
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			24
12 months or longer, Estimated Fair Value			0
Total, Estimated Fair Value			24
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss			-9
12 months or longer, Gross Unrealized Loss			0
Total, Gross Unrealized Loss			-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
Total, Number of Securities			6
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		6,808	7,388
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		7,119	7,703
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost		217	346
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value		238	373
Collateralized mortgage obligations [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost		46,921	87,854
Gross Unrealized Gains		1,809	3,072
Gross Unrealized Losses		0	-133
Estimated Fair Value		48,730	90,793
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			1,106
12 months or longer, Estimated Fair Value			9,469
Total, Estimated Fair Value			10,575
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss			-6
12 months or longer, Gross Unrealized Loss			-127
Total, Gross Unrealized Loss			-133
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities			3
12 months or longer, Number of Securities			3
Total, Number of Securities			6
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost		46,921	87,854
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		48,730	90,793
Fixed maturities securities [Member]
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		106,873	350,009
12 months or longer, Estimated Fair Value		27,098	14,115
Total, Estimated Fair Value		133,971	364,124
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-121	-11,233
12 months or longer, Gross Unrealized Loss		-110	-164
Total, Gross Unrealized Loss		-231	-11,397
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		11	96
12 months or longer, Number of Securities		7	4
Total, Number of Securities		18	100
Securities available for sale [Abstract]
Gross gains from sales		5,118	5,408	1,988
Gross losses from sales		-5,884	-4,553	-460
Gross losses from other-than-temporary impairments		-1,170	0	0
Total fixed maturity securities		-1,936	855	1,528
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities		46,220	-71,904	20,959
Not recognized in the consolidated financial statements [Abstract]
Fixed maturities - held to maturity		49	-207	-191
Mutual funds [Member]
Available-for-sale equity securities, amortized cost basis [Abstract]
Amortized Cost		150,799	187,356
Gross Unrealized Gains		47,049	53,013
Gross Unrealized Losses		-92	-436
Estimated Fair Value		197,756	239,933
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value		7,773	25,231
12 months or longer, Estimated Fair Value		0	0
Total, Estimated Fair Value		7,773	25,231
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss		-92	-436
12 months or longer, Gross Unrealized Loss		0	0
Total, Gross Unrealized Loss		-92	-436
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities		2	7
12 months or longer, Number of Securities		0	0
Total, Number of Securities		2	7
Equity securities [Member]
Securities available for sale [Abstract]
Gross gains from sales		20,848	5,084	4,905
Gross losses from sales		-2,106	-2,310	-1,236
Gross losses from other-than-temporary impairments		0	-1,042	0
Total equity securities		18,742	1,732	3,669
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities		-5,620	28,369	17,967
Certificates of deposit [Member]
Securities held to maturity [Abstract]
Amortized Cost		2,105	3,378
Gross Unrealized Gains		0	0
Gross Unrealized Losses		0	0
Estimated Fair Value		2,105	3,378
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost		2,105	3,378
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value		2,105	3,378
Escrow Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value		22,335
Available-for-sale securities, amortized cost basis [Abstract]
Gross Unrealized Gains		5
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		22,335
Cofina Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value		11,269
Available-for-sale securities, amortized cost basis [Abstract]
Gross Unrealized Gains		65
Estimated Fair Value		8,627
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		11,269
Securities held to maturity, Estimated Fair Value [Abstract]
Realized loss		1,843
Puerto Rico Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value		1,649
Available-for-sale securities, amortized cost basis [Abstract]
Gross Unrealized Gains		68
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value		$1,649

Net_Investment_Income_Details

Net Investment Income (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Components of net investment income [Abstract]
Total	$47,540	$47,288	$46,790
Fixed maturities [Member]
Components of net investment income [Abstract]
Total	38,559	37,302	38,623
Equity securities [Member]
Components of net investment income [Abstract]
Total	7,660	8,640	6,831
Policy loans [Member]
Components of net investment income [Abstract]
Total	545	472	466
Cash equivalents and interest-bearing deposits [Member]
Components of net investment income [Abstract]
Total	117	84	115
Other [Member]
Components of net investment income [Abstract]
Total	$659	$790	$755

Premium_and_Other_Receivables_2

Premium and Other Receivables, Net (Details) (USD $)	Dec. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Premiums and Other Receivables, Net [Abstract]
Premium	$131,496	$108,963
Self-funded group receivables	62,189	55,598
FEHBP	12,384	11,804
Agent balances	25,300	27,655
Accrued interest	11,737	11,879
Reinsurance recoverable	50,686	46,116
Unsettled sales	10,456	0
Other	47,742	34,473
Premiums and other receivables, total	351,990	296,488
Less allowance for doubtful receivables [Abstract]
Premium	28,983	14,403
Others	7,385	7,146
Premiums and other receivables allowance	36,368	21,549
Premiums and other receivables, net	$315,622	$274,939

Deferred_Policy_Acquisition_Co2

Deferred Policy Acquisition Costs and Value of Business Acquired (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
DPAC [Roll Forward]
Balance,	$140,928	$132,529	$115,340
Additions	48,723	48,137	55,928
VOBA interest	0	0	0
Amortization	-37,895	-39,738	-38,739
Net change	10,828	8,399	17,189
Balance,	151,756	140,928	132,529
VOBA [Roll Forward]
Balance,	36,361	36,128	40,448
Additions	0	4,499	0
VOBA interest	1,726	1,951	2,184
Amortization	-5,743	-6,217	-6,504
Net change	-4,017	233	-4,320
Balance,	32,344	36,361	36,128
TOTAL [Roll Forward]
Balance,	177,289	168,657	155,788
Additions	48,723	52,636	55,928
VOBA interest	1,726	1,951	2,184
Amortization	-43,638	-45,955	-45,243
Net change	6,811	8,632	12,869
Balance,	184,100	177,289	168,657
VOBA interest rate (in hundredths)	5.17%	5.24%	5.24%
Value of business acquired future amortization expense [Abstract]
2015	4,208
2016	3,213
2017	2,815
2018	2,489
2019	$2,498

Property_and_Equipment_Net_Det

Property and Equipment, Net (Details) (USD $)	Dec. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	$204,144	$203,630
Less accumulated depreciation and amortization	125,801	114,544
Property and equipment, net	78,343	89,086
Land [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	10,976	10,976
Buildings and leasehold improvements [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	62,989	60,459
Office furniture and equipment [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	20,240	18,681
Computer equipment and software [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	109,445	112,679
Automobiles [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	$494	$835

Intangible_Asset_Details

Intangible Asset (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	$49,105	$53,005
Accumulated amortization	39,898	34,741
Intangible assets, net	9,207	18,264
Amortization expense	5,745	8,638	10,443
Estimated amortization expense [Abstract]
2015	2,868
2016	1,735
2017	1,200
2018	894
2019	709
Minimum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Expected life of intangible assets, determined percentage (in hundredths)	25.00%
Maximum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Expected life of intangible assets, determined percentage (in hundredths)	30.00%
Trade name [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	5,476	5,529
Expected life of intangible assets	3 years
Membership base [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	41,188	41,188
Membership base [Member] | Minimum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Expected life of intangible assets	1 year
Membership base [Member] | Maximum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Expected life of intangible assets	13 years
Provider networks [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	1,681	2,808
Expected life of intangible assets	5 years
Other [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	$760	$3,480

Fair_Value_Measurements_Detail

Fair Value Measurements (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Equity securities [Abstract]
Assets, fair value disclosure, Total	$4,582	$4,487
6.6% Senior Unsecured Notes Payable [Member]
Long-term borrowings [Abstract]
Fixed rate of interest on notes payable (in hundredths)	6.60%	6.60%
Carrying Value [Member]
Assets [Abstract]
Policy loans	7,260	6,705
Liabilities [Abstract]
Policyholder deposits	118,912	115,923
Long-term borrowings [Abstract]
Loans payable to bank - variable	14,467	16,107
Loans payable to bank - fixed		13,195
6.6% senior unsecured notes payable	35,000	35,000
Repurchase agreement	25,000	25,000
Total long-term borrowings	74,467	89,302
Total liabilities	193,379	205,225
Fair Value [Member]
Assets [Abstract]
Policy loans	7,260	6,705
Liabilities [Abstract]
Policyholder deposits	118,912	115,923
Long-term borrowings [Abstract]
Loans payable to bank - variable	14,467	16,107
Loans payable to bank - fixed		13,195
6.6% senior unsecured notes payable	33,513	33,775
Repurchase agreement	25,337	25,638
Total long-term borrowings	73,317	88,715
Total liabilities	192,229	204,638
Level 1 [Member] | Fair Value [Member]
Assets [Abstract]
Policy loans	0	0
Liabilities [Abstract]
Policyholder deposits	0	0
Long-term borrowings [Abstract]
Loans payable to bank - variable	0	0
Loans payable to bank - fixed		0
6.6% senior unsecured notes payable	0	0
Repurchase agreement	0	0
Total long-term borrowings	0	0
Total liabilities	0	0
Level 2 [Member] | Fair Value [Member]
Assets [Abstract]
Policy loans	7,260	6,705
Liabilities [Abstract]
Policyholder deposits	118,912	115,923
Long-term borrowings [Abstract]
Loans payable to bank - variable	14,467	16,107
Loans payable to bank - fixed		13,195
6.6% senior unsecured notes payable	33,513	33,775
Repurchase agreement	25,337	25,638
Total long-term borrowings	73,317	88,715
Total liabilities	192,229	204,638
Level 3 [Member] | Fair Value [Member]
Assets [Abstract]
Policy loans	0	0
Liabilities [Abstract]
Policyholder deposits	0	0
Long-term borrowings [Abstract]
Loans payable to bank - variable	0	0
Loans payable to bank - fixed		0
6.6% senior unsecured notes payable	0	0
Repurchase agreement	0	0
Total long-term borrowings	0	0
Total liabilities	0	0
Fair Value, Measurements, Recurring [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	130,644	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	95,100	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	35,253	45,005
Municipal securities	634,219	611,443
Corporate bonds	164,834	155,940
Residential agency mortgage-backed securities	7,119	7,703
Collaterized mortgage obligations	48,730	90,793
Total fixed maturities	1,115,899	1,055,874
Equity securities [Abstract]
Equity securities - Mutual funds	197,756	239,933
Assets, fair value disclosure, Total	1,313,655	1,295,807
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]
Beginning balance	17,910	12,822
Realized gains	2,552	192
Unrealized in other accumulated comprehensive income	-2,937	2,756
Purchases	501	2,439
Sales		-299
Distributions received	-4,677
Ending balance	13,349	17,910
Fair Value, Measurements, Recurring [Member] | Level 1 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	0	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	95,100	39,199
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	0
Municipal securities	0	0
Corporate bonds	0	0
Residential agency mortgage-backed securities	0	0
Collaterized mortgage obligations	0	0
Total fixed maturities	95,100	39,199
Equity securities [Abstract]
Equity securities - Mutual funds	160,461	158,281
Assets, fair value disclosure, Total	255,561	197,480
Fair Value, Measurements, Recurring [Member] | Level 2 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	130,644	105,791
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	35,253	45,005
Municipal securities	634,219	611,443
Corporate bonds	164,834	155,940
Residential agency mortgage-backed securities	7,119	7,703
Collaterized mortgage obligations	48,730	90,793
Total fixed maturities	1,020,799	1,016,675
Equity securities [Abstract]
Equity securities - Mutual funds	23,946	63,742
Assets, fair value disclosure, Total	1,044,745	1,080,417
Fair Value, Measurements, Recurring [Member] | Level 3 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	0	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	0
Municipal securities	0	0
Corporate bonds	0	0
Residential agency mortgage-backed securities	0	0
Collaterized mortgage obligations	0	0
Total fixed maturities	0	0
Equity securities [Abstract]
Equity securities - Mutual funds	13,349	17,910
Assets, fair value disclosure, Total	$13,349	$17,910

Claim_Liabilities_Details

Claim Liabilities (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Claim Liabilities [Roll Forward]
Claim liabilities at beginning of year	$420,421	$416,918	$391,259
Reinsurance recoverable on claim liabilities	-37,557	-39,051	-37,234
Net claim liabilities at beginning of year	382,864	377,867	354,025
Claim liabilities acquired from business acquisitions	0	1,048	0
Claims incurred [Abstract]
Current period insured events	1,761,199	1,832,414	1,900,053
Prior period insured events	-37,411	-19,203	-2,978
Total	1,723,788	1,813,211	1,897,075
Payments of losses and loss-adjustment expense [Abstract]
Current period insured events	1,499,646	1,507,302	1,579,970
Prior period insured events	257,555	301,960	293,263
Total	1,757,201	1,809,262	1,873,233
Net claim liabilities at end of year	349,451	382,864	377,867
Reinsurance recoverable on claim liabilities	40,635	37,557	39,051
Claim liabilities at end of year	390,086	420,421	416,918
Change in liability for future policy benefits, expense	$23,807	$22,990	$22,784

Federal_Employees_Health_Benef1

Federal Employees' Health Benefits Program (FEHBP) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Federal Employees' Health Benefits Program (FEHBP) [Abstract]
Service fees included within other income	$1,229	$1,204	$1,117
Federal employees health benefits program funds	39,835	31,326
Contingency reserve	24,824	31,328
Proceed from contingency reserve	$12,766	$634	$3,463

LongTerm_Borrowings_Details

Long-Term Borrowings (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Summary of long-term borrowings [Abstract]
Total borrowings	$74,467	$89,302
Aggregate maturities of Company's long term borrowings [Abstract]
2015	26,640
2016	1,640
2017	1,640
2018	1,640
2019	1,640
Thereafter	41,267
Total borrowings	74,467	89,302
Period of notes prepaid at par, in total or partially	5 years
Unamortized debt issuance costs related to notes	132	157
Fair value of collateral securities	27,135	27,915
Face value of collateral securities	27,110	27,835
Interest expense on borrowings	3,639	4,106	5,554
6.60% Senior unsecured notes payable, due 2020 [Member]
Summary of long-term borrowings [Abstract]
Total borrowings	35,000	35,000
Face value of notes payable	60,000
Maturity date of notes payable	31-Dec-20
Fixed rate of interest on notes payable (in hundredths)	6.60%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings	35,000	35,000
6.70% Senior unsecured notes payable, due 2021 [Member]
Aggregate maturities of Company's long term borrowings [Abstract]
Repaid principal amount of notes		10,000	25,000
Secured loan payable, due 2024 [Member]
Summary of long-term borrowings [Abstract]
Total borrowings	14,467	16,107
Face value of notes payable	41,000
Maturity date of notes payable	1-Jul-24
Monthly installments of loan payable	137
Basis points	1.00%
Interest rate on loan payable (in hundredths)	1.24%	1.25%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings	14,467	16,107
Repurchase agreement [Member]
Summary of long-term borrowings [Abstract]
Total borrowings	25,000	25,000
Face value of notes payable	25,000
Maturity date of notes payable	30-Nov-15
Fixed rate of interest on notes payable (in hundredths)	1.96%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings	25,000	25,000
Secured loan payable, due 2014 [Member]
Summary of long-term borrowings [Abstract]
Total borrowings	0	13,195
Face value of notes payable	14,138
Maturity date of notes payable	31-Dec-14
Fixed rate of interest on notes payable (in hundredths)	4.75%
Monthly installments of loan payable	81
Number of monthly installments	35
Last payment amount	12,931
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings	$0	$13,195

Agency_Contract_and_Expense_Re1

Agency Contract and Expense Reimbursement (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Agency Contract and Expense Reimbursement [Abstract]
Reimbursement expenses claimed	$2,644	$2,663	$2,982

Reinsurance_Activity_Details

Reinsurance Activity (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014		Dec. 31, 2013		Dec. 31, 2012
Premiums Earned [Abstract]
Gross	$2,199,351		$2,281,697		$2,335,942
Ceded	-70,785		-78,662		-82,588
Net	2,128,566		2,203,035		2,253,354
Claims Incurred [Abstract]
Gross	1,748,972	[1]	1,841,695	[1]	1,928,191	[1]
Ceded	-25,184	[1]	-28,484	[1]	-31,116	[1]
Net	1,723,788	[1]	1,813,211	[1]	1,897,075	[1]
Change in the liability for future policy benefits	23,807		22,990		22,784
Reinsurance [Line Items]
Period of reinsurance contracts	1 year
Premiums ceded	70,785		78,662		82,588
Claims ceded	25,184	[1]	28,484	[1]	31,116	[1]
TSS [Member]
Premiums Earned [Abstract]
Ceded	-4,901		-10,930		-11,119
Claims Incurred [Abstract]
Ceded	-5,487		-9,745		-8,303
Reinsurance [Line Items]
Number of reinsurance entity with which subsidiary placed reinsurance business	1
Premiums ceded	4,901		10,930		11,119
Claims ceded	5,487		9,745		8,303
TSP [Member]
Premiums Earned [Abstract]
Ceded	-52,058		-57,643		-63,515
Reinsurance [Line Items]
Percentage of reinsurance business placed with one reinsurance entity (in hundredths)	13.26%		12.54%		11.47%
Premiums ceded	52,058		57,643		63,515
Ceded unearned reinsurance premiums	11,374		14,009
TSV [Member]
Premiums Earned [Abstract]
Ceded	-10,328		-8,874		-7,954
Reinsurance [Line Items]
Premiums ceded	10,328		8,874		7,954
Retired Employees Of The Commonwealth Of Puerto Rico [Member] | TSS [Member]
Reinsurance [Line Items]
Percentage of claim covered (in hundredths)	100.00%
Maximum amount of claim to be covered per person	500
Maximum amount of claim covered with major medical coverage	1,000
Municipalities Of Puerto Rico [Member] | TSS [Member]
Reinsurance [Line Items]
Percentage of claim covered (in hundredths)	100.00%
Maximum amount of claim to be covered per person	250
Maximum amount of claim covered with life time limit	1,000
U.S. Virgin Islands [Member] | TSS [Member]
Reinsurance [Line Items]
Percentage of claim covered (in hundredths)	100.00%
Maximum amount of claim to be covered per person	2,000
Amount of claim covered	150
Excess amount reinsured	1,850
Organ transplant excess of loss treaty [Member] | TSS [Member]
Reinsurance [Line Items]
Percentage of claim covered (in hundredths)	80.00%
Maximum amount of claim to be covered per person	800
Maximum amount of claim to be covered per person one	200
Maximum amount of claim covered with other options for other groups, per person	400
Organ transplant excess of loss treaty [Member] | TSS [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	1,000
Maximum amount of claim to be covered per person one	250
Maximum amount of claim covered with other options for other groups, per person	500
Property quota share treaty [Member] | TSP [Member]
Reinsurance [Line Items]
Percentage of risk ceded to reinsurers (in hundredths)	30.00%
Percentage of exposure covered by property (in hundredths)	70.00%
Property quota share treaty [Member] | TSP [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	20,000
Amount of claim covered under treaty covered by property	14,000
Property quota share treaty [Member] | TSP [Member] | Maximum [Member] | Catastrophe [Member]
Reinsurance [Line Items]
Amount of claim covered	15,000
Property quota share treaty [Member] | TSP [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered under treaty covered by property	500
Property quota share treaty [Member] | TSP [Member] | Minimum [Member] | Catastrophe [Member]
Reinsurance [Line Items]
Amount of claim covered	8,000
Personal property catastrophe excess of loss [Member] | TSP [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	40,000
Personal property catastrophe excess of loss [Member] | TSP [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered	5,000
Commercial property catastrophe excess of loss [Member] | TSP [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	150,000
Commercial property catastrophe excess of loss [Member] | TSP [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered	10,000
Property catastrophe excess of loss [Member] | TSP [Member]
Reinsurance [Line Items]
Amount of claim covered	165,000
Property catastrophe excess of loss [Member] | TSP [Member] | Maximum [Member] | Commercial Lines [Member]
Reinsurance [Line Items]
Amount of claim covered	150,000
Property catastrophe excess of loss [Member] | TSP [Member] | Minimum [Member] | Personal Lines [Member]
Reinsurance [Line Items]
Amount of claim covered	40,000
Reinstatement premium protection [Member] | TSP [Member] | Personal Lines [Member]
Reinsurance [Line Items]
Amount of claim covered	2,300
Reinstatement premium protection [Member] | TSP [Member] | Commercial Lines [Member]
Reinsurance [Line Items]
Amount of claim covered	12,000
Casualty excess of loss treaty [Member] | TSP [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	12,000
Casualty excess of loss treaty [Member] | TSP [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered	225
Medical malpractice excess of loss [Member] | TSP [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	1,500
Medical malpractice excess of loss [Member] | TSP [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered	150
Builders' risk quota share [Member] | TSP [Member]
Reinsurance [Line Items]
Initial amount on which treaty provide protection on quota share basis	2,500
Amount of first surplus	12,500
Maximum amount of surplus	14,500
Surety quota share treaty [Member] | TSP [Member]
Reinsurance [Line Items]
Amount of claim covered for contract surety bonds	5,000
Aggregate amount of claim covered for contract surety bonds per contractor	10,000
Amount of claim covered for miscellaneous surety bond	3,000
Group life insurance facultative agreement [Member] | TSV [Member]
Reinsurance [Line Items]
Percentage of risk covered (in hundredths)	50.00%
Group life insurance facultative agreement [Member] | TSV [Member] | Maximum [Member]
Reinsurance [Line Items]
Amount of claim covered	200
Group life insurance facultative agreement [Member] | TSV [Member] | Minimum [Member]
Reinsurance [Line Items]
Amount of claim covered	$25
Facultative pro rata agreements [Member] | TSV [Member]
Reinsurance [Line Items]
Percentage of risk covered (in hundredths)	65.00%
Several reinsurance agreements [Member] | TSV [Member]
Reinsurance [Line Items]
Description of retention amount	Several reinsurance agreements, mostly on an excess of loss basis up to a maximum retention of $50. For certain new life products that have been issued after 1999, the retention limit is $175.
[1]	The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $23,807, $22,990, and $22,784 that is included within the consolidated claims incurred during the years ended December 31, 2014, 2013 and 2012, respectively.

Income_Taxes_Details

Income Taxes (Details) (USD $)	12 Months Ended			1 Months Ended	4 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012	Jan. 31, 2011	Oct. 31, 2014
Income Tax Examination [Line Items]
One-time charge to operations	$6,300
Elimination additional special tax (in hundredths)	5.00%
Entity acquired in AH transaction effective income tax rate reconciliation at statutory income tax rate (in hundredths)	39.00%
Income tax expense benefit reconciliation [Abstract]
Income before taxes	66,051	57,787	66,372
Statutory tax rate (in hundredths)	39.00%	39.00%	30.00%
Income tax expense at statutory rate	25,760	22,537	19,912
Increase (decrease) in taxes resulting from [Abstract]
Exempt interest income	-7,139	-5,850	-6,079
Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation	-5,572	-3,819	-3,155
Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP	0	123	417
Effect of taxing capital gains at a preferential rate	-14,248	-708	-224
Effect of using the 1994 tax code instead of the 2011 tax code	0	0	380
Dividends received deduction	173	202	-3
Adjustment to deferred tax assets and liabilities for changes in effective tax rates	5,466	-8,285	0
Other adjustments to deferred tax assets and liabilities	-707	279	286
Effect of extraordinary dividend distribution from the Association - reported net of taxes in other income	0	-4,996	0
Tax credit benefit	-1,482	72	-1,445
Effect of reassessment of unused credits for alternative minimum taxes paid	-6,486	0	0
Other permanent disallowances, net [Abstract]
Disallowance of expenses related to exempt interest income	46	40	228
Disallowed dividend received deduction	4,815	2,502	1,028
Disallowed interest expense	21	21	118
Other	282	794	658
Total other permanent differences	5,164	3,357	2,032
Other adjustments	-184	-631	351
Total Income Tax Expense	745	2,281	12,472
Federal income tax	451	790	820
Total outside basis difference	54,000	56,000
Deferred tax assets [Abstract]
Allowance for doubtful receivables	13,115	7,419
Liability for pension benefits	31,541	19,242
Employee benefits plan	2,283	3,290
Postretirement benefits	1,238	54
Deferred compensation	1,589	2,062
Accumulated depreciation	1,142	376
Impairment loss on investments	661	563
Contingency reserves	273	0
Share-based compensation	3,174	2,461
Alternative minimum income tax credit	8,673	1,990
Purchased tax credits	1,682	10,193
Net operating loss	11,953	7,007
Unrealized loss on securities available for sale	3	129
Difference in tax basis of investments portfolio	5,000	0
Accrued liabilities	1,195	0
Other	538	0
Gross deferred tax assets	84,060	54,786
Less: valuation allowance	-6,754	-2,984
Deferred tax assets	77,306	51,802
Deferred tax liabilities [Abstract]
Deferred policy acquisition costs	-3,946	-3,691
Catastrophe loss reserve trust fund	-7,128	-6,949
Unrealized gain upon acquisition	-101	-118
Unrealized gain on securities available for sale	-21,540	-10,531
Unamortized bond issue costs	-52	-61
Intangible asset	-4,172	-6,179
Accumulated depreciation	-25	-10,687
Other	-103	-850
Gross deferred tax liabilities	-37,067	-39,066
Net deferred tax asset	40,239	12,736
Maximum extraordinary dividend	200,000
Extraordinary dividend special tax rate (in hundredths)	50.00%
Proceeds from association a special distribution		12,811
Deferred tax assets, net	68,695	33,519
Deferred tax liabilities, net	28,456	20,783
Operating loss carryforwards	21,260
Valuation allowance from U.S. Virgin Islands operations	-3,859	-2,984
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	2014
Puerto Rico [Member]
Income Tax Examination [Line Items]
Percentage of premium tax on policies underwritten (in hundredths)	5.00%
Income tax prepayments at reduced rate (in hundredths )					12.00%
Amount of estimated tax payment used as a credit to offset future income tax liabilities	10,000
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%
Income tax expense benefit reconciliation [Abstract]
Statutory tax rate (in hundredths)	39.00%	30.00%		40.95%
Other permanent disallowances, net [Abstract]
Total Income Tax Expense	$17,049
Puerto Rico [Member] | Minimum [Member]
Income Tax Examination [Line Items]
Changes to the corporate tax (in hundredths )	15.00%
Puerto Rico [Member] | Maximum [Member]
Income Tax Examination [Line Items]
Changes to the corporate tax (in hundredths )	20.00%

Pension_Plans_Details

Pension Plans (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Summary of amounts recognized in the balance sheets [Abstract]
Accumulated other comprehensive loss, deferred tax	$26,841	$15,016
Summary of expected benefit payments[Abstract]
Pension liability	86,716	54,697
Noncontributory Defined-Benefit Pension Plan [Member]
Defined Benefit Plan Disclosure [Line Items]
Requisite service period	5 years
Change in benefit obligation [Roll Forward]
Benefit obligation at beginning of year	163,487	177,334
Service cost	3,589	4,254	5,525
Interest Cost	8,287	7,915	7,543
Benefit payments	-5,858	-4,393
Actuarial (gain) loss	35,749	-21,623
Benefit obligation at end of year	205,254	163,487	177,334
Accumulated benefit obligation at end of year	167,564	132,076
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	116,727	101,754
Actual return on assets	9,239	11,866
Employer contributions	8,000	7,500
Benefit payments	-5,858	-4,393
Fair value of plan assets at end of year	128,108	116,727	101,754
Funded status at end of year	-77,146	-46,760
Development of prior service credit [Abstract]
Balance at beginning of year	-3,123	-3,573
Amortization	450	450	450
Net prior service credit	-2,673	-3,123	-3,573
Development of actuarial loss [Abstract]
Balance at beginning of year	50,247	84,285
Amortization	-4,134	-7,308	-6,135
(Gain)/Loss arising during the year	34,005	-26,730
Actuarial net loss	80,118	50,247	84,285
Sum of deferrals	77,445	47,124
Net amount recognized	299	364
Weighted average basis on benefits obligations [Abstract]
Discount rate (in hundredths)	4.25%	5.25%
Summary of amounts recognized in the balance sheets [Abstract]
Pension liability	77,146	46,760
Accumulated other comprehensive loss, net of a deferred tax of $26,841 and $15,016 in 2014 and 2013, respectively	50,604	32,107
Components of net periodic benefit cost [Abstract]
Service cost	3,589	4,254	5,525
Interest cost	8,287	7,915	7,543
Expected return on assets	-7,496	-6,758	-6,298
Prior service benefit	-450	-450	-450
Actuarial loss	4,134	7,308	6,135
Net periodic benefit cost	8,064	12,269	12,455
Summary of estimated net loss and prior service benefit that will be amortized from accumulated other comprehensive loss into net periodic pension benefits cost during the next twelve months [Abstract]
Prior service cost	-450
Actuarial loss	7,105
Amortized from accumulated other comprehensive loss into periodic pension benefits	2,400
Weighted average basis on periodic benefit cost [Abstract]
Discount rate (in hundredths)	5.25%	4.50%	5.00%
Expected return on plan assets (in hundredths)	7.00%	7.00%	7.25%
Expected rate of return on plan assets (in hundredths)	7.00%	7.00%
Reduction in other administrative expenses (in hundredths)	0.10%
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	128,108	116,727	101,754
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	116,727	101,754
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	128,108	116,727	101,754
Expected employer future contributions	8,000
Summary of expected benefit payments[Abstract]
2015	8,477
2016	9,855
2017	10,520
2018	11,825
2019	12,470
2020 - 2024	67,402
Noncontributory Defined-Benefit Pension Plan [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	128,591	116,968
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	128,591	116,968
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	128,591	116,968
Noncontributory Defined-Benefit Pension Plan [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	28,748	20,804
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	28,748	20,804
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	28,748	20,804
Noncontributory Defined-Benefit Pension Plan [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	92,549	89,941
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	92,549	89,941
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	92,549	89,941
Noncontributory Defined-Benefit Pension Plan [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	6,223	7,327
Fair value of plan assets at end of year	7,294	6,223
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	7,294	6,223
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	6,223	7,327
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	723	821
Relating to assets sold during the period	31	401
Purchases, issuances, and settlements	389	-841
Transfer in and/or out	-72	-1,485
Fair value of plan assets at end of year	7,294	6,223
Noncontributory Defined-Benefit Pension Plan [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	7,294	6,223
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	7,294	6,223
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	7,294	6,223
Noncontributory Defined-Benefit Pension Plan [Member] | Minimum [Member]
Weighted average basis on benefits obligations [Abstract]
Rate of compensation increase (in hundredths)	3.50%	3.50%
Weighted average basis on periodic benefit cost [Abstract]
Rate of compensation increase (in hundredths)	3.50%	3.50%	3.50%
Percentile range of assets allocation (in hundredths)	35.00%
Expected rate of return on plan assets (in hundredths)	5.70%
Noncontributory Defined-Benefit Pension Plan [Member] | Maximum [Member]
Weighted average basis on benefits obligations [Abstract]
Rate of compensation increase (in hundredths)	8.00%	8.00%
Weighted average basis on periodic benefit cost [Abstract]
Rate of compensation increase (in hundredths)	8.00%	8.00%	8.00%
Percentile range of assets allocation (in hundredths)	65.00%
Expected rate of return on plan assets (in hundredths)	7.40%
Noncontributory Defined-Benefit Pension Plan [Member] | Equity Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum (in hundredths)	44.00%
Target asset allocation maximum (in hundredths)	56.00%
Noncontributory Defined-Benefit Pension Plan [Member] | Debt Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum (in hundredths)	34.00%
Target asset allocation maximum (in hundredths)	46.00%
Noncontributory Defined-Benefit Pension Plan [Member] | Other Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum (in hundredths)	6.00%
Target asset allocation maximum (in hundredths)	14.00%
Noncontributory Defined-Benefit Pension Plan [Member] | Limited Liability Corporations [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	29,423	6,400
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	29,423	6,400
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	29,423	6,400
Noncontributory Defined-Benefit Pension Plan [Member] | Limited Liability Corporations [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Limited Liability Corporations [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	29,423	6,400
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	29,423	6,400
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	29,423	6,400
Noncontributory Defined-Benefit Pension Plan [Member] | Limited Liability Corporations [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Government Obligations [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	6,062	7,547
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,062	7,547
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	6,062	7,547
Noncontributory Defined-Benefit Pension Plan [Member] | Government Obligations [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	3,433	2,151
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	3,433	2,151
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	3,433	2,151
Noncontributory Defined-Benefit Pension Plan [Member] | Government Obligations [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	2,629	5,329
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	2,629	5,329
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	2,629	5,329
Noncontributory Defined-Benefit Pension Plan [Member] | Government Obligations [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	67	69
Fair value of plan assets at end of year	0	67
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	67
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	67	69
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	1	-6
Relating to assets sold during the period	0	0
Purchases, issuances, and settlements	4	4
Transfer in and/or out	-72	0
Fair value of plan assets at end of year	0	67
Noncontributory Defined-Benefit Pension Plan [Member] | Government Obligations [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	67
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	67
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	67
Noncontributory Defined-Benefit Pension Plan [Member] | Corporate Obligations [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	10,672	5,291
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	10,672	5,291
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	10,672	5,291
Noncontributory Defined-Benefit Pension Plan [Member] | Corporate Obligations [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Corporate Obligations [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	10,672	5,289
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	10,672	5,289
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	10,672	5,289
Noncontributory Defined-Benefit Pension Plan [Member] | Corporate Obligations [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	2	0
Fair value of plan assets at end of year	0	2
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	2
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	2	0
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	0	-18
Relating to assets sold during the period	1	0
Purchases, issuances, and settlements	-3	20
Transfer in and/or out	0	0
Fair value of plan assets at end of year	0	2
Noncontributory Defined-Benefit Pension Plan [Member] | Corporate Obligations [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	2
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	2
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	2
Noncontributory Defined-Benefit Pension Plan [Member] | Partnership/Joint venture [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	1,097	1,631
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,097	1,631
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	1,097	1,631
Noncontributory Defined-Benefit Pension Plan [Member] | Partnership/Joint venture [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Partnership/Joint venture [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Partnership/Joint venture [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	1,631	1,431
Fair value of plan assets at end of year	1,097	1,631
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,097	1,631
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	1,631	1,431
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	207	87
Relating to assets sold during the period	-115	0
Purchases, issuances, and settlements	-626	113
Transfer in and/or out	0	0
Fair value of plan assets at end of year	1,097	1,631
Noncontributory Defined-Benefit Pension Plan [Member] | Partnership/Joint venture [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	1,097	1,631
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,097	1,631
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	1,097	1,631
Noncontributory Defined-Benefit Pension Plan [Member] | Real Estate [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	6,197	4,523
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,197	4,523
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	6,197	4,523
Noncontributory Defined-Benefit Pension Plan [Member] | Real Estate [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Real Estate [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Real Estate [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	4,523	3,953
Fair value of plan assets at end of year	6,197	4,523
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,197	4,523
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	4,523	3,953
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	515	552
Relating to assets sold during the period	145	42
Purchases, issuances, and settlements	1,014	-24
Transfer in and/or out	0	0
Fair value of plan assets at end of year	6,197	4,523
Noncontributory Defined-Benefit Pension Plan [Member] | Real Estate [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	6,197	4,523
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,197	4,523
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	6,197	4,523
Noncontributory Defined-Benefit Pension Plan [Member] | Registered Investments [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	26,753	31,974
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	26,753	31,974
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	26,753	31,974
Noncontributory Defined-Benefit Pension Plan [Member] | Registered Investments [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	14,994	9,415
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	14,994	9,415
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	14,994	9,415
Noncontributory Defined-Benefit Pension Plan [Member] | Registered Investments [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	11,759	22,559
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	11,759	22,559
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	11,759	22,559
Noncontributory Defined-Benefit Pension Plan [Member] | Registered Investments [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Common/Collective trusts [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	29,022	42,591
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	29,022	42,591
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	29,022	42,591
Noncontributory Defined-Benefit Pension Plan [Member] | Common/Collective trusts [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Common/Collective trusts [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	29,022	42,591
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	29,022	42,591
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	29,022	42,591
Noncontributory Defined-Benefit Pension Plan [Member] | Common/Collective trusts [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Hedge Funds [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	9,025	7,765
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	9,025	7,765
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	9,025	7,765
Noncontributory Defined-Benefit Pension Plan [Member] | Hedge Funds [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Hedge Funds [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	9,025	7,765
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	9,025	7,765
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	9,025	7,765
Noncontributory Defined-Benefit Pension Plan [Member] | Hedge Funds [Member] | Level 3 [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	0	1,874
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Summary of reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) [Abstract]
Fair value of plan assets at beginning of year	0	1,874
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	0	206
Relating to assets sold during the period	0	359
Purchases, issuances, and settlements	0	-954
Transfer in and/or out	0	-1,485
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Hedge Funds [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Common Stock [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	5,970	8,492
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	5,970	8,492
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	5,970	8,492
Noncontributory Defined-Benefit Pension Plan [Member] | Common Stock [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	5,970	8,492
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	5,970	8,492
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	5,970	8,492
Noncontributory Defined-Benefit Pension Plan [Member] | Common Stock [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Common Stock [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Preferred Stock [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	306	202
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	306	202
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	306	202
Noncontributory Defined-Benefit Pension Plan [Member] | Preferred Stock [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	306	202
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	306	202
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	306	202
Noncontributory Defined-Benefit Pension Plan [Member] | Preferred Stock [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Preferred Stock [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Forward foreign currency contracts [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	15	4
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	15	4
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	15	4
Noncontributory Defined-Benefit Pension Plan [Member] | Forward foreign currency contracts [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	4
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	4
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	4
Noncontributory Defined-Benefit Pension Plan [Member] | Forward foreign currency contracts [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	15	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	15	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	15	0
Noncontributory Defined-Benefit Pension Plan [Member] | Forward foreign currency contracts [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Interest-bearing Cash [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	4,045	541
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4,045	541
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	4,045	541
Noncontributory Defined-Benefit Pension Plan [Member] | Interest-bearing Cash [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	4,045	541
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4,045	541
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	4,045	541
Noncontributory Defined-Benefit Pension Plan [Member] | Interest-bearing Cash [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Interest-bearing Cash [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Options [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	4	7
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4	7
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	4	7
Noncontributory Defined-Benefit Pension Plan [Member] | Options [Member] | Level 1 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	-1
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	-1
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	-1
Noncontributory Defined-Benefit Pension Plan [Member] | Options [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	4	8
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4	8
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	4	8
Noncontributory Defined-Benefit Pension Plan [Member] | Options [Member] | Level 3 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Supplemental Pension Plan [Member]
Summary of expected benefit payments[Abstract]
Pension liability	9,570	7,937
Accumulated other comprehensive loss related to noncontributory pension plan, net tax	2,087	1,348
Accumulated other comprehensive loss related to noncontributory pension plan, tax	$1,339	$866

Catastrophe_Loss_Reserve_and_T1

Catastrophe Loss Reserve and Trust Fund (Details) (USD $)	Dec. 31, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified
Catastrophe Loss Reserve and Trust Fund [Abstract]
Maximum contribution rate which increases catastrophe reserve (in hundredths)	5.00%
Minimum percentage of reserve to catastrophe exposure (in hundredths)	8.00%
Other interest earning assets	$42,324	$40,127
Restricted catastrophe loss reserve balance	$40,457	$39,463

Stockholders_Equity_Details

Stockholders' Equity (Details) (USD $)	0 Months Ended			12 Months Ended
In Thousands, except Share data, unless otherwise specified	17-May-13	Mar. 16, 2013	Dec. 08, 2008	Dec. 31, 2014	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2013	Oct. 31, 2014	Sep. 30, 2010	Jul. 31, 2013
Common Stock [Abstract]
No of shares converted (in shares)			7,000,000
Period of completion of IPO				5 years
Stock announced to convert, shares, conversion of units		7,000,000
Stock repurchase program [Abstract]
Amount authorized under stock repurchase program		$30,000							$50,000	$30,000
Number of stock repurchased and Retired (in shares)	1,000,000			228,525
Average cost per share repurchased (in dollars per share)	$18.25			$23.55
Value of stock repurchased				5,341
Preferred Stock
Preferred stock, shares authorized (in shares)				100,000,000
Preferred stock, par value (in dollars Per Share)				$1
Preferred stock, shares issued (in shares)				0				0
Preferred stock, shares outstanding (in shares)				0				0
Dividends [Abstract]
Condition on payment of dividends in any calendar year				the regulated subsidiaries are permitted, without requesting prior regulatory approval, to pay dividends as long as the aggregated amount of all such dividends in any calendar year does not exceed the lesser of: (i) 10% of its surplus as of the end of the immediately preceding calendar year; or (ii) its statutory net gain from operations for the immediately preceding calendar year (excluding realized capital gains).
Period after filing in which dividend not disapproved				30 days
Amount Available for Dividend Distribution without Prior Approval from Regulatory Agency				34,100
To pay surplus value of dividend (in hundredths)				10.00%
2010 Stock Repurchase Program [Member]
Stock repurchase program [Abstract]
Number of stock repurchased and Retired (in shares)					136,222	653,399	352,791
Average cost per share repurchased (in dollars per share)					$16.88	$17.28	$17.67
Value of stock repurchased					2,299	11,289	6,235
2013 Stock Repurchase Program [Member]
Stock repurchase program [Abstract]
Amount authorized under stock repurchase program											11,500,000
Number of stock repurchased and Retired (in shares)				367,700
Average cost per share repurchased (in dollars per share)				$16.32
Value of stock repurchased				$5,995
Class B [Member]
Common Stock [Abstract]
Common shares issued (in shares)								6,210,423
Common stock, price (in dollars per share)								$18.25
Over-allotment option granted (in shares)								81,055

Comprehensive_Income_Details

Comprehensive Income (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance at December 31, 2012	$32,129
Net current period change	29,154
Reclassification adjustments for gains and losses reclassified in income	-12,507
Ending balance at December 31, 2013	48,776	32,129
Before-Tax Amount [Abstract]
Unrealized holding gains on securities arising during the period	58,831	-40,948	44,123
Less reclassification adjustment for gains and losses realized in income	-18,231	-2,587	-5,197
Net change in unrealized gain	40,600	-43,535	38,926
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	3,737	7,108	6,112
Net change arising from assumptions and plan changes and experience	-35,271	25,608	-11,592
Net change in liability for pension benefits	-31,534	32,716	-5,480
Net current period change	9,066	-10,819	33,446
Deferred Tax (Expense) Benefit [Abstract]
Unrealized holding gains on securities arising during the period	-8,161	6,142	-6,619
Less reclassification adjustment for gains and losses realized in income	3,444	462	2,071
Net change in unrealized gain	-4,717	6,604	-4,548
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	-1,457	-2,772	-1,835
Net change arising from assumptions and plan changes and experience	13,755	-9,988	3,478
Net change in liability for pension benefits	12,298	-12,760	1,643
Net current period change	7,581	-6,156	-2,905
Net-of-Tax Amount [Abstract]
Unrealized holding gains on securities arising during the period	50,670	-34,806	37,504
Less reclassification adjustment for gains and losses realized in income	-14,787	-2,125	-3,126
Net change in unrealized gain	35,883	-36,931	34,378
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	2,280	4,336	4,277
Net change arising from assumptions and plan changes and experience	-21,516	15,620	-8,114
Net change in liability for pension benefits	-19,236	19,956	-3,837
Net current period change	16,647	-16,975	30,541
Net Unrealized Gain on Securities [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance at December 31, 2012	65,584
Net current period change	50,670
Reclassification adjustments for gains and losses reclassified in income	-14,787
Ending balance at December 31, 2013	101,467
Liability for Pension Benefits [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance at December 31, 2012	-33,455
Net current period change	-21,516
Reclassification adjustments for gains and losses reclassified in income	2,280
Ending balance at December 31, 2013	($52,691)

ShareBased_Compensation_Detail

Share-Based Compensation (Details) (USD $)	0 Months Ended	12 Months Ended
In Thousands, except Share data, unless otherwise specified	17-May-13	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2007
Aggregate Intrinsic Value [Abstract]
Cash received from stock options exercises		$0	$0	$316
Non-cash exercise of stock options (in shares)	1,000,000	228,525
Weighted Average Fair Value [Roll Forward]
Total unrecognized compensation cost related to nonvested share-based compensation		4,613
Cost is expected to be recognized over a weighted average period		1 year 0 months 11 days
Stock Options [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expiration date		7 years
Vesting periods ranging		3 years
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2014 (in shares)		238,079
Exercised during the year, (in shares)		-199,002	-21,724	-206,896
Canceled during the year (in shares)		-21,724
Outstanding balance at December 31, 2014 (in shares)		17,353	238,079
Exercisable at December 31, 2014 (in shares)		17,353
Weighted Average Exercise Price [Roll Forward]
Outstanding balance at January 1, 2014 (in dollars per share)		$14.43
Exercised during the year (in dollars per share)		$14.50
Canceled during the year (in dollars per share)		$14.50
Outstanding balance at December 31, 2014 (in dollars per share)		$13.50	$14.43
Exercisable at December 31, 2014 (in dollars per share)		$13.50
Weighted Average Contractual Term [Abstract]
Outstanding balance at December 31, 2014		1 year 4 months 28 days
Exercisable at December 31, 2014		1 year 4 months 28 days
Aggregate Intrinsic Value [Abstract]
Outstanding balance at December 31, 2014		180,592
Exercisable at December 31, 2014		180,592
Stock option grant in period (in shares)		0	0	0
Cash received from stock options exercises		0	0	316
Non-cash exercise of stock options (in shares)		174,090	14,095	140,666
Performance Awards [Member]
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2014 (in shares)		324,604
Granted (in shares)		282,135
Lapsed (in shares)		-53,341
Forfeited (due to termination) (in shares)		-36,368
Forfeited (due to performance payout less than 100%) (in shares)		-57,131
Outstanding balance at December 31, 2014 (in shares)		459,899
Weighted Average Fair Value [Roll Forward]
Outstanding balance at January 1, 2014 (in dollars per share)		$19.89
Granted (in dollars per share)		$16.47
Lapsed (in dollars per share)		$23.71
Forfeited (due to termination) (in dollars per share)		$17.63
Forfeited (due to performance payout less than 100%), (in dollars per share)		$22.99
Outstanding balance at December 31, 2014 (in dollars per share)		$17.14
Restricted Awards [Member]
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2014 (in shares)		131,784
Granted (in shares)		128,017
Lapsed (in shares)		-70,486
Forfeited (due to termination) (in shares)		-10,289
Forfeited (due to performance payout less than 100%) (in shares)		0
Outstanding balance at December 31, 2014 (in shares)		179,026	131,784
Weighted Average Fair Value [Roll Forward]
Outstanding balance at January 1, 2014 (in dollars per share)		$19.49
Granted (in dollars per share)		$16.46	$18.43	$21.98
Lapsed (in dollars per share)		$19.85
Forfeited (due to termination) (in dollars per share)		$17.32
Forfeited (due to performance payout less than 100%), (in dollars per share)		$0
Outstanding balance at December 31, 2014 (in dollars per share)		$17.31	$19.49
Total fair value of restricted stock vested		$1,146	$865	$685
Restricted Awards [Member] | Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting periods ranging		1 year
Restricted Awards [Member] | Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting periods ranging		3 years
2007 Incentive plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized under the plan (in shares)					4,700,000
Shares available to grant under the plan (in shares)		2,174,711	2,584,863

Net_Income_Available_to_Stockh2

Net Income Available to Stockholders and Basic Net Income per Share (Details) (USD $)	12 Months Ended
In Thousands, except Share data, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Numerator for earnings per share [Abstract]
Net income attributable to TSM available to stockholders	$65,660	$55,924	$54,032
Denominator for basic earnings per share [Abstract]
Weighted average of common shares (in shares)	27,102,127	27,692,937	28,340,122
Effect of dilutive securities (in shares)	86,705	99,872	115,459
Denominator for diluted earnings per share (in shares)	27,188,832	27,792,809	28,455,581
Basic net income per share attributable to TSM (in dollars per share)	$2.42	$2.02	$1.91
Diluted net income per share attributable to TSM (in dollars per share)	$2.41	$2.01	$1.90

Commitments_Details

Commitments (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Summary of minimum annual rental commitments [Abstract]
2015	$3,710
2016	3,122
2017	2,294
2018	1,496
2019	1,365
Thereafter	251
Total	12,238
Rent Expense	8,738	10,287	12,517
Amount reimbursed by CMS for the administration of the Medicare Part B Program	$50	$21	$117

Contingencies_Details

Contingencies (Details) (USD $)	12 Months Ended	1 Months Ended	0 Months Ended
In Thousands, except Share data, unless otherwise specified	Dec. 31, 2014	Dec. 23, 2013	Sep. 19, 2014	Apr. 23, 2014	Feb. 24, 2014	Feb. 11, 2014	Feb. 10, 2014	Jul. 02, 2014
	Member					Beneficiary	Lawsuit
Claims Relating to the Provision of Health Care Services [Abstract]
Members affected by incident	39,944
Platino members affected by the incident	28,413
Puerto Rico Dentists Association Litigation [Member]
Loss Contingencies [Line Items]
Lawsuit filing date	11-Feb-09
Amount of claims for damages	150,000	$30
Number of health plans	24
Number of subsidiaries as defendants	2
Number of codefendant plans	2
Number of plaintiffs	5
Number of plaintiffs presented claim	1
Claims of Heirs of Former Shareholders [Member]
Loss Contingencies [Line Items]
Split conversion ratio	3,000
Number of defending individual lawsuits	8
Number of shares claimed to have inherited (in shares)	113
Joint Underwriting Association Litigations [Member]
Loss Contingencies [Line Items]
Lawsuit filing date	19-Aug-11
Amount of claims for damages	406,600
Number of defending individual lawsuits	18
Percentage of premium amount charged as administrative cost (in hundredths)	12.00%
Community Health Centers - Puerto Rico [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits	6
Claims Relating to the Provision of Health Care Services [Abstract]
Amount of claim for collection of unpaid invoices	9,600
Outstanding claims	3,000
Intrusions Into Triple-C, Inc. Internet IPA Database [Member]
Loss Contingencies [Line Items]
Fine levied but reversed on breach of security breach	100
Unauthorized Disclosure of Protected Health Information [Member]
Loss Contingencies [Line Items]
Lawsuit filing date			19-Sep-14	23-Apr-14	24-Feb-14		10-Feb-14
Amount of claims for damages					20,000
Number of plaintiffs							1
Claims Relating to the Provision of Health Care Services [Abstract]
Number of Dual Eligible Medicare beneficiaries	70,000					13,336
Civil monetary penalty						6,778
TSS [Member]
Loss Contingencies [Line Items]
Amount of claims for damages								4,800
Overpayment of premium								7,950
Reimbursement and withheld services fees								$1,300

Statutory_Accounting_Details

Statutory Accounting (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Statutory accounting practice [Abstract]
Percentage lower than combined reported statutory capital and surplus (in hundredths)	1.10%	1.10%
Statutory reserve specified as percentage of R B C to avoid intervention (in hundredths)	200.00%
Period of gradual compliance provisions whose R B C is below requirement	5 years
Net admitted assets	$1,734	$1,672	$1,593
Capital and surplus	659	646	563
RBC requirement	209	205	187
Net income	88	63	44
Servicing Assets at Amortized Value [Line Items]
Restricted catastrophe loss reserve balance	40,457	39,463
Catastrophe trust fund	42,324	40,127
Amortized cost	4,383	5,389
Fair Value	4,582	4,487
Investment on deposit with the USVI Division of Banking and Insurance [Member]
Servicing Assets at Amortized Value [Line Items]
Amortized cost	515	511
Fair Value	515	511
Regulated subsidiaries [Member]
Statutory accounting practice [Abstract]
Net admitted assets	$47,222	$46,027

Supplementary_Information_on_C2

Supplementary Information on Cash Flow Activities (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Noncash transactions affecting cash flows activities
Change in net unrealized (gain) loss on securities available for sale, including deferred income tax (asset)/liability of $4,717, $(6,604), and $4,548 in 2014, 2013, and 2012, respectively	($35,883)	$36,931	($34,378)
Change in liability for pension benefits, and deferred income tax (asset)/liability of $(12,298), $12,760, $(1,643), in 2014, 2013, and 2012, respectively	19,236	-19,956	3,837
Repurchase and retirement of common stock	-3,049	-321	-2,953
Exercise of stock options	2,885	315	2,685
Unsettled sales	10,456	0	0
Other
Income taxes paid	16,069	19,007	16,678
Interest paid	5,764	6,257	8,310
Change in net unrealized (gain) loss on securities available for sale, Deferred income tax (asset)/liability	4,717	-6,604	4,548
Change in liability for pension benefits, Deferred income tax (asset)/liability	($12,298)	$12,760	($1,643)

Business_Combination_Details

Business Combination (Details) (USD $)	12 Months Ended			1 Months Ended	0 Months Ended	1 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012	Nov. 07, 2013	Jan. 18, 2012	Jan. 31, 2012	Oct. 31, 2013
Purchase price allocation [Abstract]
Goodwill	$25,397	$25,397
Recognized amortization expense related to intangible assets	5,745	8,638	10,443
Operating revenue	2,299,640	2,363,781	2,414,610
Net income (loss)	65,660	55,924	54,032
Unaudited pro forma financial information of ASICO [Abstract]
Operating revenues		2,373,199	2,423,310
Net income		54,729	52,494
Basic net income per share (in dollars per share)		$1.98	$1.85
Diluted net income per share (in dollars per share)		$1.97	$1.84
Goodwill impairment charge		2,369
Intangible asset impairment charge	2,221
2013 Acquisition [Member]
Business Acquisition [Line Items]
Date of business acquisition				7-Nov-13
Percentage of outstanding capital stock acquired (in hundredths)				100.00%
Cost of business acquisition		2,544	435
Direct costs related to the acquisition		-435		435
Allocation of Purchase Price [Abstract]
Cash		2,544	435
Escrow funds for pension liability and pension termination costs		3,600
Due to Seller		3,704
Acquisition costs reimbursed to seller		-435		435
Total purchase price		9,413
Purchase price allocation [Abstract]
Investments and cash and cash equivalents		13,292
Account receivable / premiums and other receivables		915
Property and equipment		9
VOBA		4,499
Other Assets		265
Accounts payable and accrued liabilities		-1,137
Claims liabilities		-2,123
Deferred tax asset		133
Future policy benefits and claim liabilities		-6,440
Total net assets		9,413
Recognized amortization expense related to intangible assets	616	108
Operating revenue		1,511
Net income (loss)		-187
Unaudited pro forma financial information of ASICO [Abstract]
Intangible assets including goodwill							4,499
Amortization expense		365	459
2012 Acquisition [Member]
Business Acquisition [Line Items]
Date of business acquisition						18-Jan-12
Percentage of outstanding capital stock acquired (in hundredths)					90.80%
Cost of business acquisition					3,501
Allocation of Purchase Price [Abstract]
Cash					3,501
Purchase price allocation [Abstract]
Cash					816
Account receivable / premiums and other receivables					1,466
Property and equipment					12,289
VOBA					2,730
Other Assets					296
Accounts payable and accrued liabilities					-2,233
Loans payable					-13,838
Total net assets					1,526
Fair value of noncontrolling interest					-372
Total net assets					1,154
Goodwill					2,369
Unaudited pro forma financial information of ASICO [Abstract]
Goodwill impairment charge		2,369
Intangible asset impairment charge	$2,221

Segment_Information_Details

Segment Information (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014		Dec. 31, 2013		Dec. 31, 2012
	Segment
Segment Information [Abstract]
Number of operating segments	3
Managed Care segment [Abstract]
Earned premiums revenue	$2,128,566		$2,203,035		$2,253,354
Administrative service fee	95,908		83,180		86,565
Number of due days of remittances	60 days
Operating revenues [Abstract]
Premiums earned, net	2,128,566		2,203,035		2,253,354
Fee revenue	95,908		83,180		86,565
Total Reportable Segment	2,320,114		2,381,631		2,422,003
Other intersegment eliminations	116		99		141
Consolidated operating revenues	2,299,640		2,363,781		2,414,610
Operating income [Abstract]
Consolidated operating income	54,851		49,411		69,578
Consolidated net realized investment gains	18,231		2,587		5,197
Consolidated interest expense	-9,274		-9,474		-10,599
Consolidated other income, net	2,243		15,263		2,196
Consolidated income before taxes	66,051		57,787		66,372
Depreciation, Depletion and Amortization [Abstract]
Consolidated depreciation and amortization expense	24,400		25,589		24,242
Assets [Abstract]
Assets	2,145,736		2,047,624		2,059,344
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	35,883		-36,931		34,378
Contract [Member]
Managed Care segment [Abstract]
Earned premiums revenue	1,013,746		1,038,852		1,073,454
Operating revenues [Abstract]
Premiums earned, net	1,013,746		1,038,852		1,073,454
Medicare business [Member]
Managed Care segment [Abstract]
Earned premiums revenue	37,748		43,211		46,969
Operating revenues [Abstract]
Premiums earned, net	37,748		43,211		46,969
Medicaid program [Member]
Managed Care segment [Abstract]
Earned premiums revenue	0
Operating revenues [Abstract]
Premiums earned, net	0
Managed Care [Member] | Health plan [Member]
Managed Care segment [Abstract]
Earned premiums revenue	152,659		155,302		143,287
Operating revenues [Abstract]
Premiums earned, net	152,659		155,302		143,287
Unallocated Amount to Segment [Member]
Operating revenues [Abstract]
Operating revenue from external sources	95		341		588
Operating income [Abstract]
TSM operating revenue from external sources	95		341		588
TSM unallocated operating expenses	-14,571		-9,913		-10,440
Depreciation, Depletion and Amortization [Abstract]
TSM depreciation expense	813		863		854
Unallocated amounts related to TSM [Abstract]
Cash, cash equivalents, and investments	44,157		28,316		41,334
Property and equipment, net	20,415		21,278		21,430
Other Assets	37,851		26,406		29,858
Unallocated amount related to TSM	102,423		76,000		92,622
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	-310		-1,401		1,365
Reportable Segments [Member]
Operating revenues [Abstract]
Total business segments	2,315,063		2,378,821		2,436,233
Operating income [Abstract]
Operating Income (Loss)	59,610		49,725		70,363
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	23,587		24,726		23,388
Assets [Abstract]
Assets	2,125,569		2,007,736		1,995,778
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	36,193		-35,530		33,013
Reportable Segments [Member] | Managed Care [Member]
Managed Care segment [Abstract]
Earned premiums revenue	1,894,791		1,973,160		2,031,983
Administrative service fee	119,302		108,680		110,110
Operating revenues [Abstract]
Premiums earned, net	1,894,791		1,973,160		2,031,983
Fee revenue	119,302		108,680		110,110
Intersegment premiums/fee revenue	5,681		5,629		6,251
Net investment income	15,010		16,353		16,349
Total Reportable Segment	2,034,784		2,103,822		2,164,693
Operating income [Abstract]
Operating Income (Loss)	31,445		36,130		47,025
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	17,935		19,993		21,082
Assets [Abstract]
Assets	975,999		934,467		916,712
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	6,055		-1,898		11,750
Reportable Segments [Member] | Life [Member]
Managed Care segment [Abstract]
Earned premiums revenue	142,245		130,170		124,279
Operating revenues [Abstract]
Premiums earned, net	142,245		130,170		124,279
Intersegment premiums/fee revenue	240		391		408
Net investment income	23,717		22,212		20,857
Total Reportable Segment	166,202		152,773		145,544
Operating income [Abstract]
Operating Income (Loss)	22,561		16,156		16,712
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	1,394		891		746
Assets [Abstract]
Assets	764,268		698,650		691,425
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	22,349		-29,867		15,189
Reportable Segments [Member] | Property and Casualty Insurance [Member]
Managed Care segment [Abstract]
Earned premiums revenue	91,530		99,705		97,092
Operating revenues [Abstract]
Premiums earned, net	91,530		99,705		97,092
Intersegment premiums/fee revenue	613		613		613
Net investment income	8,600		8,281		8,851
Total Reportable Segment	100,743		108,599		106,556
Operating income [Abstract]
Operating Income (Loss)	10,044		2,216		6,760
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	994		528		568
Assets [Abstract]
Assets	362,620		346,212		356,161
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	7,789		-3,765		6,268
Reportable Segments [Member] | Other Segments [Member]
Operating revenues [Abstract]
Intersegment premiums/fee revenue	9,100	[1]	8,847	[1]	15,080	[1]
Operating revenue from external sources	4,234	[1]	4,780	[1]	4,360	[1]
Total Reportable Segment	13,334	[1]	13,627	[1]	19,440	[1]
Operating income [Abstract]
Operating Income (Loss)	-4,440	[1]	-4,777	[1]	-134	[1]
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	3,264	[1]	3,314	[1]	992	[1]
Assets [Abstract]
Assets	22,682	[1]	28,407	[1]	31,480	[1]
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	0	[1]	0	[1]	-194	[1]
Intersegment Eliminations [Member]
Operating revenues [Abstract]
Elimination of intersegment premiums	-6,534		-6,633		-7,272
Elimination of intersegment service revenue	-9,100		-8,847		-15,080
Operating income [Abstract]
Elimination of TSM charges	9,717		9,258		9,067
Unallocated amounts related to TSM [Abstract]
Elimination entries intersegment receivables and others	($82,256)		($36,112)		($29,056)
[1]	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.