Triple-s Management (GTS) 10-K 29 Mar 16 2015 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2015	Mar. 03, 2016	Jun. 30, 2015
Entity Information [Line Items]
Entity Registrant Name	TRIPLE-S MANAGEMENT CORP
Entity Central Index Key	1,171,662
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Accelerated Filer
Document Fiscal Year Focus	2,015
Document Fiscal Period Focus	FY
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2015
Common Class A [Member]
Entity Information [Line Items]
Entity Public Float			$ 2,377,689
Entity Common Stock, Shares Outstanding		950,968
Common Class B [Member]
Entity Information [Line Items]
Entity Public Float			$ 606,865,338
Entity Common Stock, Shares Outstanding		23,681,855

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Securities available for sale, at fair value:
Fixed maturities (amortized cost of $1,088,258 in 2015 and $1,045,285 in 2014	$ 1,133,645	$ 1,115,899
Equity securities (cost of $169,593 in 2015 and $150,799 in 2014)	197,071	197,756
Securities held to maturity, at amortized cost:
Fixed maturities (fair value of $3,124 in 2015 and $3,163 in 2014)	2,929	2,944
Policy loans	7,901	7,260
Cash and cash equivalents	197,818	110,037
Total investments and cash	1,539,364	1,433,896
Premium and other receivables, net	282,646	315,622
Deferred policy acquisition costs and value of business acquired	190,648	184,100
Property and equipment, net	73,953	78,343
Deferred tax asset	52,361	68,695
Goodwill	25,397	25,397
Other assets	41,776	39,683
Total assets	2,206,145	2,145,736
Liabilities and Stockholders' Equity
Claim liabilities	491,765	390,086
Liability for future policy benefits	289,530	271,970
Unearned premiums	80,260	82,656
Policyholder deposits	179,287	175,235
Liability to Federal Employees' Health Benefits Program	26,695	15,666
Accounts payable and accrued liabilities	176,910	162,458
Deferred tax liability	15,070	28,456
Long term borrowings	36,827	74,467
Liability for pension benefits	62,945	86,716
Total liabilities	$ 1,359,289	$ 1,287,710
Commitments and contingencies
Triple-S Management Corporation stockholders' equity
Additional paid-in capital	$ 83,438	$ 121,405
Retained earnings	713,466	661,345
Accumulated other comprehensive income, net	25,623	48,776
Total Triple-S Management Corporation stockholders' equity	847,526	858,558
Non-controlling interest in consolidated subsidiary	(670)	(532)
Total stockholders' equity	846,856	858,026
Total liabilities and stockholders' equity	2,206,145	2,145,736
Class A Common Stock [Member]
Triple-S Management Corporation stockholders' equity
Common stock	951	2,378
Class B Common Stock [Member]
Triple-S Management Corporation stockholders' equity
Common stock	$ 24,048	$ 24,654

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Securities available for sale, at fair value:
Fixed maturities, amortized cost	$ 1,088,258	$ 1,045,285
Equity securities, amortized cost	169,593	150,799
Securities held to maturity, at amortized cost:
Fixed maturities, fair value	$ 3,124	$ 3,163
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)	950,968	2,377,689
Common stock, outstanding (in shares)	950,968	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)	24,047,755	24,654,497
Common stock, outstanding (in shares)	24,047,755	24,654,497

Consolidated Statements of Earn

Consolidated Statements of Earnings - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Revenues:
Premiums earned, net	$ 2,783,154	$ 2,128,566	$ 2,203,035
Administrative service fees	44,705	119,302	108,680
Net investment income	45,174	47,540	47,288
Other operating revenues	3,719	4,232	4,778
Total operating revenues	2,876,752	2,299,640	2,363,781
Net realized investment gains (losses):
Total other-than-temporary impairment losses on securities	(5,212)	(1,170)	(1,042)
Net realized gains, excluding other-than-temporary impairment losses on securities	24,153	19,401	3,629
Total net realized investment gains on sale of securities	18,941	18,231	2,587
Other income, net	7,043	2,243	15,263
Total revenues	2,902,736	2,320,114	2,381,631
Benefits and expenses:
Claims incurred	2,318,715	1,747,595	1,836,201
Operating expenses	518,721	497,194	478,169
Total operating costs	2,837,436	2,244,789	2,314,370
Interest expense	8,169	9,274	9,474
Total benefits and expenses	2,845,605	2,254,063	2,323,844
Income before taxes	57,131	66,051	57,787
Income taxes	5,099	745	2,281
Net income	52,032	65,306	55,506
Less: Net loss attributable to non-controlling interest	89	354	418
Net income attributable to Triple-S Management Corporation	$ 52,121	$ 65,660	$ 55,924
Earnings per share attributable to Triple-S Management Corporation
Basic net income per share (in dollars per share)	$ 2.03	$ 2.42	$ 2.02
Diluted net income per share (in dollars per share)	$ 2.02	$ 2.41	$ 2.01

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Consolidated Statements of Comprehensive Income [Abstract]
Net income	$ 52,032	$ 65,306	$ 55,506
Other comprehensive income (loss), net of tax:
Net unrealized change in fair value of available for sale securities, net of taxes	(38,989)	35,883	(36,931)
Defined benefit pension plan:
Actuarial gain (loss), net	16,105	(18,967)	20,226
Prior service credit, net	(269)	(269)	(270)
Total other comprehensive income (loss), net of tax	(23,153)	16,647	(16,975)
Comprehensive income	28,879	81,953	38,531
Comprehensive loss attributable to non-controlling interest	89	354	418
Comprehensive income attributable to Triple-S Management Corporation	$ 28,968	$ 82,307	$ 38,949

Consolidated Statements of Stoc

Consolidated Statements of Stockholders' Equity - USD ($) $ in Thousands	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
Balance at Dec. 31, 2012	$ 9,043	$ 19,322	$ 144,677	$ 539,761	$ 49,104	$ 761,907	$ 240	$ 762,147
Increase (Decrease) in Stockholders' Equity [Roll Forward]
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]
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
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation	0	202	8,088	0	0	8,290	0	8,290
Stock issued upon exercise of stock options	0	13	166	0	0	179	0	179
Common stock conversion	(1,427)	1,427	0	0	0	0	0	0
Repurchase and retirement of common stock	0	(2,248)	(46,221)	0	0	(48,469)	0	(48,469)
Non-controlling interest change related to retirement of consolidated subsidiary common stock	0	0	0	0	0	0	(49)	(49)
Net change in comprehensive income (loss)	0	0	0	52,121	(23,153)	28,968	(89)	28,879
Balance at Dec. 31, 2015	$ 951	$ 24,048	$ 83,438	$ 713,466	$ 25,623	$ 847,526	$ (670)	$ 846,856

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Cash flows from operating activities
Net income	$ 52,032	$ 65,306	$ 55,506
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	16,379	24,400	25,589
Net amortization of investments	6,854	6,091	5,963
Additions (reductions) to the allowance for doubtful receivables	16,121	14,819	(2,880)
Deferred tax benefit	(5,070)	(21,806)	(9,423)
Net realized investment gains on sale of securities	(18,941)	(18,231)	(2,587)
Interest credited to policyholder deposits	5,690	3,510	3,217
Share-based compensation	8,290	2,371	2,781
(Increase) decrease in assets
Premium and other receivables, net	6,399	(45,046)	21,053
Deferred policy acquisition costs and value of business acquired	(6,548)	(6,811)	(4,133)
Deferred taxes	3,616	1,954	(9,230)
Other assets	(2,630)	8,630	2,296
Increase (decrease) in liabilities
Claim liabilities	101,679	(30,335)	2,455
Liability for future policy benefits	18,146	23,930	22,665
Unearned premiums	(2,396)	(4,706)	(8,588)
Liability to FEHBP	11,029	7,518	(13,205)
Accounts payable and accrued liabilities	18,444	6,397	21,469
Net cash provided by operating activities	229,094	37,991	112,948
Securities available for sale
Fixed maturities sold	355,045	235,282	160,978
Fixed maturities matured	67,615	31,329	96,597
Equity securities sold	100,152	113,942	132,433
Securities held to maturity
Fixed maturities matured	640	4,127	1,440
Other investments	0	8,925	0
Securities available for sale
Fixed maturities	(469,198)	(288,507)	(323,003)
Equity securities	(92,844)	(69,101)	(132,543)
Securities held to maturity
Fixed maturities	(624)	(935)	(1,325)
Other investments	(2,427)	(483)	(512)
Net disbursements for policy loans	(641)	(555)	(313)
Acquisition of business, net of cash acquired of $4,618 in the year ended December 31, 2013	0	0	(4,795)
Net capital expenditures	(9,094)	(4,783)	(11,809)
Net cash (used in) provided by investing activities	(51,376)	29,241	(82,852)
Cash flows from financing activities
Repurchase and retirement of common stock	(48,287)	(11,337)	(18,250)
Change in outstanding checks in excess of bank balances	(1,786)	(4,858)	15,123
Repayments of long-term borrowings	(37,640)	(14,835)	(11,969)
Net change in short-term borrowings	0	0	(30,000)
Proceeds from policyholder deposits	16,563	9,551	9,212
Surrenders of policyholder deposits	(18,787)	(10,072)	(9,420)
Net cash used in financing activities	(89,937)	(31,551)	(45,304)
Net increase (decrease) in cash and cash equivalents	87,781	35,681	(15,208)
Cash and cash equivalents
Beginning of year	110,037	74,356	89,564
End of year	$ 197,818	$ 110,037	$ 74,356

Consolidated Statements of Cas8

Consolidated Statements of Cash Flows (Parenthetical) $ in Thousands	12 Months Ended
	Dec. 31, 2013USD ($)
Cash flows from investing activities
Acquisition of business, net cash acquired	$ 4,618

Nature of Business

Nature of Business	12 Months Ended
	Dec. 31, 2015
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). The Company also owns a controlling interest in a health clinic in Puerto Rico, as part of our strategic initiatives. The clinic is a member of the Mayo Clinic network. 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). In 2011, TSS entered into a contract with an agency of Commonwealth of Puerto Rico (the government of Puerto Rico) the Administración de Servicios de Salud de Puerto Rico (ASES), to administer the provision of the physical health component of this program in five service regions in Puerto Rico on an Administrative Service Only (ASO) basis, under which TSS receives a monthly per-member, per-month administrative fee for its services and does not bear the insurance risk of the program. 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 (Puerto Rico government or the Commonwealth) 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. Effective April 1, 2015, the government changed the Medicaid delivery model from an ASO to a risk based model. Under the risk based delivery model, TSS provides healthcare services to only two service regions. The Company also has two other wholly owned subsidiaries, Interactive Systems, Inc. (ISI), and TSM International, LLC (TSM International). ISI is mainly engaged in providing data processing services to the Company and its subsidiaries. TSM International is an International Banking Entity, as licensed by the government of Puerto Rico, and currently has limited operations. 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 Policies

Significant Accounting Policies	12 Months Ended
	Dec. 31, 2015
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. 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. Reclassifications Certain amounts within the liabilities presented in the 2014 consolidated balance sheet were reclassified to conform to the 2015 presentation. Cash Equivalents The Company considers all highly liquid debt instruments with maturities of three months or less at the date of acquisition to be cash equivalents. Cash equivalents of $113,040 and $26,091 at December 31, 2015 and 2014, respectively, consist principally of money market funds and certificates of deposit with original maturities of three months or less. Investments Investment in securities at December 31, 2015 and 2014 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 cancelled at the end of the grace period at the option of the Company. Premiums for the Medicaid business are based on a bid contract with ASES and billed in advance of coverage period. Under the risk-based Medicaid contract, there is an excess profit agreement which stipulates that the profit of TSS for each fiscal year of the contract term shall not exceed two and a half percentage (2.5%) of the fixed amount paid by ASES for each member. In the event that the profit exceeds this amount, TSS and ASES shall share the excess profit in proportions of fifty percent (50%), subject to the compliance by TSS with certain quality metrics. ASES retains the right to determine the outcome of the excess profit agreement that is based on audited financial statements of the contracted services submitted annually by TSS and the validation of the Incurred-But-Not-Reported (“IBNR”) reserve by ASES’s actuary. During the year ended December 31, 2015, excess profit was recorded as a reduction in premiums earned and accounts payable and accrued liabilities, in the accompanying consolidated financial statements. As the contract year progresses and additional information becomes available, any excess profit will be recorded in the operating results of the period in which the information becomes available. 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 until 2014, 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. Until March 31, 2015, the claims related to the administration of the Medicaid business under the ASO delivery model were 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 to administer the provision of the physical health component of this program contained a savings-sharing provision whereby the Government of Puerto Rico shared 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 was 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, including the continued deterioration of the local economy, the exposure to government accounts, and the challenging business environment in the island. This evaluation is performed individually on larger accounts and includes the use of all available information such as the customer’s credit worthiness and other relevant information. 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, from 4.50% to 4.90% for 2015, and 4.90% for 2014 and 2013, 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 updated for current and future issues which may result in a change of deferred policy acquisition costs amortization through the consolidated statement of earnings. 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: Asset Category Estimated Useful Life Buildings 20 to 50 years Building improvements 3 to 10 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 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 indicated 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 assets as of December 31, 2014. During 2015 and 2013, 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 at least 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 annual impairment test is based on an evaluation of estimated future discounted cash flows. The estimated discounted cash flows are based on the best information available, including supportable assumptions and projections we believe are reasonable. Our discounted cash flow estimates use discount rates that correspond to a weighted-average cost of capital consistent with a market-participant view. The discount rates are consistent with those used for investment decisions and take into account the operating plans and strategies of our operating segments. Certain other key assumptions utilized, including changes in membership, premium, health care costs, operating expenses, fees, assessments and taxes and effective tax rates, are based on estimates consistent with those utilized in our annual budgeting and planning process that we believe are reasonable. However, if we do not achieve the results reflected in the assumptions and estimates, our goodwill impairment evaluations could be adversely affected, and we may impair a portion of our goodwill, which would adversely affect our operating results in the period of impairment. Impairments, if any, would be classified as an operating expense. 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. Managed care claim liabilities also include a provision for adverse deviation, which is an estimate for known environmental factors that are reasonably likely to affect the required level of reserves. This provision for adverse deviation is intended to capture the potential adverse development from known environmental factors such as our entry into new geographical markets, changes in our geographic or product mix, the introduction of new customer populations, variation in benefit utilization, disease outbreaks, changes in provider reimbursement, fluctuations in medical cost trend, variation in claim submission patterns and variation in claims processing speed and payment patterns, changes in technology that provide faster access to claims data or change the speed of adjudication and settlement of claims, variability in claim inventory levels, non-standard claim development, and/or exceptional situations that require judgmental adjustments in setting the reserves for 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 and capitation payables are included in claim liabilities. 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 assumptions are established at the time the policy is issued and are generally not changed during the life of the policy. The Company periodically reviews the adequacy of reserves for these policies on an aggregate basis using actual experience. If actual experience is significantly adverse compared to the original assumptions and a premium deficiency is determined to exist, any remaining unamortized DAC balance would be expensed to the extent not recoverable and the establishment of a premium deficiency reserve may be required. The interest rate assumption ranges between 4.50% 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. The Company periodically reviews the adequacy of reserves for these policies on an aggregate basis using actual experience. If actual experience is significantly adverse compared to the original assumptions and a premium deficiency is determined to exist, any remaining unamortized DAC balance would be expensed to the extent not recoverable and the establishment of a premium deficiency reserve may be required. 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 $3,379, $3,510, and $3,217, during the years ended December 31, 2015, 2014, and 2013, respectively, is included within the interest expense in the accompanying consolidated statements of earnings. Policyholder account balances for universal life and interest sensitive products are equal to policy account values. The policy account primarily comprises cumulative deposits received and interest credited to the policyholder less cumulative contract benefits, surrenders, withdrawals, maturities and contract charges for mortality or administrative expenses. Interest rates credited to policyholder account balances during 2015 range from 2.0% to 4.5% for universal life and interest sensitive products. The universal life and interest sensitive products represented $62,840 and $56,323 of the policyholder deposits balance on the consolidated balance sheet as of December 31, 2015 and 2014, respectively. 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 com

Investment in Securities

Investment in Securities	12 Months Ended
	Dec. 31, 2015
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, 2015 and 2014, were as follows: 2015 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Securities available for sale Fixed maturities Obligations of government-sponsored enterprises $ 115,965 $ 301 $ (26 ) $ 116,240 U.S. Treasury securities and obligations of U.S. government instrumentalities 163,322 234 (286 ) 163,270 Obligations of the Commonwealth of Puerto Rico and its instrumentalities 25,302 317 - 25,619 Municipal securities 612,225 35,418 (197 ) 647,446 Corporate bonds 148,198 9,782 (572 ) 157,408 Residential mortgage-backed securities 883 54 - 937 Collateralized mortgage obligations 22,363 368 (6 ) 22,725 Total fixed maturities 1,088,258 46,474 (1,087 ) 1,133,645 Equity securities-Mutual funds 169,593 27,851 (373 ) 197,071 Total $ 1,257,851 $ 74,325 $ (1,460 ) $ 1,330,716 2014 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair 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 2015 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Securities held to maturity U.S. Treasury securities and obligations of U.S.government instrumentalties $ 620 $ 178 $ - $ 798 Residential mortgage-backed securities 191 17 - 208 Certificates of deposits 2,118 - - 2,118 $ 2,929 $ 195 $ - $ 3,124 2014 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair 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 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, 2015 and 2014 were as follows: 2015 Less than 12 months 12 months or longer Total Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Securites available for sale Fixed maturities Obligations of government-sponsored enterprises $ 18,989 $ (26 ) 1 $ - $ - - $ 18,989 $ (26 ) 1 U.S. Treasury securities and obligations of U.S.governmental instrumentalities 130,996 (286 ) 5 - - - 130,996 (286 ) 5 Municipal securities 43,937 (197 ) 11 - - - 43,937 (197 ) 11 Corporate bonds 35,718 (572 ) 9 - - - 35,718 (572 ) 9 Collateralized mortgage obligations 1,448 (6 ) 1 - - - 1,448 (6 ) 1 Total fixed maturities 231,088 (1,087 ) 27 - - - 231,088 (1,087 ) 27 Equity securities-Mutual funds 9,319 (373 ) 2 - - - 9,319 (373 ) 2 Total for securities available for sale $ 240,407 $ (1,460 ) 29 $ - $ - - $ 240,407 $ (1,460 ) 29 2014 Less than 12 months 12 months or longer Total Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Securites available for sale Fixed maturities Obligations of government-sponsored enterprises $ 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 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. • For any other securities with a gross unrealized investment loss we might review and evaluate 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. • 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 based on market conditions and the length of time the funds have been in a loss position. 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, Obligations of U.S. Government Instrumentalities and Municipal Securities: contractual cash flows, these investments are not considered other-than-temporarily impaired. Corporate Bonds: Collateralized mortgage obligations: Mutual Funds: Obligations of the Commonwealth of Puerto Rico and its Instrumentalities : Besides holdings in escrowed bonds, which are backed by US Government securities and therefore have an implicit AA+/Aaa rating, our exposure is in senior lien bonds issued by Cofina. We considered our investments in Cofina bonds other-than-temporarily impaired as of December 31, 2015, because: (a) the financial position of the Commonwealth of Puerto Rico is distressed, evidenced by a lack of liquidity, a lack of market access and missed debt service payments, and (b) a possible consolidated debt restructuring of Puerto Rico bonds could include Cofina or could jeopardize the separation of the sales tax revenue stream. Maturities of investment securities classified as available for sale and held to maturity at December 31, 2015 were as follows: Amortized Cost Estimated Fair Value Securities available for sale Due in one year or less $ 26,160 $ 26,644 Due after one year through five years 393,269 397,426 Due after five years through ten years 114,636 121,457 Due after ten years 530,947 564,456 Residential mortgage-backed securities 883 937 Collateralized mortgage obligations 22,363 22,725 $ 1,088,258 $ 1,133,645 Securities held to maturity Due in one year or less $ 2,118 $ 2,118 Due after ten years 620 798 Residential mortgage-backed securities 191 208 $ 2,929 $ 3,124 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 $5,136 and $4,383 (fair value of $5,276 and $4,582) at December 31, 2015 and 2014, 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). Information regarding realized and unrealized gains and losses from investments for the years ended December 31, 2015, 2014, and 2013 is as follows: 2015 2014 2013 Realized gains (losses) Fixed maturity securities Securities available for sale Gross gains from sales $ 8,208 $ 5,118 $ 5,408 Gross losses from sales (646 ) (5,884 ) (4,553 ) Gross losses from other-than-temporary impairments (4,267 ) (1,170 ) - Total fixed maturity securities 3,295 (1,936 ) 855 Equity securities Securities available for sale Gross gains from sales 17,903 20,848 5,084 Gross losses from sales (1,312 ) (2,106 ) (2,310 ) Gross losses from other-than-temporary impairments (945 ) - (1,042 ) Total equity securities 15,646 18,742 1,732 Net realized gains on securities available for sale 18,941 16,806 2,587 Gross gain from other investment - 1,425 - Net realized gains on securities $ 18,941 $ 18,231 $ 2,587 The other-than-temporary impairments on fixed maturity securities are attributable to credit losses. 2015 2014 2013 Changes in unrealized gains (losses) Recognized in accumulated other comprehensive income (loss) Fixed maturities – available for sale (25,227 ) 46,220 (71,904 ) Equity securities – available for sale (19,479 ) (5,620 ) 28,369 $ (44,706 ) $ 40,600 $ (43,535 ) Not recognized in the consolidated financial statements Fixed maturities – held to maturity $ (24 ) $ 49 $ (207 ) The deferred tax asset (liability) on unrealized gains (losses) change recognized in accumulated other comprehensive income during the years 2015, 2014, and 2013 was $5,717, $(4,717), and $6,604, respectively. As of December 31, 2015 and 2014 no individual investment in securities exceeded 10% of stockholders’ equity.

Net Investment Income

Net Investment Income	12 Months Ended
	Dec. 31, 2015
Net Investment Income [Abstract]
Net Investment Income	4. Net Investment Income Interest and/or dividend income from: Years ended December 31 2015 2014 2013 Fixed maturities $ 36,256 $ 38,559 $ 37,302 Equity securities 7,146 7,660 8,640 Policy loans 557 545 472 Cash equivalents and interest-bearing deposits 143 117 84 Other 1,072 659 790 Total $ 45,174 $ 47,540 $ 47,288

Premium and Other Receivables,

Premium and Other Receivables, Net	12 Months Ended
	Dec. 31, 2015
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: 2015 2014 Premium $ 92,600 $ 131,496 Self-funded group receivables 73,552 62,189 FEHBP 13,859 12,384 Agent balances 25,424 25,300 Accrued interest 12,624 11,737 Reinsurance recoverable 48,506 50,686 Unsettled sales - 10,456 Other 53,325 47,742 319,890 351,990 Less allowance for doubtful receivables: Premium 28,944 28,983 Other 8,300 7,385 37,244 36,368 Premium and other receivables, net $ 282,646 $ 315,622

Deferred Policy Acquisition Cos

Deferred Policy Acquisition Costs and Value of Business Acquired	12 Months Ended
	Dec. 31, 2015
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, 2015, 2014, and 2013 is summarized as follows: DPAC VOBA Total 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 Additions 48,599 - 48,599 VOBA interest at an average rate of 5.15% - 1,543 1,543 Amortization (38,624 ) (4,970 ) (43,594 ) Net change 9,975 (3,427 ) 6,548 Balance, December 31, 2015 $ 161,731 $ 28,917 $ 190,648 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: 2016 $ 3,836 2017 2,861 2018 2,511 2019 2,558 2020 1,813

Property and Equipment, Net

Property and Equipment, Net	12 Months Ended
	Dec. 31, 2015
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: 2015 2014 Land $ 10,976 $ 10,976 Buildings and leasehold improvements 63,967 62,989 Office furniture and equipment 22,869 20,240 Computer equipment and software 113,223 109,445 Automobiles 494 494 211,529 204,144 Less accumulated depreciation and amortization 137,576 125,801 Property and equipment, net $ 73,953 $ 78,343

Goodwill

Goodwill	12 Months Ended
	Dec. 31, 2015
Goodwill [Abstract]
Goodwill	8. Goodwill Certain business combination transactions have resulted in goodwill, which represents the excess of the acquisition cost over the fair value of net assets acquired, and is assigned to reporting units. Goodwill recorded as of December 31, 2015 and 2014 was $25,397 which is mostly attributable to the Medicare Advantage reporting unit within the Managed Care segment. As required by accounting guidance, the 2015 and 2014 annual goodwill impairment tests were performed and based on the results of the tests, no impairment charge was required. 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. Cumulative goodwill impairment charges were $2,369 as of December 31, 2015 and 2014. All cumulative goodwill impairment related to the health clinic reporting unit, which the Company impaired in 2013 as part of the annual goodwill impairment tests performed. The fair value of the health clinic reporting unit, based on the income approach, was below the carrying value of the health clinic reporting unit. The decline in the estimated fair value of the health clinic reporting unit resulted from lower projected revenue growth rates and profitability levels used to calculate the discounted cash flows. The lower projected operating results reflected 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. The goodwill impairment charge was included within the consolidated operating expenses.

Intangible Asset

Intangible Asset	12 Months Ended
	Dec. 31, 2015
Intangible Asset [Abstract]
Intangible Asset	9. Intangible Asset 2015 2014 Trade name $ 5,476 $ 5,476 Membership base 41,188 41,188 Provider networks 1,681 1,681 Other 817 760 49,162 49,105 Accumulated amortization 42,520 39,898 Intangible assets, net $ 6,642 $ 9,207 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. Amortization expense of intangible assets recorded for the years ended December 31, 2015, 2014, and 2013 amounted to $2,622, $5,745, and $8,638, respectively. The amortization expense for the year ended December 31, 2014 includes an impairment charge of $2,221 related to intangible assets purchased as part of the health clinic acquisition. There was no intangible asset impairment charge during the years ended December 31, 2015 and 2013. Estimated amortization expense for the following five years is as follows: Year ending December 31: 2016 $ 1,805 2017 1,270 2018 964 2019 739 2020 548

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2015
Fair Value Measurements [Abstract]
Fair Value Measurements	10. 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, 2015 and 2014 for assets measured at fair value on a recurring basis: 2015 Level 1 Level 2 Level 3 Total Securities available for sale Fixed maturity securities Obligations of government-sponsored enterprises $ - $ 116,240 $ - $ 116,240 U.S. Treasury securities and obligations of U.S. government instrumentalities 163,270 - - 163,270 Obligations of the Commonwealth of Puerto Rico and its instrumentalities - 25,619 - 25,619 Municipal securities - 647,446 - 647,446 Corporate Bonds - 157,408 - 157,408 Residential agency mortgage-backed securities - 937 - 937 Collaterized mortgage obligations - 22,725 - 22,725 Total fixed maturities 163,270 970,375 - 1,133,645 Equity securities - Mutual funds 167,082 22,031 7,958 197,071 $ 330,352 $ 992,406 $ 7,958 $ 1,330,716 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 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, 2015 and 2014. 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 is as follows: Fair Value Measurements Using Significant Unobservable Inputs (Level 3) 2015 2014 2013 Balance as of January 1, $ 13,349 $ 17,910 $ 12,822 Realized gains 1,538 2,552 192 Unrealized in other accumulated comprehensive income (4,207 ) (2,937 ) 2,756 Purchases 1,207 501 2,439 Sales - - (299 ) Capital Distributions (3,929 ) (4,677 ) - Balance as of December 31, $ 7,958 $ 13,349 $ 17,910 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 discounted value of the contractual cash flows using current estimated market discount rates for instruments with similar terms. A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheet at December 31, 2015 and 2014 are as follows: 2015 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 7,901 $ - $ 7,901 $ - $ 7,901 Liabilities: Policyholder deposits $ 179,287 $ - $ 179,287 $ - $ 179,287 Long-term borrowings: Loans payable to bank - variable 12,827 - 12,827 - 12,827 6.6% senior unsecured notes payable 24,000 - 19,920 - 19,920 Total long-term borrowings 36,827 - 32,747 - 32,747 Total liabilities $ 216,114 $ - $ 212,034 $ - $ 212,034 2014 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 7,260 $ - $ 7,260 $ - $ 7,260 Liabilities: Policyholder deposits $ 175,235 $ - $ 175,235 $ - $ 175,235 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 $ 249,702 $ - $ 248,552 $ - $ 248,552

Claim Liabilities

Claim Liabilities	12 Months Ended
	Dec. 31, 2015
Claim Liabilities [Abstract]
Claim Liabilities	11. Claim Liabilities The activity in claim liabilities is as follows: Years ended December 31 2015 2014 2013 Claim liabilities at beginning of year $ 390,086 $ 420,421 $ 416,918 Reinsurance recoverable on claim liabilities (40,635 ) (37,557 ) (39,051 ) Net claim liabilities at beginning of year 349,451 382,864 377,867 Claim liabilities acquired from business acquisitions - - 1,048 Claims incurred Current period insured events 2,314,609 1,761,199 1,832,414 Prior period insured events (20,848 ) (37,411 ) (19,203 ) Total 2,293,761 1,723,788 1,813,211 Payments of losses and loss-adjustment expenses Current period insured events 1,920,976 1,499,646 1,507,302 Prior period insured events 271,185 257,555 301,960 Total 2,192,161 1,757,201 1,809,262 Net claim liabilities at end of year 451,051 349,451 382,864 Reinsurance recoverable on claim liabilities 40,714 40,635 37,557 Claim liabilities at end of year $ 491,765 $ 390,086 $ 420,421 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 favorable developments in the claims incurred and loss-adjustment expenses for prior period insured events for 2015, 2014 and 2013 are due primarily to better than expected utilization trends mostly in the Managed Care segment. 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 $24,954, $23,807, and $22,990 that is included within the consolidated claims incurred during the years ended December 31, 2015, 2014 and 2013, respectively.

Federal Employees' Health Benef

Federal Employees' Health Benefits Program (FEHBP)	12 Months Ended
	Dec. 31, 2015
Federal Employees' Health Benefits Program (FEHBP) [Abstract]
Federal Employees' Health Benefits Program (FEHBP)	12. 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. The Company also has funds available related to the FEHBP amounting to $42,572 and $39,835 as of December 31, 2015 and 2014, 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, 2015 and 2014 was $28,417 and $24,824, respectively. The Company received $4,763, $12,766, and $634, of payments made from the contingency reserve fund of OPM during 2015, 2014, and 2013, 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.

Long-Term Borrowings

Long-Term Borrowings	12 Months Ended
	Dec. 31, 2015
Long-Term Borrowings [Abstract]
Long-Term Borrowings	13. Long-Term Borrowings A summary of the borrowings entered by the Company as of December 31 is as follows: 2015 2014 Senior unsecured notes payable of $60,000 issued on $ 24,000 $ 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 1.23% and 1.24% at December 31, 2015, and 2014, respectively). 12,827 14,467 Repurchase agreement of $25,000 entered on November 2010, which was due November 2015. Interest was payed quarterly at a fixed rate of 1.96%. - 25,000 Total borrowings $ 36,827 $ 74,467 Aggregate maturities of the Company’s borrowings as of December 31, 2015 are summarized as follows: Year ending December 31 2016 $ 1,640 2017 1,640 2018 1,640 2019 1,640 2020 25,640 Thereafter 4,627 $ 36,827 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, 2015. 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. Interest expense on the above borrowings amounted to $2,435, $3,639, and $4,106, for the years ended December 31, 2015, 2014, and 2013, respectively. On November 4, 2015, TSS entered into a $50,000 revolving loan agreement with a commercial bank in Puerto Rico. This line of credit has an interest rate of LIBOR plus 250 basis points, matures on November 4, 2016, and contains certain financial and non-financial covenants that are customary for this type of facility. There is no outstanding balance as of December 31, 2015. The agreement stipulates that any unused balance would become unavailable should TSS stop collecting payments under the Medicaid contract for four consecutive weeks.

Reinsurance Activity

Reinsurance Activity	12 Months Ended
	Dec. 31, 2015
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) 2015 2014 2013 2015 2014 2013 Gross $ 2,847,288 $ 2,199,351 $ 2,281,697 $ 2,313,191 $ 1,748,972 $ 1,841,695 Ceded (64,134 ) (70,785 ) (78,662 ) (19,430 ) (25,184 ) (28,484 ) Net $ 2,783,154 $ 2,128,566 $ 2,203,035 $ 2,293,761 $ 1,723,788 $ 1,813,211 (1) The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $24,954, $23,806, and $22,990 that is included within the consolidated claims incurred during the years ended December 31, 2015, 2014 and 2013, respectively. TSS, TSA, 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 2015, 2014, and 2013 TSP placed 14.06%, 13.26%, and 12.54% 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 $3,678, $4,901, and $10,930, in 2015, 2014 and 2013, respectively. Claims ceded amounted to $2,665, $5,487, and $9,745, in 2015, 2014 and 2013, 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 $200 are retained by Triple-S and the excess up to $800 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 $48,676, $52,058, and $57,643, in 2015, 2014, and 2013, 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 $65,000. · 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 $135,000. · Property catastrophe excess of loss. This treaty provides protection in excess of $65,000 and $135,000 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 $3,500 for personal lines and $10,800 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 $3,000 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 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 $10,291 and $11,374 at December 31, 2015 and 2014, 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 $9,596, $10,328, and $8,874, in 2015, 2014, and 2013, 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, and for others issued after January 1, 2015, the retention limit is $200. · A quota share agreement for group major medical and an excess of loss agreements for group and individual major medical, where TSV cedes 40% of all claims up to a maximum retention of $100 and 70% of all claims over $100 up to a maximum of $2,000. · Excess of loss agreement for the Major Medical Business in Costa Rica reinsuring 100% of all claims over $25. TSV participates in various retrocession reinsurance agreements since early 2014. The retrocessions are based on group life and health reinsurance business pools for which TSV has participations ranging from 6.7% to 15% of the total reinsurance facility. TSV share of the reinsurer’s gross liability is limited to a maximum that ranges depending on the agreement from $50 to $500 per covered life. The agreements cover new and renewal business for a period of twelve months and may be cancelled subject to ninety days written notice at any anniversary date.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2015
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 $574, $451, and $790, in 2015, 2014, and 2013, 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, 2015 and 2014 is estimated at $59,000 and $54,000, 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 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. On December 22, 2014, the Governor of Puerto Rico signed into law Act No. 238, which amended the Puerto Rico tax code to include, among others that this gross receipt tax is not applicable for fiscal years beginning after December 31, 2014. 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 and March 30, 2015, the Governor of Puerto Rico signed into law Act No. 238 and Act No. 44, respectively, providing further amendments to the provisions set forth by Act No.77, extending the period to prepay at the reduced tax rate of 12% on the increase in value of long-term capital assets until April 30, 2015. In connection with this law, on April 15, 2015 and December 31, 2014, the group of corporations that comprise TSM entered into Closing Agreements with the Puerto Rico Department of Treasury. The Closing Agreements, among other matters, were 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 and Act No. 44 of 2015. The agreements also covered certain tax attributes of the Corporation. As a result of the aforementioned tax laws and the Closing Agreements, the Company: (1) obtained a benefit from the lower tax rate provided under these statutes, (2) reassessed the realizability of some of its deferred taxes and (3) recorded a tax benefit of $2,524 and $17,049 for the years ended December 31, 2015 and 2014, respectively. The components of income tax expense consisted of the following: 2015 2014 2013 Current income tax expense $ 10,169 $ 22,551 $ 11,704 Deferred income tax benefit (5,070 ) (21,806 ) (9,423 ) Total income tax expense $ 5,099 $ 745 $ 2,281 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: 2015 2014 2013 Income before taxes $ 57,131 $ 66,051 $ 57,787 Statutory tax rate 39.00 % 39.00 % 39.00 % Income tax expense at statutory rate 22,281 25,760 22,537 Increase (decrease) in taxes resulting from Exempt interest income, net (6,041 ) (7,139 ) (5,850 ) Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation (4,936 ) (5,572 ) (3,819 ) Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP - - 123 Effect of taxing capital gains at a preferential rate (7,432 ) (14,248 ) (708 ) Dividends received deduction 270 173 202 Adjustment to deferred tax assets and liabilities for changes in effective tax rates (1,576 ) 5,466 (8,285 ) Other adjustments to deferred tax assets and liabilities (58 ) (707 ) 279 Effect of extraordinary dividend distribution (875 ) - (4,996 ) Tax credit benefit (537 ) (1,482 ) 72 Tax returns to provision true up (1,084 ) - - Effect of reassessment of unused credits for alternative minimum taxes paid - (6,486 ) - Subtotal (22,269 ) (29,995 ) (22,982 ) Other permanent disallowances, net: Disallowed resolution agreements expense 1,716 - - Disallowance of expenses related to exempt interest income - 46 40 Disallowed dividend received deduction 3,598 4,815 2,502 Disallowed interest expense 12 21 21 Other 61 282 794 Total other permanent differences 5,387 5,164 3,357 Other adjustments (300 ) (184 ) (631 ) Total Income Tax Expense $ 5,099 $ 745 $ 2,281 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, 2015 and 2014 of the Company and its subsidiaries is composed of the following: 2015 2014 Deferred tax assets Allowance for doubtful receivables $ 13,434 $ 13,115 Liability for pension benefits 21,416 31,541 Employee benefits plan 3,177 2,283 Postretirement benefits 1,252 1,238 Deferred compensation 1,818 1,589 Accumulated depreciation 1,240 1,142 Impairment loss on investments 1,749 661 Contingency reserves 30 273 Share-based compensation 4,875 3,174 Alternative minimum income tax credit 2,066 8,673 Purchased tax credits 931 1,682 Net operating loss 12,721 11,953 Unrealized loss on securities available for sale - 3 Difference in tax basis of investments portfolio 6,843 5,000 Accrued liabilities 2,402 1,195 Other 591 538 Gross deferred tax assets 74,545 84,060 Less: valuation allowance (7,839 ) (6,754 ) Deferred tax assets 66,706 77,306 Deferred tax liabilities Deferred policy acquisition costs (3,673 ) (3,946 ) Catastrophe loss reserve trust fund (7,664 ) (7,128 ) Unrealized gain upon acquisition - (101 ) Unrealized gain on securities available for sale (15,021 ) (21,540 ) Unamortized bond issue costs (29 ) (52 ) Intangible asset (3,013 ) (4,172 ) Accumulated depreciation (15 ) (25 ) Other - (103 ) Gross deferred tax liabilities (29,415 ) (37,067 ) Net deferred tax asset $ 37,291 $ 40,239 The net deferred tax asset shown in the table above at December 31, 2015 and 2014 is reflected in the consolidated balance sheets as $52,361 and $68,695, respectively, in deferred tax assets and $15,070 and $28,456, 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, 2015, the Company and its subsidiaries has net operating loss carry-forwards for Puerto Rico income tax purposes of approximately $21,600, which are available to offset future taxable income for up to December 2025. t he corporation concluded that as of December 31, 2015, 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, 2015
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, 2015 and 2014, accordingly: 2015 2014 Change in benefit obligation Benefit obligation at beginning of year $ 205,254 $ 163,487 Service cost 4,137 3,589 Interest cost 8,281 8,287 Benefit payments (7,591 ) (5,858 ) Actuarial (gain) loss (25,299 ) 35,749 Benefit obligation at end of year $ 184,782 $ 205,254 Accumulated benefit obligation at end of year $ 152,851 $ 167,564 Change in fair value of plan assets Fair value of plan assets at beginning of year $ 128,108 $ 116,727 Actual return on assets 1,544 9,239 Employer contributions 8,000 8,000 Benefit payments (7,591 ) (5,858 ) Fair value of plan assets at end of year $ 130,061 $ 128,108 Funded status at end of year $ (54,721 ) $ (77,146 ) Amounts in accumulated other comprehensive income not yet Development of prior service credit Balance at beginning of year $ (2,673 ) $ (3,123 ) Amortization 450 450 Net prior service credit (2,223 ) (2,673 ) Development of actuarial loss Balance at beginning of year 80,118 50,247 Amortization (5,939 ) (4,134 ) (Gain)/Loss arising during the year (18,463 ) 34,005 Actuarial net loss 55,716 80,118 Sum of deferrals $ 53,493 $ 77,445 Net amount recognized $ (1,228 ) $ 299 The following assumptions were used on a weighted average basis to determine benefits obligations of the plan as of December 31, 2015 and 2014. 2015 2014 Discount rate 4.75% 4.25% Rate of compensation increase Graded; 3.50% Graded; 3.50% to 8.00% to 8.00% The assumed discount rate of 4.75 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, 2015 and 2014 consist of the following: 2015 2014 Pension liability $ 54,721 $ 77,146 Accumulated other comprehensive loss, net of a deferred tax of $17,500 and $26,841 in 2015 and 2014, respectively 35,993 50,604 The components of net periodic benefit cost for 2015, 2014, and 2013 were as follows: 2015 2014 2013 Components of net periodic benefit cost Service cost $ 4,137 $ 3,589 $ 4,254 Interest cost 8,281 8,287 7,915 Expected return on plan assets (8,380 ) (7,496 ) (6,758 ) Prior service benefit (450 ) (450 ) (450 ) Actuarial loss 5,939 4,134 7,308 Net periodic benefit cost $ 9,527 $ 8,064 $ 12,269 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, 2015, 2014 and 2013. 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 3,675 The following assumptions were used on a weighted average basis in computing the periodic benefit cost for the years ended December 31, 2015, 2014, and 2013: 2015 2014 2013 Discount rate 4.25 % 5.25 % 4.50 % Expected return on plan assets 7.00 % 7.00 % 7.00 % Rate of compensation increase Graded; 3.50% to 8.00 % Graded; 3.50% to 8.00 % Graded; 3.50% 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, 2015, 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 6.2% to 7.7%. The Company selected a rate from within this range of 7.00% for 2015 and 2014, 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, 2015 and 2014 for assets measured at fair value on a recurring basis: 2015 Level 1 Level 2 Level 3 Total Government obligations $ - $ 9,009 $ - $ 9,009 Non-agency backed securities - 745 - 745 Corporate obligations - 10,865 - 10,865 Partnership/Joint venture - - 567 567 Limited Liability Corporations - 60,417 - 60,417 Real estate - - 5,929 5,929 Registered investments 6,224 5,927 - 12,151 Common/Collective trusts - 16,479 - 16,479 Hedge funds - 8,284 - 8,284 Common stocks 1,985 - - 1,985 Preferred stocks 121 - - 121 Forward foreign currency contracts - 3 - 3 Interest-bearing cash 550 - - 550 Derivatives - (28 ) - (28 ) $ 8,880 $ 111,701 $ 6,496 $ 127,077 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 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, 2015 and 2014 is as follows: Government Obligations Corporate Obligations Partnership/ Joint Venture Real Estate Hedge Funds Total Beginning 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 Actual return on program assets: Relating to assets still held at the reporting date - - 103 384 - 487 Relating to assets sold during the period - - (39 ) 636 - 597 Purchases, issuances, and settlements - - (594 ) (1,288 ) - (1,882 ) Transfer in and/or out - - - - - - Ending balance at December 31, 2015 $ - $ - $ 567 $ 5,929 $ - $ 6,496 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 2016. The following benefit payments, which reflect expected future service, as appropriate, are expected to be paid: Year ending December 31 2016 $ 8,464 2017 9,259 2018 11,421 2019 11,664 2020 11,956 2021 – 2025 66,475 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, 2015 and 2014, the Company has recorded a pension liability of $8,224 and $9,570, respectively. The charge to accumulated other comprehensive loss related to the noncontributory pension plan at December 31, 2015 and 2014 amounted to $862 and $2,087, respectively, net of a deferred tax asset of $556 and $1,339, respectively.

Catastrophe Loss Reserve and Tr

Catastrophe Loss Reserve and Trust Fund	12 Months Ended
	Dec. 31, 2015
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 $46,221 and $42,324 as of December 31, 2015 and 2014, 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 2015 and 2014 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. TSP retained earnings are restricted in the accompanying consolidated balance sheets by the total catastrophe loss reserve balance, which as of December 31, 2015 and 2014 amounted to $43,041 and $40,457, respectively.

Stockholders' Equity

Stockholders' Equity	12 Months Ended
	Dec. 31, 2015
Stockholders' Equity [Abstract]
Stockholders' Equity	18. Stockholders’ Equity a. 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. On November 12, 2015, the Company converted 1,426,721 issued and outstanding Class A shares into Class B common stock purchased pursuant to the provisions of the Articles of incorporation approved by Class A shareholders at the time of the Company’s Initial Public Offering. b. Authorized capital stock includes 100,000,000 of preferred stock with a par value of $1.00 per share. As of December 31, 2015 and 2014, there are no issued and outstanding preferred shares. c. As members of the BCBSA, the Company, TSS, and TSA are required by membership standards of this 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. d. 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 12). The accumulated earnings of TSS, TSA, TSV, TSB 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, 2015, the dividends permitted to be distributed in 2015 by the regulated subsidiaries without prior regulatory approval from the Commissioner of Insurance amounted to approximately $33,300. 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.

Stock Repurchase Programs

Stock Repurchase Programs	12 Months Ended
	Dec. 31, 2015
Stock Repurchase Programs [Abstract]
Stock Repurchase Programs	19. Stock Repurchase Programs The Company repurchases shares through open market transactions, in accordance with Rule 10b-18 of the Securities Exchange Act of 1934, as amended, under repurchase programs authorized by the Board of Directors. Shares purchased under share repurchase programs are retired and returned to authorized and unissued status. A summary of share repurchase programs in place during the three-year-period ended December 31, 2015 is as follows: · In September 2010, the Company’s Board approved a repurchase program (2010 $30,000 stock repurchase program). This program was discontinued on March 23, 2013. · On March 6, 2013, the Company’s Board authorized the repurchase of up to $30,000 of Class B shares (2013 $30,000 stock repurchase program) 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 $11,500 stock repurchase program) of its Class B common stock. This program was discontinued on October 28, 2014. · In October 2014 the Company’s Board of Directors authorized a $50,000 repurchase program (2014 $50,000 share repurchase program) of its Class B common stock. This program was completed on October 7, 2015. · In November 2015 the Company’s Board of Directors authorized a $25,000 repurchase program (2015 $25,000 share repurchase program) of its Class B common stock. As of December 31, 2015 The Company has $21,371 remaining under this repurchase program. The stock repurchase activity under stock repurchase programs for the years ended December 31, 2015, 2014, and 2013 is summarized as follows: 2015 2014 2013 Shares Repurchased Average Share Price Amount Repurchased Shares Repurchased Average Share Price Amount Repurchased Shares Repurchased Average Share Price Amount Repurchased 2015 $25,000 program 154,554 $ 23.72 $ 3,629 - $ - $ - - $ - $ - 2014 $50,000 program 2,086,532 21.69 44,658 228,525 23.55 5,341 - - - 2013 $11,500 program - - - 367,700 16.32 5,995 - - - 2013 $30,000 program - - - - - - 1,000,000 18.25 18,250 Total 2,241,086 $ 21.87 $ 48,287 596,225 $ 20.28 $ 11,336 1,000,000 $ 18.25 $ 18,250

Comprehensive Income

Comprehensive Income	12 Months Ended
	Dec. 31, 2015
Comprehensive Income [Abstract]
Comprehensive Income	20. Comprehensive Income The accumulated balances for each classification of other comprehensive income (loss) are as follows: Unrealized Gains on securities Liability for Pension Benefits Accumulated Other Comprehensive Income Beginning balance at December 31, 2014 $ 101,467 $ (52,691 ) $ 48,776 Net current period change (22,612 ) 12,164 (10,448 ) Reclassification adjustments for gains and losses reclassified in income (16,377 ) 3,672 (12,705 ) Ending balance at December 31, 2015 $ 62,478 $ (36,855 ) $ 25,623 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 2015, 2014 and 2013 are as follows: 2015 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax Amount Unrealized holding gains on securities arising during the period $ (25,765 ) $ 3,153 $ (22,612 ) Less reclassification adjustment for gains and losses realized in income (18,941 ) 2,564 (16,377 ) Net change in unrealized gain (44,706 ) 5,717 (38,989 ) Liability for pension benefits: Reclassification adjustment for amortization of net losses from past experience and prior service costs 6,020 (2,348 ) 3,672 Net change arising from assumptions and plan changes and experience 19,940 (7,776 ) 12,164 Net change in liability for pension benefits 25,960 (10,124 ) 15,836 Net current period change $ (18,746 ) $ (4,407 ) $ (23,153 ) 2014 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax 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 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax 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 )

Share-Based Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2015
Share-Based Compensation [Abstract]
Share-Based Compensation	21. 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, 2015 and 2014, there were 1,677,395 and 2,174,711 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, 2015 is as follows Number of Shares Weighted Average Exercise Price Weighted Average Contractual Term (Years) Aggregate Intrinsic Value Outstanding balance at January 1, 2015 17,353 $ 13.50 Exercised during the year (12,913 ) $ 13.85 Outstanding balance at December 31, 2015 4,440 $ 12.49 0.01 $ 50,705 Exercisable at December 31, 2015 4,440 $ 12.49 0.01 $ 50,705 No options were granted during the three years ended December 31 2015, 2014 and 2013. There were 12,913, 199,002 and 21,724 exercised options during 2015, 2014 and 2013, respectively. No cash was received from stock options exercises during the years ended December 31, 2015 and 2014. During the years ended December 31, 2015, 2014 and 2013, 7,235, 174,090 and 14,095 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, 2015, and changes during the year ended December 31, 2015, are presented below: Restricted Awards Performance Awards Number of Shares Weighted Average Fair Value Number of Shares Weighted Average Exercise Price Outstanding balance at January 1, 2015 179,026 $ 17.31 459,899 $ 17.14 Granted 147,740 20.33 349,576 18.96 Lapsed (163,986 ) 17.82 (134,297 ) 18.03 Forfeited (due to termination) (6,449 ) 21.80 (138,433 ) 18.62 Forfeited (due to performance payout less than 100%) - - (41,740 ) 16.37 Outstanding balance at December 31, 2015 156,331 $ 19.45 495,005 $ 17.84 The weighted average grant date fair value of restricted shares granted during the year 2015, 2014 and 2013 were $20.33, $16.46, and $18.43, respectively. Total fair value of restricted stock vested during the year ended December 31, 2015, 2014 and 2013 was $3,608, $1,146 and $865, respectively. At December 31, 2015 there was $5,577 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 0.96 years. The Company currently uses authorized and unissued Class B common shares to satisfy share award exercises.

Net Income Available to Stockho

Net Income Available to Stockholders and Basic Net Income per Share	12 Months Ended
	Dec. 31, 2015
Net Income Available to Stockholders and Basic Net Income per Share [Abstract]
Net Income Available to Stockholders and Basic Net Income per Share	22. 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: 2015 2014 2013 Numerator for earnings per share Net income attributable to TSM available to stockholders $ 52,121 $ 65,660 $ 55,924 Denominator for basic earnings per share – Weighted average of common shares 25,674,079 27,102,127 27,692,937 Effect of dilutive securities 87,662 86,705 99,872 Denominator for diluted earnings per share $ 25,761,741 $ 27,188,832 $ 27,792,809 Basic net income per share attributable to TSM $ 2.03 $ 2.42 $ 2.02 Diluted net income per share attributable to TSM $ 2.02 $ 2.41 $ 2.01

Commitments

Commitments	12 Months Ended
	Dec. 31, 2015
Commitments [Abstract]
Commitments	23. Commitments The Company leases its regional offices, certain equipment, and warehouse facilities under non-cancelable operating leases. Minimum annual rental commitments at December 31, 2015 under existing agreements are summarized as follows: Year ending December 31 2016 $ 5,227 2017 4,098 2018 3,406 2019 3,249 2020 2,541 Total $ 18,521 Rental expense for 2015, 2014, and 2013 was $7,730, $8,738, and $10,287 respectively. 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 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, which is included as other income in the accompanying consolidated statements of earnings. In December 2015, the Association declared another extraordinary dividend to its members for $21,000 subject to a special tax rate of 15% as allowed by Act No. 201 of December 7, 2015. The dividend will be received net of tax in three installments in 2016. During the year ended December 31, 2015, TSP recorded a special distribution of $1,672, net of tax, which is included as other income in the accompanying consolidated statements of earnings.

Contingencies

Contingencies	12 Months Ended
	Dec. 31, 2015
Contingencies [Abstract]
Contingencies	24. Contingencies The Company’s 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 and may require the Company to comply with corrective action plans or changes in our practices. As of December 31, 2015, the Company is involved in various legal actions arising in the ordinary course of business. The Company is also defendant 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 the Company believes the estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution. The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any. Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company. Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have 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 Triple-S Salud, Inc. (TSS) are defending nine individual lawsuits, all filed in state court, from persons who claim to have inherited a total of 124 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 27, 2012, the Puerto Rico Court of Appeals upheld the dismissal. On October 1, 2013, the Puerto Rico Supreme Court 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. After returning to the Court of First Instance, the parties have been conducting discovery. On December 16, 2015, the Company filed a motion for summary judgment. The parties are awaiting further proceedings. 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. On January 8, 2013, the Puerto Rico Supreme Court ruled that the applicable statute of limitations is the fifteen-year period of the Puerto Rico’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 their complaint, which was answered by the Company 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 Puerto Rico Court of First Instance denied our motion for summary judgment based on its determination that there are material issues of fact in controversy. In response to our appeal, the Puerto Rico Court of Appeals confirmed the decision of the Puerto Rico’s Court of First Instance and denied a subsequent plea for reconsideration. Both parties have filed motions for summary judgment and, consequently, their respective oppositions. The parties are awaiting the court’s decision on their respective motions for summary judgment. 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, which was denied by the court on January 24, 2013. After two amendments to plaintiff’s complaint, the Company filed its response on June 13, 2013. A status conference is scheduled for May 24, 2016. Discovery is ongoing. The fifth case, entitled Cebollero Santamaría v. Triple-S Salud, Inc., et al, was filed on March 26, 2013, and the Company filed its response on May 16, 2013. On October 29, 2013, the Company filed a motion for summary judgment on the grounds that the claim is time-barred under the fifteen-year statute of limitations of the Puerto Rico Civil Code for collection of monies and, in the alternative, that plaintiff failed to state a claim for which relief can be granted, which was denied by the court. On November 2, 2015, the Company filed a petition of Writ of Certiorari with the Puerto Rico Court of Appeals, which was denied on March 8, 2016. On March 23, 2016, the Company filed a request for reconsideration to its petition of Writ of Certiorari with the Puerto Rico Court of Appeals. Discovery is ongoing. The sixth case, entitled Irizarry Antonmattei, et al, v. Seguros de Servicios de Salud, et al, was filed on April 16, 2013 and the Company filed its response on June 21, 2013. After several pleas, including a motion to dismiss filed by the Company, plaintiff amended their complaint. On November 5, 2013, the Company moved to dismiss the first amended complaint. 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 a memorandum of law and struck plaintiff’s motion for summary judgment. On September 18, 2014, the court denied our motion to dismiss the amended complaint. 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 Writ of Certiorari with the Puerto Rico Court of Appeals, which was denied on April 1, 2015. A pretrial hearing is scheduled for June 16, 2016. 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. A status conference is scheduled for May 19, 2016. Discovery is ongoing. The eighth case, entitled Gallardo Mendez, et al, v. Triple-S Management Corporation, was filed on December 30, 2014. On March 13, 2015, the Company filed a motion to dismiss. After an extension of time granted by the court, plaintiff did not file an opposition. Therefore, on June 16, 2015, the court deemed our motion to dismiss unopposed. We are awaiting the court’s ruling on the Company’s motion to dismiss and further proceedings. The ninth case, entitled Ruiz de Porras, et al, v. Triple-S Salud, Inc., was filed on January 7, 2016. On March 28, 2016, the Company filed its response. 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. Discovery has been completed. Since 2011, TSP has been defending this claim and, jointly with other defendants, has filed several pleas in connection with the certification of the class and the dismissal of the claim. On December 17, 2015, three defendants filed a joint motion informing the court that said defendants are conducting negotiations to settle the claim and requested a 60-day period in other to continue the negotiations. Subsequently, the term to continue negotiations was extended until April 17, 2016. 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. The parties have filed several pleas and presented their position in argumentative hearings before the court in connection with the motion to dismiss, which was ultimately dismissed without prejudice by the court. Also, on April 6, 2015, plaintiffs filed suit in the United States District Court of Puerto Rico, which we believe does not preclude TSS’ jurisdictional arguments. 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 many of these complaints are time-barred and will continue to conduct a vigorous defense. 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. On June 25, 2014, the hearing officer ordered the parties to file a joint working plan and schedule, which the parties are executing. Discovery has been completed and the parties are awaiting further proceedings. On April 17, 2015, ASES notified the Company of a complaint from a medical service provider demanding payment amounting to $5,073. Claimant alleges that TSS did not pay the claims, paid them incorrectly, or recovered payments from the provider for which TSS did not have the right. TSS answered the complaint and counterclaimed. The parties are conducting meetings to assess the possibility to resolve this matter outside the administrative forum. TSS denies any wrongdoing and will continue to defend this matter vigorously. Regulatory Matters Our business is subject to review by regulators in Puerto Rico, U.S. Virgin Islands, British Virgin Islands, Anguilla and Costa Rica. Also, our Medicare and Medicaid segments are subject to the review of federal regulatory authorities. These regulatory authorities conduct regular reviews of many aspects of our business, including, but not limited to, legal and regulatory compliance, business practices, privacy issues, delivery of services, among others. These reviews could result in fines or other sanctions being imposed on us or may require us to adopt corrective action plans or changes in our practices. Also, they could have a material adverse effect on our reputation and business, including mandatory disclosure to the media, significant increases in the cost of managing and remediating incidents and material fines, contract termination, penalties and litigation awards, among other consequences, any of which could have a material and adverse effect on our results of operations, financial position and cash flows. On November 20, 2015, the Company entered into a Resolution Agreement with HHS and OCR (the Resolution Agreement) to settle all incidents being investigated by OCR up to the date of execution of the Resolution Agreement. As part of the Resolution Agreement, the Company agreed to pay $3.5 million, without admitting any liability, implement a three year corrective action plan, and comply with other terms and conditions. The amount paid as part of this agreement is included as operating expenses in the accompanying consolidated statements of earnings for the year ended December 31, 2015. On November 20, 2015, the Company also reached a settlement agreement with ASES (the ASES Settlement Agreement) related to any and all privacy related incidents reported to ASES up to the date of execution of the ASES Settlement Agreement. As part of the ASES Settlement Agreement, the Company did not admit any liability and agreed to pay ASES $1.5 million in full accord and satisfaction and settlement of any and all reported incidents. The amount paid as part of this agreement is included as operating expenses in the accompanying consolidated statements of earnings for the year ended December 31, 2015. ASES Audits The Company is subject to numerous audits in connection with the provision of services to private and governmental entities. These audits may include numerous aspects of our business, including claim payment practices, contractual obligations, service delivery, third-party obligations, and business practices, among others. Deficiencies in audits could have a material adverse effect on our reputation and business, including termination of contracts, significant increases in the cost of managing and remediating deficiencies, payment of contractual penal clauses, and others, any of which could have a material and adverse effect on our results of operations, financial position and cash flows. On July 2, 2014, ASES notified TSS that the results of an audit conducted in connection with the government health plan contract for several periods between October 2005 to September 2013, reflected overpayment of premiums made to TSS pursuant to prior contracts with ASES in the amount of $7,950. The alleged overpayments were related to duplicated payments or payments made for deceased members, and requested the reimbursement of the alleged overpayment. 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, and that ASES, under the terms of the contracts, was responsible for certifying the membership. On March 24, 2015, the court ruled that the scope of the 2011 settlement agreement did not preclude ASES from recovering “future claims” including the alleged improper payments. After the denial of a subsequent motion for reconsideration and a petition for a Writ of Certiorari by the Puerto Rico Court of Appeals, on January 21, 2016, TSS filed a petition of a Writ of Certiorari with the Supreme Court of Puerto Rico. TSS also amended its claim to include the Puerto Rico Health Department (PRHD), as it asserts the PRHD is an indispensable party for the resolution of this matter. With this amendment, TSS seeks payment of approximately $5,000 as, if ASES’s allegations are considered correct, premiums paid to TSS should have been higher than what ASES actually paid given the additional risk assumed by TSS. The Company will continue to conduct a vigorous defense of this matter.

Statutory Accounting

Statutory Accounting	12 Months Ended
	Dec. 31, 2015
Statutory Accounting [Abstract]
Statutory Accounting	25. 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, 2015 and 2014 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, 2015 and 2014 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, 2015, 2014 and 2013: (dollar amounts in millions) 2015 2014 2013 Net admitted assets $ 1,881 $ 1,734 $ 1,672 Capital and surplus 691 659 646 RBC requirement 301 209 205 Net income 73 88 63 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 $43,041 and $46,221 as of December 31, 2015, respectively. The total catastrophe loss reserve and trust fund amounted to $40,457 and $42,324 as of December 31, 2014, 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 $5,136 and $4,383 (fair value of $5,276 and $4,582) at December 31, 2015 and 2014, respectively, were deposited with the Commissioner of Insurance. As a result, the combined restricted assets for our regulated subsidiaries were $51,357 and $47,222 as of December 31, 2015 and 2014, respectively.

Supplementary Information on Ca

Supplementary Information on Cash Flow Activities	12 Months Ended
	Dec. 31, 2015
Supplementary Information on Cash Flow Activities [Abstract]
Supplementary Information on Cash Flow Activities	26. Supplementary Information on Cash Flow Activities 2015 2014 2013 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 $(5,717), $4,717, and $(6,604) in 2015, 2014, and 2013, respectively $ 38,989 $ (35,883 ) $ 36,931 Change in liability for pension benefits, and deferred income tax (asset)/liability of $10,124, $(12,298), $12,760, in 2015, 2014, and 2013,respectively $ (15,836 ) $ 19,236 $ (19,956 ) Repurchase and retirement of common stock $ (182 ) $ (3,049 ) $ (321 ) Exercise of stock options $ 179 $ 2,885 $ 315 Unsettled sales $ - $ 10,456 $ - Other Income taxes paid $ 6,437 $ 16,069 $ 19,007 Interest paid $ 4,792 $ 5,764 $ 6,257

Business Combination

Business Combination	12 Months Ended
	Dec. 31, 2015
Business Combination [Abstract]
Business Combination	27. 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. Business Combinations 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. 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 2013. The unaudited pro forma financial information is not intended to represent or be indicative of the Company’s consolidated results of operations that would have been reported had the acquisition been completed as of the beginning of the periods presented and should not be taken as indicative of the Company’s future consolidated results of operations. (unaudited) 2013 Operating revenues $ 2,373,199 Net Income $ 54,729 Basic net income per share $ 1.98 Diluted net income per share $ 1.97

Segment Information

Segment Information	12 Months Ended
	Dec. 31, 2015
Segment Information [Abstract]
Segment Information	28. 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 – 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 $155,821, $152,659, and $155,302 for the three-year period ended December 31, 2015, 2014, and 2013, 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 $30,607, $37,748, and $43,211 for the three-year period ended December 31, 2015, 2014, and 2013, 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 $1,097,657, $1,013,746, and $1,038,852 for the three-year period ended December 31, 2015, 2014, and 2013, 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. Administrative service fees for each of the years in the three-year period ended December 31, 2015, 2014, and 2013 amounted to $24,266, $95,908, and $83,180, respectively. Beginning on April 1, 2015, the segment began providing managed care services on a fully-insured basis, earned premium revenue related to this business amounted to $607,216 for the period ended December 31, 2015. · Life Insurance segment · Property and Casualty Insurance segment 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, 2015, 2014, and 2013: 2015 2014 2013 Operating revenues Managed care Premiums earned, net $ 2,548,270 $ 1,894,791 $ 1,973,160 Fee revenue 44,705 119,302 108,680 Intersegment premiums/fee revenue 5,860 5,681 5,629 Net investment income 11,779 15,010 16,353 Total managed care 2,610,614 2,034,784 2,103,822 Life Premiums earned, net 147,864 142,245 130,170 Intersegment premiums 251 240 391 Net investment income 24,457 23,717 22,212 Total life 172,572 166,202 152,773 Property and casualty Premiums earned, net 87,020 91,530 99,705 Intersegment premiums 613 613 613 Net investment income 8,706 8,600 8,281 Total property and casualty 96,339 100,743 108,599 Other segments* Intersegment service revenues 10,863 9,100 8,847 Operating revenues from external sources 3,875 4,234 4,780 Total other segments 14,738 13,334 13,627 Total business segments 2,894,263 2,315,063 2,378,821 TSM operating revenues from external sources 53 95 341 Elimination of intersegment premiums (6,724 ) (6,534 ) (6,633 ) Elimination of intersegment service revenue (10,863 ) (9,100 ) (8,847 ) Other intersegment eliminations 23 116 99 Consolidated operating revenues $ 2,876,752 $ 2,299,640 $ 2,363,781 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic. 2015 2014 2013 Operating income Managed care $ 20,514 $ 31,445 $ 36,130 Life 20,012 22,561 16,156 Property and casualty 8,273 10,044 2,216 Other segments* (301 ) (4,440 ) (4,777 ) Total business segments 48,498 59,610 49,725 TSM operating revenues from external sources 53 95 341 TSM unallocated operating expenses (18,858 ) (14,571 ) (9,913 ) Elimination of TSM charges 9,623 9,717 9,258 Consolidated operating income 39,316 54,851 49,411 Consolidated net realized investment gains 18,941 18,231 2,587 Consolidated interest expense (8,169 ) (9,274 ) (9,474 ) Consolidated other income, net 7,043 2,243 15,263 Consolidated income before taxes $ 57,131 $ 66,051 $ 57,787 2015 2014 2013 Depreciation and amortization expense Managed care $ 13,268 $ 17,935 $ 19,993 Life 1,094 1,394 891 Property and casualty 673 994 528 Other segments* 556 3,264 3,314 Total business segments 15,591 23,587 24,726 TSM depreciation expense 788 813 863 Consolidated depreciation and amortization expense $ 16,379 $ 24,400 $ 25,589 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic. 2015 2014 2013 Assets Managed care $ 1,034,725 $ 975,999 $ 934,467 Life 770,721 764,268 698,650 Property and casualty 350,514 362,620 346,212 Other segments* 25,629 22,682 28,407 Total business segments 2,181,589 2,125,569 2,007,736 Unallocated amounts related to TSM Cash, cash equivalents, and investments 12,304 44,157 28,316 Property and equipment, net 23,219 20,415 21,278 Other assets 31,732 37,851 26,406 67,255 102,423 76,000 Elimination entries – intersegment receivables and others (42,699 ) (82,256 ) (36,112 ) Consolidated total assets $ 2,206,145 $ 2,145,736 $ 2,047,624 2015 2014 2013 Significant noncash items Net change in unrealized gain (loss) on securities available for sale Managed care $ (15,505 ) $ 6,055 $ (1,898 ) Life (13,005 ) 22,349 (29,867 ) Property and casualty (10,482 ) 7,789 (3,765 ) Other segments* (10 ) - - Total business segments (39,002 ) 36,193 (35,530 ) Amount related to TSM 13 (310 ) (1,401 ) Consolidated net change in unrealized gain (loss) on securities available for sale $ (38,989 ) $ 35,883 $ (36,931 ) * Includes segments that are not required to be reported separately, primarily the data processing services

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2015
Subsequent Events [Abstract]
Subsequent Events	29. 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.

Schedule II - Condensed Financi

Schedule II - Condensed Financial Information of Triple-S Management Corporation	12 Months Ended
	Dec. 31, 2015
Schedule II - Condensed Financial Information of Triple-S Management Corporation
Schedule II Condensed Financial Information of Triple-S Management Corporation	Schedule II Condensed Financial Information of Triple-S Management Corporation (Registrant) Balance Sheets (in thousands) As of December 31, 2015 2014 Assets: Cash and cash equivalents $ 12,304 $ 16,631 Securities available for sale, at fair value: Fixed maturities (amortized cost of $27,542 in 2014) - 27,526 Investment in subsidiaries 866,712 883,445 Notes receivable and accrued interest from subsidiaries 48,858 62,727 Due from subsidiaries 3,730 8,599 Deferred tax assets 26,767 34,830 Other assets 28,138 23,384 Total assets $ 986,509 $ 1,057,142 Liabilities: Notes payable and accrued interest to subsidiary 15,720 15,000 Due to subsidiary 11,860 13,191 Long-term borrowings 36,827 74,467 Liability for pension benefits 62,945 86,716 Other liabilities 11,631 9,210 Total liabilities 138,983 198,584 Stockholders’ equity: Common stock, class A 951 2,378 Common stock, class B 24,048 24,654 Additional paid-in-capital 83,438 121,405 Retained earnings 713,466 661,345 Accumulated other comprehensive income, net 25,623 48,776 Total stockholders’ equity 847,526 858,558 Total liabilities and stockholders’ equity $ 986,509 $ 1,057,142 Statements of Earnings 2015 2014 2013 Investment income $ 53 $ 95 $ 341 Other revenues 12,015 11,034 12,048 Total revenues 12,068 11,129 12,389 Operating expenses: General and administrative expenses 18,858 14,571 9,913 Interest expense 2,435 2,998 3,460 Total operating expenses 21,293 17,569 13,373 Loss before income taxes (9,225 ) (6,440 ) (984 ) Income tax benefit (1,071 ) (162 ) (8,381 ) Income (loss) of parent company (8,154 ) (6,278 ) 7,397 Equity in net income of subsidiaries 60,275 71,938 48,527 Net income $ 52,121 $ 65,660 $ 55,924 Statements of Cash Flows 2015 2014 2013 Net income $ 52,121 $ 65,660 $ 55,924 Adjustment to reconcile net income to net cash provided by operating activities: Equity in net income of subsidiaries (60,275 ) (71,938 ) (48,527 ) Depreciation and amortization 872 863 863 Shared- based compensation 8,290 2,371 2,781 Deferred income tax benefit (1,227 ) (137 ) (8,443 ) Dividends received from subsidiaries 47,000 36,600 18,000 Other 42 34 (937 ) Changes in assets and liabilities: Accrued interest from subsidiaries, net (1,046 ) (1,614 ) (353 ) Due from subsidiaries 4,869 (2,831 ) (5,405 ) Other assets (1,953 ) 1,004 (618 ) Due to subsidiaries (2,162 ) 5,654 1,672 Other liabilities 4,614 (1,948 ) 9,836 Net cash provided by operating activities 51,145 33,718 24,793 Cash flows from investing activities: Acquisition of investment in securities classified as available for sale - (27,572 ) - Proceeds from sale and maturities of investment in securities classified as available for sale 27,500 28,016 11,443 Collection of note receivable from subsidiary 9,000 9,250 3,500 Issuance of note receivable to subsidiary (2,369 ) (13,131 ) - Capital contribution to subsidiary - (908 ) - Net acquisition of property and equipment (3,676 ) - (711 ) Net cash provided by (used in) investing activities 30,455 (4,345 ) 14,232 Cash flow from financing activities: Repayments of short-term borrowings - - (10,000 ) Repayments of long-term borrowings (37,640 ) (1,640 ) (11,640 ) Repurchase of common stock (48,287 ) (11,337 ) (18,250 ) Net cash used in financing activities (85,927 ) (12,977 ) (39,890 ) Net (decrease) increase in cash and cash equivalents (4,327 ) 16,396 (865 ) Cash and cash equivalents, beginning of year 16,631 235 1,100 Cash and cash equivalents, end of year $ 12,304 $ 16,631 $ 235 (1) For purposes of these condensed financial statements, Triple‑S Management Corporation’s (the Company or TSM) investment in its wholly owned subsidiaries is recorded using the equity method of accounting. (2) Significant Accounting Policies The significant accounting policies followed by the Company are set forth in the notes to the consolidated financial statements and the accompanying notes thereto. Refer to Item 15 to the Annual Report on Form 10‑K. (3) Long‑Term Borrowings A summary of the long‑term borrowings entered into by the Company at December 31, 2015 and 2014 follows: 2015 2014 Senior unsecured notes payable of $60,000 issued on $ 24,000 $ 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 1.23% and 1.24% at December 31, 2015, and 2014, respectively). 12,827 14,467 Repurchase agreement of $25,000 entered on November 2010, which was due November 2015.Interest was payed quarterly at a fixed rate of 1.96%. - 25,000 Total borrowings $ 36,827 $ 74,467 Aggregate maturities of the Company’s long term borrowings as of December 31, 2015 are summarized as follows: Year ending December 31 2016 $ 1,640 2017 1,640 2018 1,640 2019 1,640 2020 25,640 Thereafter 4,627 $ 36,827 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. These senior unsecured notes contain certain non-financial covenants with which the Company has complied at December 31, 2015. The secured loan payable previously described is guaranteed by a first position held by the bank on the Company’s and its subsidiaries 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. (4) Transactions with Related Parties The following are the significant related parties transactions made for the three‑year period ended December 31, 2015, 2014 and 2013: 2015 2014 2013 Rent charges to subsidiaries $ 7,801 $ 7,801 $ 7,359 Interest charged to subsidiaries on notes receivable 2,758 2,527 2,664 Interest charged from subsidiary on note payable 720 755 721 As of December 31, 2015 and 2014 the Company has three notes receivable from subsidiaries amounting to $35,250 and $44,250, respectively, pursuant to the provisions of Article 29.30 of the Puerto Rico Insurance Code. The notes receivable from subsidiaries are due on demand; however, pursuant to the requirements established by the Commissioner of Insurance, the parties agreed that no payment of the total principal nor the interest due on the loans will be made without first obtaining written authorization from the Commissioner of Insurance within at least 60 days prior to the proposed payment date. These notes bear interest at 4.7%. Accrued interest at December 31, 2015 and 2014 amounted to $4,100 and $2,961, respectively. In addition, as of December 31, 2015, the Company has various notes receivable from a subsidiary amounting to $9,460. Accrued interest at December 31, 2015 amounted to $48. These notes are due in different years, which due dates range from 2019 to 2020, and bears interest at 4.7%. As of December 31, 2014, the Company has various notes receivable from a subsidiary amounting to $15,328. Accrued interest at December 31, 2014 amounted to $188. As of December 31, 2015 and 2014 the Company has a note payable to a subsidiary amounting to $15,000. The note is due on December 31, 2017 and bears interest at 4.7%. Accrued interest at December 31, 2015 amounted to $720. There was no accrued interest at December 31, 2014.

Schedule III - Supplementary In

Schedule III - Supplementary Insurance Information	12 Months Ended
	Dec. 31, 2015
Schedule III - Supplementary Insurance Information [Abstract]
Schedule III - Supplementary Insurance Information	Schedule III - Supplementary Insurance Information For the years ended December 31, 2015, 2014 and 2013 (Dollar amounts in thousands) Segment Deferred Policy Acquisition Costs and Value of Business Acquired Claim Liabilities Liability for Future Policy Benefits Unearned Premiums Other Policy Claims and Benefits Payable Premium Revenue Net Investment Income Claims Incurred Amortization of Deferred Policy Acquisition Costs and Value of Business Acquired Other Operating Expenses Net Premiums Written 2015 Managed care $ - $ 348,297 $ - $ 3,489 $ - $ 2,549,522 $ 11,779 $ 2,196,693 $ - $ 393,407 $ 2,549,173 Life insurance 172,284 44,601 352,370 6,596 - 148,115 24,457 82,561 17,661 52,338 144,262 Property and casualty insurance 18,364 99,796 - 70,175 - 87,633 8,706 42,600 25,933 19,533 85,734 Other non-reportable segments, parent company operations and net consolidating entries. - (929 ) - - - (2,116 ) 232 (3,139 ) - 9,849 (2,116 ) - Total $ 190,648 $ 491,765 $ 352,370 $ 80,260 $ - $ 2,783,154 $ 45,174 $ 2,318,715 $ 43,594 $ 475,127 $ 2,777,053 2014 Managed care $ - $ 249,330 $ - $ 4,340 $ - $ 1,896,142 $ 15,010 $ 1,629,095 $ - $ 374,244 $ 1,896,142 Life insurance 164,367 43,670 328,293 5,158 - 142,485 23,717 74,850 18,260 50,531 142,485 Property and casualty insurance 19,733 97,451 - 73,158 - 92,143 8,600 46,330 25,378 18,991 89,092 Other non-reportable segments, parent company operations and net consolidating entries. - (365 ) - - - (2,204 ) 213 (2,680 ) - 9,790 - - Total $ 184,100 $ 390,086 $ 328,293 $ 82,656 $ - $ 2,128,566 $ 47,540 $ 1,747,595 $ 43,638 $ 453,556 $ 2,127,719 2013 Managed care $ - $ 283,615 $ - $ 3,729 $ - $ 1,974,668 $ 16,353 $ 1,712,882 $ - $ 354,810 $ 1,974,668 Life insurance 158,835 43,705 304,363 4,790 - 130,561 22,212 70,798 17,867 47,952 130,561 Property and casualty insurance 18,454 93,590 - 78,843 - 100,318 8,281 55,091 28,088 23,204 94,642 Other non-reportable segments, parent company operations and net consolidating entries. - (489 ) - - - (2,512 ) 442 (2,570 ) - 6,248 - - Total $ 177,289 $ 420,421 $ 304,363 $ 87,362 $ - $ 2,203,035 $ 47,288 $ 1,836,201 $ 45,955 $ 432,214 $ 2,199,871

Schedule IV - Reinsurance

Schedule IV - Reinsurance	12 Months Ended
	Dec. 31, 2015
Schedule IV - Reinsurance [Abstract]
Schedule IV - Reinsurance	Schedule IV - Reinsurance For the years ended December 31, 2015, 2014 and 2013 (Dollar amounts in thousands) Gross Amount (1) Ceded to Other Companies Assumed from Other Companies Net Amount Percentage of Amount Assumed to Net 2015 Life insurance in force $ 10,129,123 $ 10,129,123 0.0 % Premiums: Life insurance $ 153,607 $ 9,596 $ 3,853 $ 147,864 2.6 % Accident and health insurance 2,552,699 4,778 349 2,548,270 0.0 % Property and casualty insurance 136,780 49,760 - 87,020 0.0 % Total premiums $ 2,843,086 $ 64,134 $ 4,202 $ 2,783,154 0.2 % - - - 2014 Life insurance in force $ 9,739,048 $ 9,739,048 0.0 % Premiums: Life insurance $ 152,573 $ 10,328 $ - $ 142,245 0.0 % Accident and health insurance 1,900,556 5,765 - 1,894,791 0.0 % Property and casualty insurance 146,222 54,692 - 91,530 0.0 % Total premiums $ 2,199,351 $ 70,785 $ - $ 2,128,566 0.0 % - - - 2013 Life insurance in force $ 9,675,126 $ 3,118,181 $ - $ 6,556,945 0.0 % Premiums: Life insurance $ 139,044 $ 8,874 $ - $ 130,170 0.0 % Accident and health insurance 1,985,598 10,930 - 1,974,668 0.0 % Property and casualty insurance 158,563 58,858 - 99,705 0.0 % Total premiums $ 2,283,205 $ 78,662 $ - $ 2,204,543 0.0 % (1) Gross premiums amount is presented net of intercompany eliminations of $4,402, $4,354 and $3,014 for the years ended December 31, 2015, 2014, and 2013, respectively.

Schedule V - Valuation and Qual

Schedule V - Valuation and Qualifying Accounts	12 Months Ended
	Dec. 31, 2015
Schedule V - Valuation and Qualifying Accounts [Abstract]
Schedule V - Valuation and Qualifying Accounts	Schedule V - Valuation and Qualifying Accounts For the years ended December 31, 2015, 2014 and 2013 (Dollar amounts in thousands) Additions Balance at Beginning of Period Charged to Costs and Expenses Charged (Reversal) To Other Accounts - Describe (1) Deductions - Describe (2) Balance at End of Period 2015 Allowance for doubtful receivables $ 36,368 15,781 340 (15,245 ) $ 37,244 2014 Allowance for doubtful receivables $ 21,549 12,847 4,227 (2,255 ) $ 36,368 2013 Allowance for doubtful receivables $ 24,429 5,644 1,787 (10,311 ) $ 21,549 (1) Represents premiums adjustment to provide for unresolved reconciliation items with the Government of Puerto Rico and other entities. (2) Deductions represent the write-off of accounts deemed uncollectible.

Significant Accounting Polici42

Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2015
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. 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.
Reclassifications	Reclassifications Certain amounts within the liabilities presented in the 2014 consolidated balance sheet were reclassified to conform to the 2015 presentation.
Cash Equivalents	Cash Equivalents The Company considers all highly liquid debt instruments with maturities of three months or less at the date of acquisition to be cash equivalents. Cash equivalents of $113,040 and $26,091 at December 31, 2015 and 2014, respectively, consist principally of money market funds and certificates of deposit with original maturities of three months or less.
Investments	Investments Investment in securities at December 31, 2015 and 2014 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 cancelled at the end of the grace period at the option of the Company. Premiums for the Medicaid business are based on a bid contract with ASES and billed in advance of coverage period. Under the risk-based Medicaid contract, there is an excess profit agreement which stipulates that the profit of TSS for each fiscal year of the contract term shall not exceed two and a half percentage (2.5%) of the fixed amount paid by ASES for each member. In the event that the profit exceeds this amount, TSS and ASES shall share the excess profit in proportions of fifty percent (50%), subject to the compliance by TSS with certain quality metrics. ASES retains the right to determine the outcome of the excess profit agreement that is based on audited financial statements of the contracted services submitted annually by TSS and the validation of the Incurred-But-Not-Reported (“IBNR”) reserve by ASES’s actuary. During the year ended December 31, 2015, excess profit was recorded as a reduction in premiums earned and accounts payable and accrued liabilities, in the accompanying consolidated financial statements. As the contract year progresses and additional information becomes available, any excess profit will be recorded in the operating results of the period in which the information becomes available. 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 until 2014, 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. Until March 31, 2015, the claims related to the administration of the Medicaid business under the ASO delivery model were 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 to administer the provision of the physical health component of this program contained a savings-sharing provision whereby the Government of Puerto Rico shared 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 was 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, including the continued deterioration of the local economy, the exposure to government accounts, and the challenging business environment in the island. This evaluation is performed individually on larger accounts and includes the use of all available information such as the customer’s credit worthiness and other relevant information. 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, from 4.50% to 4.90% for 2015, and 4.90% for 2014 and 2013, 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 updated for current and future issues which may result in a change of deferred policy acquisition costs amortization through the consolidated statement of earnings. 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: Asset Category Estimated Useful Life Buildings 20 to 50 years Building improvements 3 to 10 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
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 indicated 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 assets as of December 31, 2014. During 2015 and 2013, 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 at least 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 annual impairment test is based on an evaluation of estimated future discounted cash flows. The estimated discounted cash flows are based on the best information available, including supportable assumptions and projections we believe are reasonable. Our discounted cash flow estimates use discount rates that correspond to a weighted-average cost of capital consistent with a market-participant view. The discount rates are consistent with those used for investment decisions and take into account the operating plans and strategies of our operating segments. Certain other key assumptions utilized, including changes in membership, premium, health care costs, operating expenses, fees, assessments and taxes and effective tax rates, are based on estimates consistent with those utilized in our annual budgeting and planning process that we believe are reasonable. However, if we do not achieve the results reflected in the assumptions and estimates, our goodwill impairment evaluations could be adversely affected, and we may impair a portion of our goodwill, which would adversely affect our operating results in the period of impairment. Impairments, if any, would be classified as an operating expense.
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. Managed care claim liabilities also include a provision for adverse deviation, which is an estimate for known environmental factors that are reasonably likely to affect the required level of reserves. This provision for adverse deviation is intended to capture the potential adverse development from known environmental factors such as our entry into new geographical markets, changes in our geographic or product mix, the introduction of new customer populations, variation in benefit utilization, disease outbreaks, changes in provider reimbursement, fluctuations in medical cost trend, variation in claim submission patterns and variation in claims processing speed and payment patterns, changes in technology that provide faster access to claims data or change the speed of adjudication and settlement of claims, variability in claim inventory levels, non-standard claim development, and/or exceptional situations that require judgmental adjustments in setting the reserves for 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 and capitation payables are included in claim liabilities. 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 assumptions are established at the time the policy is issued and are generally not changed during the life of the policy. The Company periodically reviews the adequacy of reserves for these policies on an aggregate basis using actual experience. If actual experience is significantly adverse compared to the original assumptions and a premium deficiency is determined to exist, any remaining unamortized DAC balance would be expensed to the extent not recoverable and the establishment of a premium deficiency reserve may be required. The interest rate assumption ranges between 4.50% 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. The Company periodically reviews the adequacy of reserves for these policies on an aggregate basis using actual experience. If actual experience is significantly adverse compared to the original assumptions and a premium deficiency is determined to exist, any remaining unamortized DAC balance would be expensed to the extent not recoverable and the establishment of a premium deficiency reserve may be required.
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 $3,379, $3,510, and $3,217, during the years ended December 31, 2015, 2014, and 2013, respectively, is included within the interest expense in the accompanying consolidated statements of earnings. Policyholder account balances for universal life and interest sensitive products are equal to policy account values. The policy account primarily comprises cumulative deposits received and interest credited to the policyholder less cumulative contract benefits, surrenders, withdrawals, maturities and contract charges for mortality or administrative expenses. Interest rates credited to policyholder account balances during 2015 range from 2.0% to 4.5% for universal life and interest sensitive products. The universal life and interest sensitive products represented $62,840 and $56,323 of the policyholder deposits balance on the consolidated balance sheet as of December 31, 2015 and 2014, respectively.
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.
Health Insurance Providers Fee	Health Insurance Providers Fee The Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act (ACA) mandates an annual Health Insurance Providers Fee (HIP Fee). The annual HIP Fee, which was effective January 1, 2014, becomes payable to the U.S. Treasury once the entity provides health insurance for any U.S. health risk each applicable calendar year. The initial estimated annual fee is accrued as of January 1, with a corresponding deferred cost that is amortized over 12 months on a straight line basis. The fee payment is due on September 30 of each year. The Company incurred approximately $34,500 and $27,700 of such fees in 2015 and 2014, respectively, which are presented within the consolidated operating expenses.
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.
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 On April 7, 2015, the FASB issued guidance addressing the different balance sheet presentation requirements for debt issuance costs and debt discount and premiums. This guidance requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. The recognition and measurement guidance for debt issuance costs is not significantly affected. This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2015. We expect the adoption of this guidance will not have a significant impact on the Company’s consolidated financial statements. On May 1, 2015, the FASB issued guidance addressing the current diversity in practice regarding the manner in which certain investments measured at net asset value with redemption dates in the future, including periodic redemption dates, are categorized within the fair value hierarchy. This guidance eliminates the requirement to categorize within the fair value hierarchy investments for which fair values are measured at net asset value using the practical expedient. Additionally, it eliminates the requirement to make certain disclosures for all investments that are eligible to be measured at fair value using the net asset value practical expedient. This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2015. We expect the adoption of this guidance will not have a significant impact on the Company’s consolidated financial statements. On May 21, 2015, the FASB issued guidance to make targeted improvements to short-duration insurance contracts requiring insurance entities to disclose for annual reporting periods, among other information about the liability for unpaid claims and claim adjustment expenses, (1) incurred and paid claims development information by accident year, on a net basis after risk mitigation through reinsurance, for the number of years for which claims incurred typically remain outstanding (that need not exceed 10 years, including the most recent reporting period presented in the statement of financial position). Each period presented in the disclosure about claims development that precedes the current reporting period is considered to be supplementary information; and (2) for each accident year presented of incurred claims development information, quantitative information about claim frequency (unless it is impracticable to do so) accompanied by a qualitative description of methodologies used for determining claim frequency information (as well as any changes to these methodologies). On August 12, 2015, the FASB issued guidance deferring the effective date of the above described amendments. This guidance is now effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2017. We are currently evaluating the impact, if any, the adoption of this guidance may have on the Company’s consolidated financial statements. On January 5, 2016, the FASB issued guidance to enhance the reporting model for financial instruments to provide users of financial statements with more decision-useful information. Among the many targeted improvements to U.S. GAAP are (1) requiring equity investments, except those accounted for under the equity method of accounting or those that result in consolidation of the investee, to be measured at fair value with changes in fair value recognized in net incomes; (2) simplifying the impairment assessment of equity investments without readily determinable fair values by requiring a qualitative assessment to identify impairment; (3) eliminating the requirement to disclose the fair value of financial instruments measured at amortized cost for entities that are not public business entities; and (4) clarifying that an entity should evaluate the need for a valuation allowance on a deferred tax asset related to available-for-sale securities in combination with the entity’s other deferred tax assets. This guidance applies to all entities that hold financial assets or owe financial liabilities. For public companies, these amendments are effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. We are currently evaluating the impact, if any, the adoption of this guidance may have on the Company’s consolidated financial statements. On February 25, 2016, the FASB issued guidance to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities on the balance sheet and by disclosing key information about leasing arrangements. This guidance sets out the principles for the recognition, measurement, presentation and disclosure of leases for both lessors and lessees. It requires lessees to apply a dual approach, classifying leases as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase by the lessee. This classification will determine whether lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease, respectively. A lessee is also required to record a right-of-use asset and a lease liability for all leases with a term greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance for operating leases today. The guidance requires lessors to account for leases using an approach that is substantially equivalent to existing guidance for sales-type leases, direct financing leases and operating leases. This guidance is effective for public companies for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. We are currently evaluating the impact, if any, the adoption of this guidance may have on the Company’s consolidated financial statements. 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 Polici43

Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2015
Significant Accounting Policies [Abstract]
Property and equipment	The following is a summary of the estimated useful lives of the Company’s property and equipment: Asset Category Estimated Useful Life Buildings 20 to 50 years Building improvements 3 to 10 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, 2015
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, 2015 and 2014, were as follows: 2015 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Securities available for sale Fixed maturities Obligations of government-sponsored enterprises $ 115,965 $ 301 $ (26 ) $ 116,240 U.S. Treasury securities and obligations of U.S. government instrumentalities 163,322 234 (286 ) 163,270 Obligations of the Commonwealth of Puerto Rico and its instrumentalities 25,302 317 - 25,619 Municipal securities 612,225 35,418 (197 ) 647,446 Corporate bonds 148,198 9,782 (572 ) 157,408 Residential mortgage-backed securities 883 54 - 937 Collateralized mortgage obligations 22,363 368 (6 ) 22,725 Total fixed maturities 1,088,258 46,474 (1,087 ) 1,133,645 Equity securities-Mutual funds 169,593 27,851 (373 ) 197,071 Total $ 1,257,851 $ 74,325 $ (1,460 ) $ 1,330,716 2014 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair 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 2015 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Securities held to maturity U.S. Treasury securities and obligations of U.S.government instrumentalties $ 620 $ 178 $ - $ 798 Residential mortgage-backed securities 191 17 - 208 Certificates of deposits 2,118 - - 2,118 $ 2,929 $ 195 $ - $ 3,124 2014 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair 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
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, 2015 and 2014 were as follows: 2015 Less than 12 months 12 months or longer Total Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Securites available for sale Fixed maturities Obligations of government-sponsored enterprises $ 18,989 $ (26 ) 1 $ - $ - - $ 18,989 $ (26 ) 1 U.S. Treasury securities and obligations of U.S.governmental instrumentalities 130,996 (286 ) 5 - - - 130,996 (286 ) 5 Municipal securities 43,937 (197 ) 11 - - - 43,937 (197 ) 11 Corporate bonds 35,718 (572 ) 9 - - - 35,718 (572 ) 9 Collateralized mortgage obligations 1,448 (6 ) 1 - - - 1,448 (6 ) 1 Total fixed maturities 231,088 (1,087 ) 27 - - - 231,088 (1,087 ) 27 Equity securities-Mutual funds 9,319 (373 ) 2 - - - 9,319 (373 ) 2 Total for securities available for sale $ 240,407 $ (1,460 ) 29 $ - $ - - $ 240,407 $ (1,460 ) 29 2014 Less than 12 months 12 months or longer Total Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Estimated Fair Value Gross Unrealized Loss Number of Securities Securites available for sale Fixed maturities Obligations of government-sponsored enterprises $ 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
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, 2015 were as follows: Amortized Cost Estimated Fair Value Securities available for sale Due in one year or less $ 26,160 $ 26,644 Due after one year through five years 393,269 397,426 Due after five years through ten years 114,636 121,457 Due after ten years 530,947 564,456 Residential mortgage-backed securities 883 937 Collateralized mortgage obligations 22,363 22,725 $ 1,088,258 $ 1,133,645 Securities held to maturity Due in one year or less $ 2,118 $ 2,118 Due after ten years 620 798 Residential mortgage-backed securities 191 208 $ 2,929 $ 3,124
Realized gains and losses from investments	Information regarding realized and unrealized gains and losses from investments for the years ended December 31, 2015, 2014, and 2013 is as follows: 2015 2014 2013 Realized gains (losses) Fixed maturity securities Securities available for sale Gross gains from sales $ 8,208 $ 5,118 $ 5,408 Gross losses from sales (646 ) (5,884 ) (4,553 ) Gross losses from other-than-temporary impairments (4,267 ) (1,170 ) - Total fixed maturity securities 3,295 (1,936 ) 855 Equity securities Securities available for sale Gross gains from sales 17,903 20,848 5,084 Gross losses from sales (1,312 ) (2,106 ) (2,310 ) Gross losses from other-than-temporary impairments (945 ) - (1,042 ) Total equity securities 15,646 18,742 1,732 Net realized gains on securities available for sale 18,941 16,806 2,587 Gross gain from other investment - 1,425 - Net realized gains on securities $ 18,941 $ 18,231 $ 2,587
Changes in net unrealized gains (losses)	2015 2014 2013 Changes in unrealized gains (losses) Recognized in accumulated other comprehensive income (loss) Fixed maturities – available for sale (25,227 ) 46,220 (71,904 ) Equity securities – available for sale (19,479 ) (5,620 ) 28,369 $ (44,706 ) $ 40,600 $ (43,535 ) Not recognized in the consolidated financial statements Fixed maturities – held to maturity $ (24 ) $ 49 $ (207 )

Net Investment Income (Tables)

Net Investment Income (Tables)	12 Months Ended
	Dec. 31, 2015
Net Investment Income [Abstract]
Components of net investment income	Interest and/or dividend income from: Years ended December 31 2015 2014 2013 Fixed maturities $ 36,256 $ 38,559 $ 37,302 Equity securities 7,146 7,660 8,640 Policy loans 557 545 472 Cash equivalents and interest-bearing deposits 143 117 84 Other 1,072 659 790 Total $ 45,174 $ 47,540 $ 47,288

Premium and Other Receivables46

Premium and Other Receivables, Net (Tables)	12 Months Ended
	Dec. 31, 2015
Premiums and Other Receivables, Net [Abstract]
Premiums and other receivables, net	Premium and other receivables, net as of December 31 were as follows: 2015 2014 Premium $ 92,600 $ 131,496 Self-funded group receivables 73,552 62,189 FEHBP 13,859 12,384 Agent balances 25,424 25,300 Accrued interest 12,624 11,737 Reinsurance recoverable 48,506 50,686 Unsettled sales - 10,456 Other 53,325 47,742 319,890 351,990 Less allowance for doubtful receivables: Premium 28,944 28,983 Other 8,300 7,385 37,244 36,368 Premium and other receivables, net $ 282,646 $ 315,622

Deferred Policy Acquisition C47

Deferred Policy Acquisition Costs and Value of Business Acquired (Tables)	12 Months Ended
	Dec. 31, 2015
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, 2015, 2014, and 2013 is summarized as follows: DPAC VOBA Total 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 Additions 48,599 - 48,599 VOBA interest at an average rate of 5.15% - 1,543 1,543 Amortization (38,624 ) (4,970 ) (43,594 ) Net change 9,975 (3,427 ) 6,548 Balance, December 31, 2015 $ 161,731 $ 28,917 $ 190,648
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: 2016 $ 3,836 2017 2,861 2018 2,511 2019 2,558 2020 1,813

Property and Equipment, Net (Ta

Property and Equipment, Net (Tables)	12 Months Ended
	Dec. 31, 2015
Property and Equipment, Net [Abstract]
Property and equipment, net	Property and equipment, net as of December 31 are composed of the following: 2015 2014 Land $ 10,976 $ 10,976 Buildings and leasehold improvements 63,967 62,989 Office furniture and equipment 22,869 20,240 Computer equipment and software 113,223 109,445 Automobiles 494 494 211,529 204,144 Less accumulated depreciation and amortization 137,576 125,801 Property and equipment, net $ 73,953 $ 78,343

Intangible Asset (Tables)

Intangible Asset (Tables)	12 Months Ended
	Dec. 31, 2015
Intangible Asset [Abstract]
Intangible assets	Intangible assets, included within other assets, as of December 31 consist of: 2015 2014 Trade name $ 5,476 $ 5,476 Membership base 41,188 41,188 Provider networks 1,681 1,681 Other 817 760 49,162 49,105 Accumulated amortization 42,520 39,898 Intangible assets, net $ 6,642 $ 9,207
Estimated amortization expense	Estimated amortization expense for the following five years is as follows: Year ending December 31: 2016 $ 1,805 2017 1,270 2018 964 2019 739 2020 548

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2015
Fair Value Measurements [Abstract]
Fair value measurements by level	The following table summarizes fair value measurements by level at December 31, 2015 and 2014 for assets measured at fair value on a recurring basis: 2015 Level 1 Level 2 Level 3 Total Securities available for sale Fixed maturity securities Obligations of government-sponsored enterprises $ - $ 116,240 $ - $ 116,240 U.S. Treasury securities and obligations of U.S. government instrumentalities 163,270 - - 163,270 Obligations of the Commonwealth of Puerto Rico and its instrumentalities - 25,619 - 25,619 Municipal securities - 647,446 - 647,446 Corporate Bonds - 157,408 - 157,408 Residential agency mortgage-backed securities - 937 - 937 Collaterized mortgage obligations - 22,725 - 22,725 Total fixed maturities 163,270 970,375 - 1,133,645 Equity securities - Mutual funds 167,082 22,031 7,958 197,071 $ 330,352 $ 992,406 $ 7,958 $ 1,330,716 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
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 is as follows: Fair Value Measurements Using Significant Unobservable Inputs (Level 3) 2015 2014 2013 Balance as of January 1, $ 13,349 $ 17,910 $ 12,822 Realized gains 1,538 2,552 192 Unrealized in other accumulated comprehensive income (4,207 ) (2,937 ) 2,756 Purchases 1,207 501 2,439 Sales - - (299 ) Capital Distributions (3,929 ) (4,677 ) - Balance as of December 31, $ 7,958 $ 13,349 $ 17,910
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, 2015 and 2014 are as follows: 2015 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 7,901 $ - $ 7,901 $ - $ 7,901 Liabilities: Policyholder deposits $ 179,287 $ - $ 179,287 $ - $ 179,287 Long-term borrowings: Loans payable to bank - variable 12,827 - 12,827 - 12,827 6.6% senior unsecured notes payable 24,000 - 19,920 - 19,920 Total long-term borrowings 36,827 - 32,747 - 32,747 Total liabilities $ 216,114 $ - $ 212,034 $ - $ 212,034 2014 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 7,260 $ - $ 7,260 $ - $ 7,260 Liabilities: Policyholder deposits $ 175,235 $ - $ 175,235 $ - $ 175,235 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 $ 249,702 $ - $ 248,552 $ - $ 248,552

Claim Liabilities (Tables)

Claim Liabilities (Tables)	12 Months Ended
	Dec. 31, 2015
Claim Liabilities [Abstract]
Activity in total claim liabilities	The activity in claim liabilities is as follows: Years ended December 31 2015 2014 2013 Claim liabilities at beginning of year $ 390,086 $ 420,421 $ 416,918 Reinsurance recoverable on claim liabilities (40,635 ) (37,557 ) (39,051 ) Net claim liabilities at beginning of year 349,451 382,864 377,867 Claim liabilities acquired from business acquisitions - - 1,048 Claims incurred Current period insured events 2,314,609 1,761,199 1,832,414 Prior period insured events (20,848 ) (37,411 ) (19,203 ) Total 2,293,761 1,723,788 1,813,211 Payments of losses and loss-adjustment expenses Current period insured events 1,920,976 1,499,646 1,507,302 Prior period insured events 271,185 257,555 301,960 Total 2,192,161 1,757,201 1,809,262 Net claim liabilities at end of year 451,051 349,451 382,864 Reinsurance recoverable on claim liabilities 40,714 40,635 37,557 Claim liabilities at end of year $ 491,765 $ 390,086 $ 420,421

Long-Term Borrowings (Tables)

Long-Term Borrowings (Tables)	12 Months Ended
	Dec. 31, 2015
Long-Term Borrowings [Abstract]
Summary of long-term borrowings	A summary of the borrowings entered by the Company as of December 31 is as follows: 2015 2014 Senior unsecured notes payable of $60,000 issued on $ 24,000 $ 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 1.23% and 1.24% at December 31, 2015, and 2014, respectively). 12,827 14,467 Repurchase agreement of $25,000 entered on November 2010, which was due November 2015. Interest was payed quarterly at a fixed rate of 1.96%. - 25,000 Total borrowings $ 36,827 $ 74,467
Aggregate maturities of Company's long term borrowings	Aggregate maturities of the Company’s borrowings as of December 31, 2015 are summarized as follows: Year ending December 31 2016 $ 1,640 2017 1,640 2018 1,640 2019 1,640 2020 25,640 Thereafter 4,627 $ 36,827

Reinsurance Activity (Tables)

Reinsurance Activity (Tables)	12 Months Ended
	Dec. 31, 2015
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) 2015 2014 2013 2015 2014 2013 Gross $ 2,847,288 $ 2,199,351 $ 2,281,697 $ 2,313,191 $ 1,748,972 $ 1,841,695 Ceded (64,134 ) (70,785 ) (78,662 ) (19,430 ) (25,184 ) (28,484 ) Net $ 2,783,154 $ 2,128,566 $ 2,203,035 $ 2,293,761 $ 1,723,788 $ 1,813,211 (1) The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $24,954, $23,806, and $22,990 that is included within the consolidated claims incurred during the years ended December 31, 2015, 2014 and 2013, respectively.

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2015
Income Taxes [Abstract]
Components of income tax expense (benefit)	The components of income tax expense consisted of the following: 2015 2014 2013 Current income tax expense $ 10,169 $ 22,551 $ 11,704 Deferred income tax benefit (5,070 ) (21,806 ) (9,423 ) Total income tax expense $ 5,099 $ 745 $ 2,281
Schedule of income tax expense (benefit) reconciliation	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: 2015 2014 2013 Income before taxes $ 57,131 $ 66,051 $ 57,787 Statutory tax rate 39.00 % 39.00 % 39.00 % Income tax expense at statutory rate 22,281 25,760 22,537 Increase (decrease) in taxes resulting from Exempt interest income, net (6,041 ) (7,139 ) (5,850 ) Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation (4,936 ) (5,572 ) (3,819 ) Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP - - 123 Effect of taxing capital gains at a preferential rate (7,432 ) (14,248 ) (708 ) Dividends received deduction 270 173 202 Adjustment to deferred tax assets and liabilities for changes in effective tax rates (1,576 ) 5,466 (8,285 ) Other adjustments to deferred tax assets and liabilities (58 ) (707 ) 279 Effect of extraordinary dividend distribution (875 ) - (4,996 ) Tax credit benefit (537 ) (1,482 ) 72 Tax returns to provision true up (1,084 ) - - Effect of reassessment of unused credits for alternative minimum taxes paid - (6,486 ) - Subtotal (22,269 ) (29,995 ) (22,982 ) Other permanent disallowances, net: Disallowed resolution agreements expense 1,716 - - Disallowance of expenses related to exempt interest income - 46 40 Disallowed dividend received deduction 3,598 4,815 2,502 Disallowed interest expense 12 21 21 Other 61 282 794 Total other permanent differences 5,387 5,164 3,357 Other adjustments (300 ) (184 ) (631 ) Total Income Tax Expense $ 5,099 $ 745 $ 2,281
Summary of deferred tax assets and liabilities	The net deferred tax asset at December 31, 2015 and 2014 of the Company and its subsidiaries is composed of the following: 2015 2014 Deferred tax assets Allowance for doubtful receivables $ 13,434 $ 13,115 Liability for pension benefits 21,416 31,541 Employee benefits plan 3,177 2,283 Postretirement benefits 1,252 1,238 Deferred compensation 1,818 1,589 Accumulated depreciation 1,240 1,142 Impairment loss on investments 1,749 661 Contingency reserves 30 273 Share-based compensation 4,875 3,174 Alternative minimum income tax credit 2,066 8,673 Purchased tax credits 931 1,682 Net operating loss 12,721 11,953 Unrealized loss on securities available for sale - 3 Difference in tax basis of investments portfolio 6,843 5,000 Accrued liabilities 2,402 1,195 Other 591 538 Gross deferred tax assets 74,545 84,060 Less: valuation allowance (7,839 ) (6,754 ) Deferred tax assets 66,706 77,306 Deferred tax liabilities Deferred policy acquisition costs (3,673 ) (3,946 ) Catastrophe loss reserve trust fund (7,664 ) (7,128 ) Unrealized gain upon acquisition - (101 ) Unrealized gain on securities available for sale (15,021 ) (21,540 ) Unamortized bond issue costs (29 ) (52 ) Intangible asset (3,013 ) (4,172 ) Accumulated depreciation (15 ) (25 ) Other - (103 ) Gross deferred tax liabilities (29,415 ) (37,067 ) Net deferred tax asset $ 37,291 $ 40,239

Pension Plans (Tables)

Pension Plans (Tables)	12 Months Ended
	Dec. 31, 2015
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, 2015 and 2014, accordingly: 2015 2014 Change in benefit obligation Benefit obligation at beginning of year $ 205,254 $ 163,487 Service cost 4,137 3,589 Interest cost 8,281 8,287 Benefit payments (7,591 ) (5,858 ) Actuarial (gain) loss (25,299 ) 35,749 Benefit obligation at end of year $ 184,782 $ 205,254 Accumulated benefit obligation at end of year $ 152,851 $ 167,564 Change in fair value of plan assets Fair value of plan assets at beginning of year $ 128,108 $ 116,727 Actual return on assets 1,544 9,239 Employer contributions 8,000 8,000 Benefit payments (7,591 ) (5,858 ) Fair value of plan assets at end of year $ 130,061 $ 128,108 Funded status at end of year $ (54,721 ) $ (77,146 ) Amounts in accumulated other comprehensive income not yet Development of prior service credit Balance at beginning of year $ (2,673 ) $ (3,123 ) Amortization 450 450 Net prior service credit (2,223 ) (2,673 ) Development of actuarial loss Balance at beginning of year 80,118 50,247 Amortization (5,939 ) (4,134 ) (Gain)/Loss arising during the year (18,463 ) 34,005 Actuarial net loss 55,716 80,118 Sum of deferrals $ 53,493 $ 77,445 Net amount recognized $ (1,228 ) $ 299
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, 2015 and 2014. 2015 2014 Discount rate 4.75% 4.25% 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, 2015, 2014, and 2013: 2015 2014 2013 Discount rate 4.25 % 5.25 % 4.50 % Expected return on plan assets 7.00 % 7.00 % 7.00 % Rate of compensation increase Graded; 3.50% to 8.00 % Graded; 3.50% to 8.00 % Graded; 3.50% to 8.00 %
Schedule of amounts recognized in balance sheet	The amounts recognized in the balance sheets as of December 31, 2015 and 2014 consist of the following: 2015 2014 Pension liability $ 54,721 $ 77,146 Accumulated other comprehensive loss, net of a deferred tax of $17,500 and $26,841 in 2015 and 2014, respectively 35,993 50,604
Schedule of components of net periodic benefit	The components of net periodic benefit cost for 2015, 2014, and 2013 were as follows: 2015 2014 2013 Components of net periodic benefit cost Service cost $ 4,137 $ 3,589 $ 4,254 Interest cost 8,281 8,287 7,915 Expected return on plan assets (8,380 ) (7,496 ) (6,758 ) Prior service benefit (450 ) (450 ) (450 ) Actuarial loss 5,939 4,134 7,308 Net periodic benefit cost $ 9,527 $ 8,064 $ 12,269
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 3,675
Schedule of fair value measurements by level	The following table summarizes fair value measurements by level at December 31, 2015 and 2014 for assets measured at fair value on a recurring basis: 2015 Level 1 Level 2 Level 3 Total Government obligations $ - $ 9,009 $ - $ 9,009 Non-agency backed securities - 745 - 745 Corporate obligations - 10,865 - 10,865 Partnership/Joint venture - - 567 567 Limited Liability Corporations - 60,417 - 60,417 Real estate - - 5,929 5,929 Registered investments 6,224 5,927 - 12,151 Common/Collective trusts - 16,479 - 16,479 Hedge funds - 8,284 - 8,284 Common stocks 1,985 - - 1,985 Preferred stocks 121 - - 121 Forward foreign currency contracts - 3 - 3 Interest-bearing cash 550 - - 550 Derivatives - (28 ) - (28 ) $ 8,880 $ 111,701 $ 6,496 $ 127,077 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
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, 2015 and 2014 is as follows: Government Obligations Corporate Obligations Partnership/ Joint Venture Real Estate Hedge Funds Total Beginning 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 Actual return on program assets: Relating to assets still held at the reporting date - - 103 384 - 487 Relating to assets sold during the period - - (39 ) 636 - 597 Purchases, issuances, and settlements - - (594 ) (1,288 ) - (1,882 ) Transfer in and/or out - - - - - - Ending balance at December 31, 2015 $ - $ - $ 567 $ 5,929 $ - $ 6,496
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 2016 $ 8,464 2017 9,259 2018 11,421 2019 11,664 2020 11,956 2021 – 2025 66,475

Stock Repurchase Programs (Tabl

Stock Repurchase Programs (Tables)	12 Months Ended
	Dec. 31, 2015
Stock Repurchase Programs [Abstract]
Summary of stock repurchase activity	The stock repurchase activity under stock repurchase programs for the years ended December 31, 2015, 2014, and 2013 is summarized as follows: 2015 2014 2013 Shares Repurchased Average Share Price Amount Repurchased Shares Repurchased Average Share Price Amount Repurchased Shares Repurchased Average Share Price Amount Repurchased 2015 $25,000 program 154,554 $ 23.72 $ 3,629 - $ - $ - - $ - $ - 2014 $50,000 program 2,086,532 21.69 44,658 228,525 23.55 5,341 - - - 2013 $11,500 program - - - 367,700 16.32 5,995 - - - 2013 $30,000 program - - - - - - 1,000,000 18.25 18,250 Total 2,241,086 $ 21.87 $ 48,287 596,225 $ 20.28 $ 11,336 1,000,000 $ 18.25 $ 18,250

Comprehensive Income (Tables)

Comprehensive Income (Tables)	12 Months Ended
	Dec. 31, 2015
Comprehensive Income [Abstract]
Accumulated balances of other comprehensive income (loss)	The accumulated balances for each classification of other comprehensive income (loss) are as follows: Unrealized Gains on securities Liability for Pension Benefits Accumulated Other Comprehensive Income Beginning balance at December 31, 2014 $ 101,467 $ (52,691 ) $ 48,776 Net current period change (22,612 ) 12,164 (10,448 ) Reclassification adjustments for gains and losses reclassified in income (16,377 ) 3,672 (12,705 ) Ending balance at December 31, 2015 $ 62,478 $ (36,855 ) $ 25,623
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 2015, 2014 and 2013 are as follows: 2015 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax Amount Unrealized holding gains on securities arising during the period $ (25,765 ) $ 3,153 $ (22,612 ) Less reclassification adjustment for gains and losses realized in income (18,941 ) 2,564 (16,377 ) Net change in unrealized gain (44,706 ) 5,717 (38,989 ) Liability for pension benefits: Reclassification adjustment for amortization of net losses from past experience and prior service costs 6,020 (2,348 ) 3,672 Net change arising from assumptions and plan changes and experience 19,940 (7,776 ) 12,164 Net change in liability for pension benefits 25,960 (10,124 ) 15,836 Net current period change $ (18,746 ) $ (4,407 ) $ (23,153 ) 2014 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax 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 Before-Tax Amount Deferred Tax (Expense) Benefit Net-of-Tax 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 )

Share-Based Compensation (Table

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2015
Share-Based Compensation [Abstract]
Summary of stock option activity	Stock option activity during the year ended December 31, 2015 is as follows Number of Shares Weighted Average Exercise Price Weighted Average Contractual Term (Years) Aggregate Intrinsic Value Outstanding balance at January 1, 2015 17,353 $ 13.50 Exercised during the year (12,913 ) $ 13.85 Outstanding balance at December 31, 2015 4,440 $ 12.49 0.01 $ 50,705 Exercisable at December 31, 2015 4,440 $ 12.49 0.01 $ 50,705
Status of entity's nonvested shares	A summary of the status of the Company’s nonvested restricted and performance shares as of December 31, 2015, and changes during the year ended December 31, 2015, are presented below: Restricted Awards Performance Awards Number of Shares Weighted Average Fair Value Number of Shares Weighted Average Exercise Price Outstanding balance at January 1, 2015 179,026 $ 17.31 459,899 $ 17.14 Granted 147,740 20.33 349,576 18.96 Lapsed (163,986 ) 17.82 (134,297 ) 18.03 Forfeited (due to termination) (6,449 ) 21.80 (138,433 ) 18.62 Forfeited (due to performance payout less than 100%) - - (41,740 ) 16.37 Outstanding balance at December 31, 2015 156,331 $ 19.45 495,005 $ 17.84

Net Income Available to Stock59

Net Income Available to Stockholders and Basic Net Income per Share (Tables)	12 Months Ended
	Dec. 31, 2015
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: 2015 2014 2013 Numerator for earnings per share Net income attributable to TSM available to stockholders $ 52,121 $ 65,660 $ 55,924 Denominator for basic earnings per share – Weighted average of common shares 25,674,079 27,102,127 27,692,937 Effect of dilutive securities 87,662 86,705 99,872 Denominator for diluted earnings per share $ 25,761,741 $ 27,188,832 $ 27,792,809 Basic net income per share attributable to TSM $ 2.03 $ 2.42 $ 2.02 Diluted net income per share attributable to TSM $ 2.02 $ 2.41 $ 2.01

Commitments (Tables)

Commitments (Tables)	12 Months Ended
	Dec. 31, 2015
Commitments [Abstract]
Minimum annual rental commitments	Minimum annual rental commitments at December 31, 2015 under existing agreements are summarized as follows: Year ending December 31 2016 $ 5,227 2017 4,098 2018 3,406 2019 3,249 2020 2,541 Total $ 18,521

Statutory Accounting (Tables)

Statutory Accounting (Tables)	12 Months Ended
	Dec. 31, 2015
Statutory Accounting [Abstract]
Unassigned surplus and net income of the regulated subsidiaries	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, 2015, 2014 and 2013: (dollar amounts in millions) 2015 2014 2013 Net admitted assets $ 1,881 $ 1,734 $ 1,672 Capital and surplus 691 659 646 RBC requirement 301 209 205 Net income 73 88 63

Supplementary Information on 62

Supplementary Information on Cash Flow Activities (Tables)	12 Months Ended
	Dec. 31, 2015
Supplementary Information on Cash Flow Activities [Abstract]
Supplementary information on cash flow activities	2015 2014 2013 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 $(5,717), $4,717, and $(6,604) in 2015, 2014, and 2013, respectively $ 38,989 $ (35,883 ) $ 36,931 Change in liability for pension benefits, and deferred income tax (asset)/liability of $10,124, $(12,298), $12,760, in 2015, 2014, and 2013,respectively $ (15,836 ) $ 19,236 $ (19,956 ) Repurchase and retirement of common stock $ (182 ) $ (3,049 ) $ (321 ) Exercise of stock options $ 179 $ 2,885 $ 315 Unsettled sales $ - $ 10,456 $ - Other Income taxes paid $ 6,437 $ 16,069 $ 19,007 Interest paid $ 4,792 $ 5,764 $ 6,257

Business Combination (Tables)

Business Combination (Tables)	12 Months Ended
	Dec. 31, 2015
Business Acquisition [Line Items]
Unaudited pro forma financial information	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 2013. The unaudited pro forma financial information is not intended to represent or be indicative of the Company’s consolidated results of operations that would have been reported had the acquisition been completed as of the beginning of the periods presented and should not be taken as indicative of the Company’s future consolidated results of operations. (unaudited) 2013 Operating revenues $ 2,373,199 Net Income $ 54,729 Basic net income per share $ 1.98 Diluted net income per share $ 1.97
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

Segment Information (Tables)

Segment Information (Tables)	12 Months Ended
	Dec. 31, 2015
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, 2015, 2014, and 2013: 2015 2014 2013 Operating revenues Managed care Premiums earned, net $ 2,548,270 $ 1,894,791 $ 1,973,160 Fee revenue 44,705 119,302 108,680 Intersegment premiums/fee revenue 5,860 5,681 5,629 Net investment income 11,779 15,010 16,353 Total managed care 2,610,614 2,034,784 2,103,822 Life Premiums earned, net 147,864 142,245 130,170 Intersegment premiums 251 240 391 Net investment income 24,457 23,717 22,212 Total life 172,572 166,202 152,773 Property and casualty Premiums earned, net 87,020 91,530 99,705 Intersegment premiums 613 613 613 Net investment income 8,706 8,600 8,281 Total property and casualty 96,339 100,743 108,599 Other segments* Intersegment service revenues 10,863 9,100 8,847 Operating revenues from external sources 3,875 4,234 4,780 Total other segments 14,738 13,334 13,627 Total business segments 2,894,263 2,315,063 2,378,821 TSM operating revenues from external sources 53 95 341 Elimination of intersegment premiums (6,724 ) (6,534 ) (6,633 ) Elimination of intersegment service revenue (10,863 ) (9,100 ) (8,847 ) Other intersegment eliminations 23 116 99 Consolidated operating revenues $ 2,876,752 $ 2,299,640 $ 2,363,781 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Operating income (loss)	2015 2014 2013 Operating income Managed care $ 20,514 $ 31,445 $ 36,130 Life 20,012 22,561 16,156 Property and casualty 8,273 10,044 2,216 Other segments* (301 ) (4,440 ) (4,777 ) Total business segments 48,498 59,610 49,725 TSM operating revenues from external sources 53 95 341 TSM unallocated operating expenses (18,858 ) (14,571 ) (9,913 ) Elimination of TSM charges 9,623 9,717 9,258 Consolidated operating income 39,316 54,851 49,411 Consolidated net realized investment gains 18,941 18,231 2,587 Consolidated interest expense (8,169 ) (9,274 ) (9,474 ) Consolidated other income, net 7,043 2,243 15,263 Consolidated income before taxes $ 57,131 $ 66,051 $ 57,787 2015 2014 2013 Depreciation and amortization expense Managed care $ 13,268 $ 17,935 $ 19,993 Life 1,094 1,394 891 Property and casualty 673 994 528 Other segments* 556 3,264 3,314 Total business segments 15,591 23,587 24,726 TSM depreciation expense 788 813 863 Consolidated depreciation and amortization expense $ 16,379 $ 24,400 $ 25,589 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets	2015 2014 2013 Assets Managed care $ 1,034,725 $ 975,999 $ 934,467 Life 770,721 764,268 698,650 Property and casualty 350,514 362,620 346,212 Other segments* 25,629 22,682 28,407 Total business segments 2,181,589 2,125,569 2,007,736 Unallocated amounts related to TSM Cash, cash equivalents, and investments 12,304 44,157 28,316 Property and equipment, net 23,219 20,415 21,278 Other assets 31,732 37,851 26,406 67,255 102,423 76,000 Elimination entries – intersegment receivables and others (42,699 ) (82,256 ) (36,112 ) Consolidated total assets $ 2,206,145 $ 2,145,736 $ 2,047,624
Significant noncash items	2015 2014 2013 Significant noncash items Net change in unrealized gain (loss) on securities available for sale Managed care $ (15,505 ) $ 6,055 $ (1,898 ) Life (13,005 ) 22,349 (29,867 ) Property and casualty (10,482 ) 7,789 (3,765 ) Other segments* (10 ) - - Total business segments (39,002 ) 36,193 (35,530 ) Amount related to TSM 13 (310 ) (1,401 ) Consolidated net change in unrealized gain (loss) on securities available for sale $ (38,989 ) $ 35,883 $ (36,931 ) * Includes segments that are not required to be reported separately, primarily the data processing services

Nature of Business (Details)

Nature of Business (Details)	12 Months Ended
	Dec. 31, 2015RegionSubsidiary
Business Acquisition [Line Items]
Number of other wholly owned subsidiaries | Subsidiary	2
TSS [Member]
Business Acquisition [Line Items]
Current administration period	12 months
Number of service regions administration transferred in amendment	3
Number of service regions	2
ASES [Member]
Business Acquisition [Line Items]
Number of service regions	5
ASICO [Member]
Business Acquisition [Line Items]
Percentage of capital stock acquired	100.00%

Significant Accounting Polici66

Significant Accounting Policies (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Cash Equivalents [Abstract]
Cash equivalents	$ 113,040	$ 26,091
Revenue Recognition [Abstract]
Managed care premiums grace period	2 months
Profit agreement percentage under risk based medicaid contract	2.50%
Profit proportion percentage	50.00%
Deferred Policy Acquisition Costs and Value of Business Acquired [Abstract]
Interest rate associated with amortization of deferred policy acquisition cost		4.90%	4.90%
Long-Lived Assets, including Goodwill [Abstract]
Impairment charge	$ 2,221
Future Policy Benefits [Abstract]
Interest rate for future policy benefits, low range	4.50%
Interest rate for future policy benefits, high range	5.75%
Policyholder Deposits [Abstract]
Interest on policy holder deposits	$ 3,379	$ 3,510	$ 3,217
Interest rates credited to policyholder account balances, low range	2.00%
Interest rates credited to policyholder account balances, high range	4.50%
Universal life and interest sensitive products portion of future policy benefits	$ 62,840	56,323
Income Taxes [Abstract]
Recognized income tax positions percentage	50.00%
Health Insurance Providers Fee [Abstract]
Final annual fee assessment	$ 34,500	$ 27,700
Recent Accounting Standards [Abstract]
Maximum number of years for which claims remain outstanding	10 years
Maximum [Member]
Deferred Policy Acquisition Costs and Value of Business Acquired [Abstract]
Interest rate associated with amortization of deferred policy acquisition cost	4.90%
Minimum [Member]
Deferred Policy Acquisition Costs and Value of Business Acquired [Abstract]
Interest rate associated with amortization of deferred policy acquisition cost	4.50%
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	10 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) $ in Thousands	12 Months Ended
	Dec. 31, 2015USD ($)Security	Dec. 31, 2014USD ($)Security	Dec. 31, 2013USD ($)
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	$ 1,088,258	$ 1,045,285
Gross Unrealized Gains	46,474	70,845
Gross Unrealized Losses	(1,087)	(231)
Estimated Fair Value	1,133,645	1,115,899
Available-for-sale equity securities, amortized cost basis [Abstract]
Amortized Cost	169,593	150,799
Estimated Fair Value	197,071	197,756
Available-for-sale securities, amortized cost basis [Abstract]
Amortized Cost	1,257,851	1,196,084
Gross Unrealized Gains	74,325	117,894
Gross Unrealized Losses	(1,460)	(323)
Estimated Fair Value	1,330,716	1,313,655
Securities held to maturity [Abstract]
Amortized Cost	2,929	2,944
Gross Unrealized Gains	195	219
Gross Unrealized Losses	0	0
Estimated Fair Value	3,124	3,163
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	240,407	114,646
12 months or longer, Estimated Fair Value	0	27,098
Total, Estimated Fair Value	240,407	141,744
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(1,460)	(213)
12 months or longer, Gross Unrealized Loss	0	(110)
Total, Gross Unrealized Loss	$ (1,460)	$ (323)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	29	13
12 months or longer, Number of Securities | Security	0	7
Total, Number of Securities | Security	29	20
Minimum percentage of gross unrealized investment losses as cost	20.00%
Minimum unrealized loss of investment as indicator of other-than-temporary impairment	$ 100
Securities available for sale, Amortized Cost [Abstract]
Due in one year or less, Amortized Cost	26,160
Due after one year through five, Amortized Cost	393,269
Due after five year through ten years, Amortized Cost	114,636
Due after ten years, Amortized Cost	530,947
Residential mortgage-backed securities, Amortized Cost	883
Collateralized mortgage obligations, Amortized Cost	22,363
Amortized Cost	1,088,258	$ 1,045,285
Securities available for sale, Estimated Fair Value [Abstract]
Due in one year or less, Estimated Fair Value	26,644
Due after one year through five, Estimated Fair Value	397,426
Due after five year through ten years, Estimated Fair Value	121,457
Due after ten years, Estimated Fair Value	564,456
Residential mortgage-backed securities, Estimated Fair Value	937
Collateralized mortgage obligations, Estimated Fair Value	22,725
Total, Estimated Fair Value	1,133,645	1,115,899
Securities held to maturity, Amortized Cost [Abstract]
Due in one year or less, Amortized Cost	2,118
Due after ten years, Amortized Cost	620
Residential mortgage-backed securities, Amortized Cost	191
Amortized Cost	2,929	2,944
Securities held to maturity, Estimated Fair Value [Abstract]
Due in one year or less, Estimated Fair Value	2,118
Due after ten years, Estimated Fair Value	798
Residential mortgage-backed securities, Estimated Fair Value	208
Total, Estimated fair value	3,124	3,163
Amortized cost of deposited with commissioner of insurance code	5,136	4,383
Fair value of deposited with commissioner of insurance code	5,276	4,582
Securities available for sale [Abstract]
Net realized gains on securities available for sale	18,941	16,806	$ 2,587
Gross gain from other investment	0	1,425	0
Total net realized investment gains on sale of securities	18,941	18,231	2,587
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities	(44,706)	40,600	(43,535)
Not recognized in the consolidated financial statements [Abstract]
Deferred tax (liability) related to unrealized gains and (losses)	$ 5,717	(4,717)	6,604
Percentage of individual investment in securities to stockholders' equity	10.00%
Obligations of Government-sponsored Enterprises [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	$ 115,965	129,649
Gross Unrealized Gains	301	1,014
Gross Unrealized Losses	(26)	(19)
Estimated Fair Value	116,240	130,644
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	18,989	43,105
12 months or longer, Estimated Fair Value	0	0
Total, Estimated Fair Value	18,989	43,105
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(26)	(19)
12 months or longer, Gross Unrealized Loss	0	0
Total, Gross Unrealized Loss	$ (26)	$ (19)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	1	2
12 months or longer, Number of Securities | Security	0	0
Total, Number of Securities | Security	1	2
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	$ 115,965	$ 129,649
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	116,240	130,644
U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	163,322	94,480
Gross Unrealized Gains	234	648
Gross Unrealized Losses	(286)	(28)
Estimated Fair Value	163,270	95,100
Securities held to maturity [Abstract]
Amortized Cost	620	622
Gross Unrealized Gains	178	198
Gross Unrealized Losses	0	0
Estimated Fair Value	798	820
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	130,996	39,966
12 months or longer, Estimated Fair Value	0	0
Total, Estimated Fair Value	130,996	39,966
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(286)	(28)
12 months or longer, Gross Unrealized Loss	0	0
Total, Gross Unrealized Loss	$ (286)	$ (28)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	5	2
12 months or longer, Number of Securities | Security	0	0
Total, Number of Securities | Security	5	2
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	$ 163,322	$ 94,480
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	163,270	95,100
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost	620	622
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value	798	820
Obligations of the Commonwealth of Puerto Rico and its instrumentalities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	25,302	35,115
Gross Unrealized Gains	317	138
Gross Unrealized Losses	0	0
Estimated Fair Value	25,619	35,253
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	25,302	35,115
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	25,619	35,253
Municipal Securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	612,225	585,088
Gross Unrealized Gains	35,418	49,181
Gross Unrealized Losses	(197)	(50)
Estimated Fair Value	647,446	634,219
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	43,937	6,749
12 months or longer, Estimated Fair Value	0	6,693
Total, Estimated Fair Value	43,937	13,442
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(197)	(24)
12 months or longer, Gross Unrealized Loss	0	(26)
Total, Gross Unrealized Loss	$ (197)	$ (50)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	11	3
12 months or longer, Number of Securities | Security	0	3
Total, Number of Securities | Security	11	6
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	$ 612,225	$ 585,088
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	647,446	634,219
Corporate Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	148,198	147,224
Gross Unrealized Gains	9,782	17,744
Gross Unrealized Losses	(572)	(134)
Estimated Fair Value	157,408	164,834
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	35,718	17,053
12 months or longer, Estimated Fair Value	0	20,405
Total, Estimated Fair Value	35,718	37,458
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(572)	(50)
12 months or longer, Gross Unrealized Loss	0	(84)
Total, Gross Unrealized Loss	$ (572)	$ (134)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	9	4
12 months or longer, Number of Securities | Security	0	4
Total, Number of Securities | Security	9	8
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	$ 148,198	$ 147,224
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	157,408	164,834
Residential Mortgage-Backed Securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	883	6,808
Gross Unrealized Gains	54	311
Gross Unrealized Losses	0	0
Estimated Fair Value	937	7,119
Securities held to maturity [Abstract]
Amortized Cost	191	217
Gross Unrealized Gains	17	21
Gross Unrealized Losses	0	0
Estimated Fair Value	208	238
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	883	6,808
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	937	7,119
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost	191	217
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value	208	238
Collateralized Mortgage Obligations [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized Cost	22,363	46,921
Gross Unrealized Gains	368	1,809
Gross Unrealized Losses	(6)	0
Estimated Fair Value	22,725	48,730
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	1,448
12 months or longer, Estimated Fair Value	0
Total, Estimated Fair Value	1,448
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	0
Total, Gross Unrealized Loss	$ (6)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	1
12 months or longer, Number of Securities | Security	0
Total, Number of Securities | Security	1
Securities available for sale, Amortized Cost [Abstract]
Amortized Cost	$ 22,363	46,921
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	22,725	48,730
Fixed Maturities Securities [Member]
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	231,088	106,873
12 months or longer, Estimated Fair Value	0	27,098
Total, Estimated Fair Value	231,088	133,971
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(1,087)	(121)
12 months or longer, Gross Unrealized Loss	0	(110)
Total, Gross Unrealized Loss	$ (1,087)	$ (231)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	27	11
12 months or longer, Number of Securities | Security	0	7
Total, Number of Securities | Security	27	18
Securities available for sale, Estimated Fair Value [Abstract]
Gross losses from other-than-temporary impairments	$ (4,267)	$ (1,170)	0
Securities available for sale [Abstract]
Gross gains from sales	8,208	5,118	5,408
Gross losses from sales	(646)	(5,884)	(4,553)
Gross losses from other-than-temporary impairments	(4,267)	(1,170)	0
Total fixed maturity securities	3,295	(1,936)	855
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities	(25,227)	46,220	(71,904)
Not recognized in the consolidated financial statements [Abstract]
Fixed maturities - held to maturity	(24)	49	(207)
Mutual Funds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value	13,189	0	8,958
Available-for-sale equity securities, amortized cost basis [Abstract]
Amortized Cost	169,593	150,799
Gross Unrealized Gains	27,851	47,049
Gross Unrealized Losses	(373)	(92)
Estimated Fair Value	197,071	197,756
Available-for-sale Securities, Continuous Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	9,319	7,773
12 months or longer, Estimated Fair Value	0	0
Total, Estimated Fair Value	9,319	7,773
Available-for-sale Securities, Continuous Loss Position, Gross Unrealized Loss [Abstract]
Less than 12 months, Gross Unrealized Loss	(373)	(92)
12 months or longer, Gross Unrealized Loss	0	0
Total, Gross Unrealized Loss	$ (373)	$ (92)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	2	2
12 months or longer, Number of Securities | Security	0	0
Total, Number of Securities | Security	2	2
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	$ 13,189	$ 0	8,958
Gross losses from other-than-temporary impairments	945	0	1,042
Securities available for sale [Abstract]
Gross losses from other-than-temporary impairments	945	0	1,042
Equity Securities [Member]
Securities available for sale, Estimated Fair Value [Abstract]
Gross losses from other-than-temporary impairments	(945)	0	(1,042)
Securities available for sale [Abstract]
Gross gains from sales	17,903	20,848	5,084
Gross losses from sales	(1,312)	(2,106)	(2,310)
Gross losses from other-than-temporary impairments	(945)	0	(1,042)
Total equity securities	15,646	18,742	1,732
Recognized in accumulated other comprehensive income (loss) [Abstract]
Available-for-sale Securities	(19,479)	(5,620)	$ 28,369
Certificates of Deposit [Member]
Securities held to maturity [Abstract]
Amortized Cost	2,118	2,105
Gross Unrealized Gains	0	0
Gross Unrealized Losses	0	0
Estimated Fair Value	2,118	2,105
Securities held to maturity, Amortized Cost [Abstract]
Amortized Cost	2,118	2,105
Securities held to maturity, Estimated Fair Value [Abstract]
Total, Estimated fair value	2,118	$ 2,105
Escrow Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value	16,182
Available-for-sale securities, amortized cost basis [Abstract]
Gross Unrealized Gains	31
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	16,182
Cofina Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated Fair Value	9,437
Available-for-sale securities, amortized cost basis [Abstract]
Gross Unrealized Gains	286
Securities available for sale, Estimated Fair Value [Abstract]
Total, Estimated Fair Value	$ 9,437

Net Investment Income (Details)

Net Investment Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Components of net investment income [Abstract]
Total	$ 45,174	$ 47,540	$ 47,288
Fixed Maturities [Member]
Components of net investment income [Abstract]
Total	36,256	38,559	37,302
Equity Securities [Member]
Components of net investment income [Abstract]
Total	7,146	7,660	8,640
Policy Loans [Member]
Components of net investment income [Abstract]
Total	557	545	472
Cash Equivalents and Interest-Bearing Deposits [Member]
Components of net investment income [Abstract]
Total	143	117	84
Other [Member]
Components of net investment income [Abstract]
Total	$ 1,072	$ 659	$ 790

Premium and Other Receivables69

Premium and Other Receivables, Net (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Premiums and Other Receivables, Net [Abstract]
Premium	$ 92,600	$ 131,496
Self-funded group receivables	73,552	62,189
FEHBP	13,859	12,384
Agent balances	25,424	25,300
Accrued interest	12,624	11,737
Reinsurance recoverable	48,506	50,686
Unsettled sales	0	10,456
Other	53,325	47,742
Premiums and other receivables, total	319,890	351,990
Less allowance for doubtful receivables [Abstract]
Premium	28,944	28,983
Other	8,300	7,385
Premiums and other receivables, allowance	37,244	36,368
Premiums and other receivables, net	$ 282,646	$ 315,622

Deferred Policy Acquisition C70

Deferred Policy Acquisition Costs and Value of Business Acquired (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
DPAC [Roll Forward]
Balance	$ 151,756	$ 140,928	$ 132,529
Additions	48,599	48,723	48,137
VOBA interest	0	0	0
Amortization	(38,624)	(37,895)	(39,738)
Net change	9,975	10,828	8,399
Balance	161,731	151,756	140,928
VOBA [Roll Forward]
Balance	32,344	36,361	36,128
Additions	0	0	4,499
VOBA interest	1,543	1,726	1,951
Amortization	(4,970)	(5,743)	(6,217)
Net change	(3,427)	(4,017)	233
Balance	28,917	32,344	36,361
TOTAL [Roll Forward]
Balance	184,100	177,289	168,657
Additions	48,599	48,723	52,636
VOBA interest	1,543	1,726	1,951
Amortization	(43,594)	(43,638)	(45,955)
Net change	6,548	6,811	8,632
Balance	$ 190,648	$ 184,100	$ 177,289
VOBA interest rate	5.15%	5.17%	5.24%
Value of business acquired future amortization expense [Abstract]
2,016	$ 3,836
2,017	2,861
2,018	2,511
2,019	2,558
2,020	$ 1,813

Property and Equipment, Net (De

Property and Equipment, Net (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	$ 211,529	$ 204,144
Less accumulated depreciation and amortization	137,576	125,801
Property and equipment, net	73,953	78,343
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	63,967	62,989
Office Furniture and Equipment [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	22,869	20,240
Computer Equipment and Software [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	113,223	109,445
Automobiles [Member]
Summary of Property and equipment, net [Abstract]
Property and equipment, gross	$ 494	$ 494

Goodwill (Details)

Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Goodwill [Abstract]
Goodwill	$ 25,397	$ 25,397
Goodwill impairment charge	$ 2,369	$ 2,369

Intangible Asset (Details)

Intangible Asset (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	$ 49,162	$ 49,105
Accumulated amortization	42,520	39,898
Intangible assets, net	6,642	9,207
Amortization expense	2,622	5,745	$ 8,638
Intangible assets impairment charge	0	2,221	$ 0
Estimated amortization expense [Abstract]
2,016	1,805
2,017	1,270
2,018	964
2,019	739
2,020	548
Trade Name [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	$ 5,476	5,476
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	1,681
Expected life of intangible assets	5 years
Other [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Intangible assets, gross	$ 817	$ 760

Fair Value Measurements (Detail

Fair Value Measurements (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Equity securities [Abstract]
Assets, fair value disclosure, Total	$ 5,276	$ 4,582
Fair Value, Measurements, Recurring [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	116,240	130,644
U.S. Treasury securities and obligations of U.S. government instrumentalities	163,270	95,100
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	25,619	35,253
Municipal securities	647,446	634,219
Corporate bonds	157,408	164,834
Residential agency mortgage-backed securities	937	7,119
Collaterized mortgage obligations	22,725	48,730
Total fixed maturities	1,133,645	1,115,899
Equity securities [Abstract]
Equity securities - Mutual funds	197,071	197,756
Assets, fair value disclosure, Total	1,330,716	1,313,655
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	163,270	95,100
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	163,270	95,100
Equity securities [Abstract]
Equity securities - Mutual funds	167,082	160,461
Assets, fair value disclosure, Total	330,352	255,561
Fair Value, Measurements, Recurring [Member] | Level 2 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	116,240	130,644
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	25,619	35,253
Municipal securities	647,446	634,219
Corporate bonds	157,408	164,834
Residential agency mortgage-backed securities	937	7,119
Collaterized mortgage obligations	22,725	48,730
Total fixed maturities	970,375	1,020,799
Equity securities [Abstract]
Equity securities - Mutual funds	22,031	23,946
Assets, fair value disclosure, Total	992,406	1,044,745
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	7,958	13,349
Assets, fair value disclosure, Total	$ 7,958	$ 13,349

Fair Value Measurements, Recurr

Fair Value Measurements, Recurring Basis Roll Forward (Details) - Fair Value, Measurements, Recurring [Member] - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]
Beginning balance	$ 13,349	$ 17,910	$ 12,822
Realized gains	1,538	2,552	192
Unrealized in other accumulated comprehensive income	(4,207)	(2,937)	2,756
Purchases	1,207	501	2,439
Sales	0	0	(299)
Capital Distributions	(3,929)	(4,677)	0
Ending balance	$ 7,958	$ 13,349	$ 17,910

Fair Value Measurements, Repurc

Fair Value Measurements, Repurchase Agreement (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
6.6% Senior Unsecured Notes Payable [Member]
Long-term borrowings [Abstract]
Fixed rate of interest on notes payable	6.60%	6.60%
Carrying Value [Member]
Assets [Abstract]
Policy loans	$ 7,901	$ 7,260
Liabilities [Abstract]
Policyholder deposits	179,287	175,235
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,827	14,467
6.6% senior unsecured notes payable	24,000	35,000
Repurchase agreement		25,000
Total long-term borrowings	36,827	74,467
Total liabilities	216,114	249,702
Fair Value [Member]
Assets [Abstract]
Policy loans	7,901	7,260
Liabilities [Abstract]
Policyholder deposits	179,287	175,235
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,827	14,467
6.6% senior unsecured notes payable	19,920	33,513
Repurchase agreement		25,337
Total long-term borrowings	32,747	73,317
Total liabilities	212,034	248,552
Fair Value [Member] | Level 1 [Member]
Assets [Abstract]
Policy loans	0	0
Liabilities [Abstract]
Policyholder deposits	0	0
Long-term borrowings [Abstract]
Loans payable to bank - variable	0	0
6.6% senior unsecured notes payable	0	0
Repurchase agreement		0
Total long-term borrowings	0	0
Total liabilities	0	0
Fair Value [Member] | Level 2 [Member]
Assets [Abstract]
Policy loans	7,901	7,260
Liabilities [Abstract]
Policyholder deposits	179,287	175,235
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,827	14,467
6.6% senior unsecured notes payable	19,920	33,513
Repurchase agreement		25,337
Total long-term borrowings	32,747	73,317
Total liabilities	212,034	248,552
Fair Value [Member] | Level 3 [Member]
Assets [Abstract]
Policy loans	0	0
Liabilities [Abstract]
Policyholder deposits	0	0
Long-term borrowings [Abstract]
Loans payable to bank - variable	0	0
6.6% senior unsecured notes payable	0	0
Repurchase agreement		0
Total long-term borrowings	0	0
Total liabilities	$ 0	$ 0

Claim Liabilities (Details)

Claim Liabilities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Claim Liabilities [Roll Forward]
Claim liabilities at beginning of year	$ 390,086	$ 420,421	$ 416,918
Reinsurance recoverable on claim liabilities	(40,635)	(37,557)	(39,051)
Net claim liabilities at beginning of year	349,451	382,864	377,867
Claim liabilities acquired from business acquisitions	0	0	1,048
Claims incurred [Abstract]
Current period insured events	2,314,609	1,761,199	1,832,414
Prior period insured events	(20,848)	(37,411)	(19,203)
Total	2,293,761	1,723,788	1,813,211
Payments of losses and loss-adjustment expense [Abstract]
Current period insured events	1,920,976	1,499,646	1,507,302
Prior period insured events	271,185	257,555	301,960
Total	2,192,161	1,757,201	1,809,262
Net claim liabilities at end of year	451,051	349,451	382,864
Reinsurance recoverable on claim liabilities	40,714	40,635	37,557
Claim liabilities at end of year	491,765	390,086	420,421
Change in liability for future policy benefits, expense	$ 24,954	$ 23,807	$ 22,990

Federal Employees' Health Ben78

Federal Employees' Health Benefits Program (FEHBP) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Federal Employees' Health Benefits Program (FEHBP) [Abstract]
Federal employees health benefits program funds	$ 42,572	$ 39,835
Contingency reserve	28,417	24,824
Proceed from contingency reserve	$ 4,763	$ 12,766	$ 634

Long-Term Borrowings (Details)

Long-Term Borrowings (Details) - USD ($)	Nov. 04, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Summary of long-term borrowings [Abstract]
Total borrowings		$ 36,827,000	$ 74,467,000
Aggregate maturities of Company's long term borrowings [Abstract]
2,016		1,640,000
2,017		1,640,000
2,018		1,640,000
2,019		1,640,000
2,020		25,640,000
Thereafter		4,627,000
Total borrowings		$ 36,827,000	74,467,000
Period of notes prepaid at par, in total or partially		5 years
Interest expense on borrowings		$ 2,435,000	3,639,000	$ 4,106,000
TSS [Member]
Summary of long-term borrowings [Abstract]
Total borrowings		0
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings		0
Revolving loan agreement amount	$ 50,000
Number of weeks payments not collected	28 days
TSS [Member] | LIBOR [Member]
Summary of long-term borrowings [Abstract]
Basis points	2.50%
6.60% Senior Unsecured Notes Payable, due 2020 [Member]
Summary of long-term borrowings [Abstract]
Total borrowings		24,000,000	35,000,000
Face value of notes payable		$ 60,000,000
Maturity date of notes payable		Dec. 31, 2020
Fixed rate of interest on notes payable		6.60%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings		$ 24,000,000	35,000,000
Secured Loan Payable, due 2024 [Member]
Summary of long-term borrowings [Abstract]
Total borrowings		12,827,000	$ 14,467,000
Face value of notes payable		$ 41,000,000
Maturity date of notes payable		Jul. 1, 2024
Monthly installments of loan payable		$ 137,000
Basis points		1.00%
Interest rate on loan payable		1.23%	1.24%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings		$ 12,827,000	$ 14,467,000
Repurchase Agreement [Member]
Summary of long-term borrowings [Abstract]
Total borrowings		0	25,000,000
Face value of notes payable		$ 25,000,000
Maturity date of notes payable		Nov. 30, 2015
Fixed rate of interest on notes payable		1.96%
Aggregate maturities of Company's long term borrowings [Abstract]
Total borrowings		$ 0	$ 25,000,000

Reinsurance Activity (Details)

Reinsurance Activity (Details) $ in Thousands		12 Months Ended
		Dec. 31, 2015USD ($)Entity	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Premiums Earned [Abstract]
Gross		$ 2,847,288	$ 2,199,351	$ 2,281,697
Ceded		(64,134)	(70,785)	(78,662)
Net		2,783,154	2,128,566	2,203,035
Claims Incurred [Abstract]
Gross	[1]	2,313,191	1,748,972	1,841,695
Ceded	[1]	(19,430)	(25,184)	(28,484)
Net	[1]	2,293,761	1,723,788	1,813,211
Change in the liability for future policy benefits		$ 24,954	23,806	22,990
Effects of Reinsurance [Line Items]
Period of reinsurance contracts		1 year
Premiums ceded		$ 64,134	70,785	78,662
Claims ceded	[1]	19,430	25,184	28,484
TSP [Member]
Premiums Earned [Abstract]
Ceded		$ (48,676)	$ (52,058)	$ (57,643)
Effects of Reinsurance [Line Items]
Percentage of reinsurance business placed with one reinsurance entity		14.06%	13.26%	12.54%
Premiums ceded		$ 48,676	$ 52,058	$ 57,643
Ceded unearned reinsurance premiums		$ 10,291	11,374
TSP [Member] | Property Quota Share Treaty [Member]
Effects of Reinsurance [Line Items]
Percentage of risk ceded to reinsurers		30.00%
Percentage of exposure covered by property		70.00%
TSP [Member] | Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		$ 165,000
TSP [Member] | Builders' Risk Quota Share [Member]
Effects of 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
TSP [Member] | Surety Quota Share Treaty [Member]
Effects of 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
TSP [Member] | Personal Lines [Member] | Reinstatement Premium Protection [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		3,500
TSP [Member] | Commercial Lines [Member] | Reinstatement Premium Protection [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		10,800
TSP [Member] | Maximum [Member] | Property Quota Share Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		20,000
Amount of claim covered under treaty covered by property		14,000
TSP [Member] | Maximum [Member] | Personal Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		65,000
TSP [Member] | Maximum [Member] | Commercial Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		135,000
TSP [Member] | Maximum [Member] | Casualty Excess of Loss Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		12,000
TSP [Member] | Maximum [Member] | Medical Malpractice Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		3,000
TSP [Member] | Maximum [Member] | Catastrophe [Member] | Property Quota Share Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		15,000
TSP [Member] | Maximum [Member] | Commercial Lines [Member] | Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		135,000
TSP [Member] | Minimum [Member] | Property Quota Share Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered under treaty covered by property		500
TSP [Member] | Minimum [Member] | Personal Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		5,000
TSP [Member] | Minimum [Member] | Commercial Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		10,000
TSP [Member] | Minimum [Member] | Casualty Excess of Loss Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		225
TSP [Member] | Minimum [Member] | Medical Malpractice Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		150
TSP [Member] | Minimum [Member] | Catastrophe [Member] | Property Quota Share Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		8,000
TSP [Member] | Minimum [Member] | Personal Lines [Member] | Property Catastrophe Excess of Loss [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		65,000
TSS [Member]
Premiums Earned [Abstract]
Ceded		(3,678)	(4,901)	(10,930)
Claims Incurred [Abstract]
Ceded		$ (2,665)	(5,487)	(9,745)
Effects of Reinsurance [Line Items]
Number of reinsurance entity with which subsidiary placed reinsurance business | Entity		1
Premiums ceded		$ 3,678	4,901	10,930
Claims ceded		$ 2,665	5,487	9,745
TSS [Member] | Organ Transplant Excess of Loss Treaty [Member]
Effects of Reinsurance [Line Items]
Percentage of claim covered		80.00%
Maximum amount of claim to be covered per person		$ 800
Maximum amount of claim to be covered, per person		200
Maximum amount of claim covered with other options for other groups, per person		$ 400
TSS [Member] | Retired Employees of the Commonwealth of Puerto Rico [Member]
Effects of Reinsurance [Line Items]
Percentage of claim covered		100.00%
Maximum amount of claim to be covered per person		$ 500
Maximum amount of claim covered with major medical coverage		$ 1,000
TSS [Member] | Municipalities of Puerto Rico [Member]
Effects of Reinsurance [Line Items]
Percentage of claim covered		100.00%
Maximum amount of claim to be covered per person		$ 250
Maximum amount of claim covered with life time limit		$ 1,000
TSS [Member] | U.S. Virgin Islands [Member]
Effects of Reinsurance [Line Items]
Percentage of claim covered		100.00%
Maximum amount of claim to be covered per person		$ 2,000
Amount of claim covered, per person		200
Excess amount reinsured		800
TSS [Member] | Maximum [Member] | Organ Transplant Excess of Loss Treaty [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		1,000
Maximum amount of claim to be covered, per person		250
Maximum amount of claim covered with other options for other groups, per person		500
TSV [Member]
Premiums Earned [Abstract]
Ceded		(9,596)	(10,328)	(8,874)
Effects of Reinsurance [Line Items]
Premiums ceded		$ 9,596	10,328	$ 8,874
Period for new and renewal business		90 days
TSV [Member] | Group Life Insurance Facultative Agreement [Member]
Effects of Reinsurance [Line Items]
Percentage of risk covered		50.00%
TSV [Member] | Facultative Pro rata Agreements [Member]
Effects of Reinsurance [Line Items]
Percentage of risk covered		65.00%
TSV [Member] | Several Reinsurance Agreements [Member]
Effects of Reinsurance [Line Items]
Maximum retention amount for excess of loss		$ 50
Retention limit amount		$ 200	$ 175
TSV [Member] | Quota share agreements [Member]
Effects of Reinsurance [Line Items]
Excess of loss agreements for group and individual major medical		40.00%
Amount of retention claims		$ 100
Percentage of retention claims		70.00%
TSV [Member] | Costa Rica reinsuring [Member]
Effects of Reinsurance [Line Items]
Percentage of excess of loss agreement		100.00%
Amount over excess of loss agreement		$ 25
TSV [Member] | Maximum [Member]
Effects of Reinsurance [Line Items]
Percentage of retrocession reinsurance agreements		15.00%
Agreement of reinsurer's gross liability		$ 500
TSV [Member] | Maximum [Member] | Group Life Insurance Facultative Agreement [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		200
TSV [Member] | Maximum [Member] | Quota share agreements [Member]
Effects of Reinsurance [Line Items]
Amount of claims		$ 2,000
TSV [Member] | Minimum [Member]
Effects of Reinsurance [Line Items]
Percentage of retrocession reinsurance agreements		6.70%
Agreement of reinsurer's gross liability		$ 50
TSV [Member] | Minimum [Member] | Group Life Insurance Facultative Agreement [Member]
Effects of Reinsurance [Line Items]
Amount of claim covered, per person		25
TSV [Member] | Minimum [Member] | Quota share agreements [Member]
Effects of Reinsurance [Line Items]
Amount of claims		$ 100
[1]	The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits amounting to $24,954, $23,806, and $22,990 that is included within the consolidated claims incurred during the years ended December 31, 2015, 2014 and 2013, respectively.

Income Taxes (Details)

Income Taxes (Details) - USD ($) $ in Thousands	4 Months Ended	12 Months Ended
	Oct. 31, 2014	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Tax Examination [Line Items]
One-time charge to operations		$ 6,300
Components of income tax expense (benefit) [Abstract]
Current income tax expense		10,169	$ 22,551	$ 11,704
Deferred income tax benefit		(5,070)	(21,806)	(9,423)
Total income tax expense		5,099	745	2,281
Income tax expense benefit reconciliation [Abstract]
Income before taxes		$ 57,131	$ 66,051	$ 57,787
Statutory tax rate		39.00%	39.00%	39.00%
Income tax expense at statutory rate		$ 22,281	$ 25,760	$ 22,537
Increase (decrease) in taxes resulting from [Abstract]
Exempt interest income, net		(6,041)	(7,139)	(5,850)
Effect of taxing life insurance operations as a qualified domestic life insurance company instead of as a regular corporation		(4,936)	(5,572)	(3,819)
Effect of using earnings under statutory accounting principles instead of GAAP for TSS and TSP		0	0	123
Effect of taxing capital gains at a preferential rate		(7,432)	(14,248)	(708)
Dividends received deduction		270	173	202
Adjustment to deferred tax assets and liabilities for changes in effective tax rates		(1,576)	5,466	(8,285)
Other adjustments to deferred tax assets and liabilities		(58)	(707)	279
Effect of extraordinary dividend distribution from the Association - reported net of taxes in other income		(875)	0	(4,996)
Tax credit benefit		(537)	(1,482)	72
Tax returns to provision true up		(1,084)	0	0
Effect of reassessment of unused credits for alternative minimum taxes paid		0	(6,486)	0
Subtotal		(22,269)	(29,995)	(22,982)
Other permanent disallowances, net [Abstract]
Disallowed resolution agreements expense		1,716	0	0
Disallowance of expenses related to exempt interest income		0	46	40
Disallowed dividend received deduction		3,598	4,815	2,502
Disallowed interest expense		12	21	21
Other		61	282	794
Total other permanent differences		5,387	5,164	3,357
Other adjustments		(300)	(184)	(631)
Total income tax expense		5,099	745	2,281
Federal income tax		574	451	$ 790
Total outside basis difference		59,000	54,000
Deferred tax assets [Abstract]
Allowance for doubtful receivables		13,434	13,115
Liability for pension benefits		21,416	31,541
Employee benefits plan		3,177	2,283
Postretirement benefits		1,252	1,238
Deferred compensation		1,818	1,589
Accumulated depreciation		1,240	1,142
Impairment loss on investments		1,749	661
Contingency reserves		30	273
Share-based compensation		4,875	3,174
Alternative minimum income tax credit		2,066	8,673
Purchased tax credits		931	1,682
Net operating loss		12,721	11,953
Unrealized loss on securities available for sale		0	3
Difference in tax basis of investments portfolio		6,843	5,000
Accrued liabilities		2,402	1,195
Other		591	538
Gross deferred tax assets		74,545	84,060
Less: valuation allowance		(7,839)	(6,754)
Deferred tax assets		66,706	77,306
Deferred tax liabilities [Abstract]
Deferred policy acquisition costs		(3,673)	(3,946)
Catastrophe loss reserve trust fund		(7,664)	(7,128)
Unrealized gain upon acquisition		0	(101)
Unrealized gain on securities available for sale		(15,021)	(21,540)
Unamortized bond issue costs		(29)	(52)
Intangible asset		(3,013)	(4,172)
Accumulated depreciation		(15)	(25)
Other		0	(103)
Gross deferred tax liabilities		(29,415)	(37,067)
Net deferred tax asset		37,291	40,239
Deferred tax assets, net		52,361	68,695
Deferred tax liabilities, net		15,070	28,456
Operating loss carryforwards		$ 21,600
Puerto Rico [Member]
Income Tax Examination [Line Items]
Percentage of premium tax on policies underwritten		5.00%
Income tax prepayments at reduced rate	12.00%
Components of income tax expense (benefit) [Abstract]
Total income tax expense		$ 2,524	17,049
Other permanent disallowances, net [Abstract]
Total income tax expense		$ 2,524	$ 17,049
Puerto Rico [Member] | Minimum [Member]
Income Tax Examination [Line Items]
Changes to the corporate tax		15.00%
Puerto Rico [Member] | Maximum [Member]
Income Tax Examination [Line Items]
Changes to the corporate tax		20.00%

Pension Plans (Details)

Pension Plans (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015	Dec. 31, 2014
Summary of amounts recognized in the balance sheets [Abstract]
Accumulated other comprehensive loss, deferred tax				$ 17,500	$ 26,841
Summary of expected benefit payments [Abstract]
Pension liability				62,945	86,716
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	$ 205,254	$ 163,487
Service cost	4,137	3,589	$ 4,254
Interest Cost	8,281	8,287	7,915
Benefit payments	(7,591)	(5,858)
Actuarial (gain) loss	(25,299)	35,749
Benefit obligation at end of year	184,782	205,254	163,487
Accumulated benefit obligation at end of year				152,851	167,564
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	128,108	116,727
Actual return on assets	1,544	9,239
Employer contributions	8,000	8,000
Benefit payments	(7,591)	(5,858)
Fair value of plan assets at end of year	130,061	128,108	116,727
Funded status at end of year				(54,721)	(77,146)
Amounts in accumulated other comprehensive income not yet recognized as a component of net periodic pension cost [Abstract]
Development of prior service credit, Balance at beginning of year	(2,673)	(3,123)
Amortization	450	450	450
Net prior service credit	(2,223)	(2,673)	(3,123)
Development of actuarial loss, Balance at beginning of year	80,118	50,247
Amortization	(5,939)	(4,134)	(7,308)
(Gain)/Loss arising during the year	(18,463)	34,005
Actuarial net loss	55,716	80,118	50,247
Sum of deferrals	53,493	77,445
Net amount recognized				$ (1,228)	$ 299
Weighted average basis on benefits obligations [Abstract]
Discount rate				4.75%	4.25%
Summary of amounts recognized in the balance sheets [Abstract]
Pension liability				$ 54,721	$ 77,146
Accumulated other comprehensive loss, net of a deferred tax of $17,500 and $26,841 in 2014 and 2013, respectively				35,993	50,604
Components of net periodic benefit cost [Abstract]
Service cost	4,137	3,589	4,254
Interest cost	8,281	8,287	7,915
Expected return on assets	(8,380)	(7,496)	(6,758)
Prior service benefit	(450)	(450)	(450)
Actuarial loss	5,939	4,134	7,308
Net periodic benefit cost	9,527	$ 8,064	$ 12,269
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	$ 3,675
Weighted average basis on periodic benefit cost [Abstract]
Discount rate	4.25%	5.25%	4.50%
Expected return on plan assets	7.00%	7.00%	7.00%
Expected rate of return on plan assets	7.00%	7.00%
Reduction in other administrative expenses	0.10%
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	$ 128,108	$ 116,727	$ 116,727	130,061	128,108
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	128,108	116,727
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	130,061	128,108	116,727
Expected employer future contributions	8,000
Summary of expected benefit payments [Abstract]
2,016				8,464
2,017				9,259
2,018				11,421
2,019				11,664
2,020				11,956
2021 - 2025				66,475
Noncontributory Defined-Benefit Pension Plan [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	128,591
Fair value of plan assets at end of year	127,077	128,591
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	128,591	128,591		127,077	128,591
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	128,591
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	127,077	128,591
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 beginning of year	28,748
Fair value of plan assets at end of year	8,880	28,748
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	28,748	28,748		8,880	28,748
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	28,748
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	8,880	28,748
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 beginning of year	92,549
Fair value of plan assets at end of year	111,701	92,549
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	92,549	92,549		111,701	92,549
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	92,549
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	111,701	92,549
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	7,294	6,223
Fair value of plan assets at end of year	6,496	7,294	6,223
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,496	6,223	6,223	6,496	7,294
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	7,294	6,223
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	487	723
Relating to assets sold during the period	597	31
Purchases, issuances, and settlements	(1,882)	389
Transfer in and/or out	0	(72)
Fair value of plan assets at end of year	6,496	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 beginning of year	7,294
Fair value of plan assets at end of year	6,496	7,294
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	7,294	7,294		$ 6,496	$ 7,294
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	7,294
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	$ 6,496	$ 7,294
Noncontributory Defined-Benefit Pension Plan [Member] | Minimum [Member]
Weighted average basis on benefits obligations [Abstract]
Rate of compensation increase				3.50%	3.50%
Weighted average basis on periodic benefit cost [Abstract]
Rate of compensation increase	3.50%	3.50%	3.50%
Percentile range of assets allocation	35.00%
Expected rate of return on plan assets	6.20%
Noncontributory Defined-Benefit Pension Plan [Member] | Maximum [Member]
Weighted average basis on benefits obligations [Abstract]
Rate of compensation increase				8.00%	8.00%
Weighted average basis on periodic benefit cost [Abstract]
Rate of compensation increase	8.00%	8.00%	8.00%
Percentile range of assets allocation	65.00%
Expected rate of return on plan assets	7.70%
Noncontributory Defined-Benefit Pension Plan [Member] | Equity Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum	44.00%
Target asset allocation maximum	56.00%
Noncontributory Defined-Benefit Pension Plan [Member] | Debt Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum	34.00%
Target asset allocation maximum	46.00%
Noncontributory Defined-Benefit Pension Plan [Member] | Other Securities [Member]
Weighted average basis on periodic benefit cost [Abstract]
Target asset allocation minimum	6.00%
Target asset allocation maximum	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 beginning of year	$ 29,423
Fair value of plan assets at end of year	60,417	$ 29,423
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	60,417	29,423		$ 60,417	$ 29,423
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	29,423
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	60,417	29,423
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	29,423
Fair value of plan assets at end of year	60,417	29,423
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	29,423	29,423		60,417	29,423
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	29,423
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	60,417	29,423
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	6,062
Fair value of plan assets at end of year	9,009	6,062
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,062	6,062		9,009	6,062
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	6,062
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	9,009	6,062
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 beginning of year	3,433
Fair value of plan assets at end of year	0	3,433
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	3,433	3,433		0	3,433
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	3,433
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	3,433
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 beginning of year	2,629
Fair value of plan assets at end of year	9,009	2,629
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	2,629	2,629		9,009	2,629
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	2,629
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	9,009	2,629
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	0	67
Fair value of plan assets at end of year	0	0	$ 67
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	67	67	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	67
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	0	1
Relating to assets sold during the period	0	0
Purchases, issuances, and settlements	0	4
Transfer in and/or out	0	(72)
Fair value of plan assets at end of year	0	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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	0	0
Noncontributory Defined-Benefit Pension Plan [Member] | Non Agency Backed Securities [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	745
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	745			745
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	745
Noncontributory Defined-Benefit Pension Plan [Member] | Non Agency Backed Securities [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
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
Noncontributory Defined-Benefit Pension Plan [Member] | Non Agency Backed Securities [Member] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at end of year	745
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	745			745
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	745
Noncontributory Defined-Benefit Pension Plan [Member] | Non Agency Backed Securities [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
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
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 beginning of year	10,672
Fair value of plan assets at end of year	10,865	10,672
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	10,672	10,672		10,865	10,672
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	10,672
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	10,865	10,672
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	10,672
Fair value of plan assets at end of year	10,865	10,672
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	10,672	10,672		10,865	10,672
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	10,672
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	10,865	10,672
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	0	2
Fair value of plan assets at end of year	0	0	2
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	2	2	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	2
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	0	0
Relating to assets sold during the period	0	1
Purchases, issuances, and settlements	0	(3)
Transfer in and/or out	0	0
Fair value of plan assets at end of year	0	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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	1,097
Fair value of plan assets at end of year	567	1,097
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	567	1,097		567	1,097
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	1,097
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	567	1,097
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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	1,097	1,631
Fair value of plan assets at end of year	567	1,097	1,631
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,097	1,631	1,631	567	1,097
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	1,097	1,631
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	103	207
Relating to assets sold during the period	(39)	(115)
Purchases, issuances, and settlements	(594)	(626)
Transfer in and/or out	0	0
Fair value of plan assets at end of year	567	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 beginning of year	1,097
Fair value of plan assets at end of year	567	1,097
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,097	1,097		567	1,097
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	1,097
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	567	1,097
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 beginning of year	6,197
Fair value of plan assets at end of year	5,929	6,197
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,197	6,197		5,929	6,197
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	6,197
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	5,929	6,197
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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	6,197	4,523
Fair value of plan assets at end of year	5,929	6,197	4,523
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	6,197	4,523	4,523	5,929	6,197
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	6,197	4,523
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	384	515
Relating to assets sold during the period	636	145
Purchases, issuances, and settlements	(1,288)	1,014
Transfer in and/or out	0	0
Fair value of plan assets at end of year	5,929	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 beginning of year	6,197
Fair value of plan assets at end of year	5,929	6,197
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	5,929	6,197		5,929	6,197
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	6,197
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	5,929	6,197
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 beginning of year	26,753
Fair value of plan assets at end of year	12,151	26,753
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	26,753	26,753		12,151	26,753
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	26,753
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	12,151	26,753
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 beginning of year	14,994
Fair value of plan assets at end of year	6,224	14,994
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	14,994	14,994		6,224	14,994
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	14,994
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	6,224	14,994
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 beginning of year	11,759
Fair value of plan assets at end of year	5,927	11,759
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	5,927	11,759		5,927	11,759
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	11,759
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	5,927	11,759
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	29,022
Fair value of plan assets at end of year	16,479	29,022
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	16,479	29,022		16,479	29,022
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	29,022
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	16,479	29,022
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	29,022
Fair value of plan assets at end of year	16,479	29,022
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	16,479	29,022		16,479	29,022
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	29,022
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	16,479	29,022
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	9,025
Fair value of plan assets at end of year	8,284	9,025
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	8,284	9,025		8,284	9,025
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	9,025
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	8,284	9,025
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	9,025
Fair value of plan assets at end of year	8,284	9,025
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	9,025	9,025		8,284	9,025
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	9,025
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	8,284	9,025
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	0
Fair value of plan assets at end of year	0	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0	0	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	0
Actual return on program assets [Abstract]
Relating to assets still held at the reporting date	0	0
Relating to assets sold during the period	0	0
Purchases, issuances, and settlements	0	0
Transfer in and/or out	0	0
Fair value of plan assets at end of year	0	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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	5,970
Fair value of plan assets at end of year	1,985	5,970
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,985	5,970		1,985	5,970
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	5,970
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	1,985	5,970
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 beginning of year	5,970
Fair value of plan assets at end of year	1,985	5,970
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	1,985	5,970		1,985	5,970
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	5,970
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	1,985	5,970
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	306
Fair value of plan assets at end of year	121	306
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	121	306		121	306
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	306
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	121	306
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 beginning of year	306
Fair value of plan assets at end of year	121	306
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	306	306		121	306
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	306
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	121	306
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	15
Fair value of plan assets at end of year	3	15
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	15	15		3	15
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	15
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	3	15
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	15
Fair value of plan assets at end of year	3	15
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	3	15		3	15
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	15
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	3	15
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	4,045
Fair value of plan assets at end of year	550	4,045
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	550	4,045		550	4,045
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	4,045
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	550	4,045
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 beginning of year	4,045
Fair value of plan assets at end of year	550	4,045
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4,045	4,045		550	4,045
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	4,045
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	550	4,045
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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 beginning of year	4
Fair value of plan assets at end of year	(28)	4
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	4	4		(28)	4
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
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	(28)	4
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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] | Level 2 [Member] | Recurring [Member]
Change in fair value of plan assets [Roll Forward]
Fair value of plan assets at beginning of year	4
Fair value of plan assets at end of year	(28)	4
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	(28)	4		(28)	4
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
Actual return on program assets [Abstract]
Fair value of plan assets at end of year	(28)	4
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 beginning of year	0
Fair value of plan assets at end of year	0	0
Fair value, assets measured on recurring basis [Abstract]
Assets, fair value	0	0		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
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				8,224	9,570
Accumulated other comprehensive loss related to noncontributory pension plan, net tax				862	2,087
Accumulated other comprehensive loss related to noncontributory pension plan, tax				$ 556	$ 1,339

Catastrophe Loss Reserve and 83

Catastrophe Loss Reserve and Trust Fund (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Catastrophe Loss Reserve and Trust Fund [Abstract]
Maximum contribution rate which increases catastrophe reserve	5.00%
Minimum percentage of reserve to catastrophe exposure	8.00%
Other interest earning assets	$ 46,221	$ 42,324
Restricted catastrophe loss reserve balance	$ 43,041	$ 40,457

Stockholders' Equity (Details)

Stockholders' Equity (Details) - USD ($) $ / shares in Units, $ in Thousands	Nov. 12, 2015	May. 16, 2013	Dec. 31, 2015	Dec. 31, 2014
Common Stock [Abstract]
Number of shares converted (in shares)	1,426,721
Preferred Stock [Abstract]
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]
Pay surplus value of dividend			10.00%
Period after filing in which dividend not disapproved			30 days
Amount available for dividend distribution without prior approval from regulatory agency			$ 33,300
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)		810,055

Stock Repurchase Programs (Deta

Stock Repurchase Programs (Details) - USD ($) $ / shares in Units, $ in Thousands	May. 17, 2013	Mar. 06, 2013	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Nov. 30, 2015	Oct. 31, 2014	Jul. 31, 2013	Sep. 30, 2010
Equity, Class of Treasury Stock [Line Items]
Shares repurchased (in shares)			2,241,086	596,225	1,000,000
Average share price (in dollars per share)	$ 18.25		$ 21.87	$ 20.28	$ 18.25
Amount repurchased			$ 48,287	$ 11,336	$ 18,250
Stock announced to convert, shares, conversion of units (in shares)		7,000,000
Stock repurchased and retired (in shares)	1,000,000
Remaining authorized amount under stock repurchase program			$ 21,371
2015 $25,000 Stock Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Shares repurchased (in shares)			154,554	0	0
Average share price (in dollars per share)			$ 23.72	$ 0	$ 0
Amount repurchased			$ 3,629	$ 0	$ 0
Stock repurchase, authorized amount						$ 25,000
2014 $50,000 Stock Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Shares repurchased (in shares)			2,086,532	228,525	0
Average share price (in dollars per share)			$ 21.69	$ 23.55	$ 0
Amount repurchased			$ 44,658	$ 5,341	$ 0
Stock repurchase, authorized amount							$ 50,000
2013 $11,500 Stock Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Shares repurchased (in shares)			0	367,700	0
Average share price (in dollars per share)			$ 0	$ 16.32	$ 0
Amount repurchased			$ 0	$ 5,995	$ 0
Stock repurchase, authorized amount								$ 11,500
2013 $30,000 Stock Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Shares repurchased (in shares)			0	0	1,000,000
Average share price (in dollars per share)			$ 0	$ 0	$ 18.25
Amount repurchased			$ 0	$ 0	$ 18,250
Stock repurchase, authorized amount		$ 30,000
2010 $30,000 Stock Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Stock repurchase, authorized amount									$ 30,000

Comprehensive Income (Details)

Comprehensive Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Accumulated Other Comprehensive Income (Loss) [Line Items]
Beginning balance at December 31, 2014	$ 48,776
Net current period change	(10,448)
Reclassification adjustments for gains and losses reclassified in income	(12,705)
Ending balance at December 31, 2015	25,623	$ 48,776
Before-Tax Amount [Abstract]
Unrealized holding gains on securities arising during the period	(25,765)	58,831	$ (40,948)
Less reclassification adjustment for gains and losses realized in income	(18,941)	(18,231)	(2,587)
Net change in unrealized gain	(44,706)	40,600	(43,535)
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	6,020	3,737	7,108
Net change arising from assumptions and plan changes and experience	19,940	(35,271)	25,608
Net change in liability for pension benefits	25,960	(31,534)	32,716
Net current period change	(18,746)	9,066	(10,819)
Deferred Tax (Expense) Benefit [Abstract]
Unrealized holding gains on securities arising during the period	3,153	(8,161)	6,142
Less reclassification adjustment for gains and losses realized in income	2,564	3,444	462
Net change in unrealized gain	5,717	(4,717)	6,604
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	(2,348)	(1,457)	(2,772)
Net change arising from assumptions and plan changes and experience	(7,776)	13,755	(9,988)
Net change in liability for pension benefits	(10,124)	12,298	(12,760)
Net current period change	(4,407)	7,581	(6,156)
Net-of-Tax Amount [Abstract]
Unrealized holding gains on securities arising during the period	(22,612)	50,670	(34,806)
Less reclassification adjustment for gains and losses realized in income	(16,377)	(14,787)	(2,125)
Net change in unrealized gain	(38,989)	35,883	(36,931)
Liability for pension benefits [Abstract]
Reclassification adjustment for amortization of net losses from past experience and prior service costs	3,672	2,280	4,336
Net change arising from assumptions and plan changes and experience	12,164	(21,516)	15,620
Net change in liability for pension benefits	15,836	(19,236)	19,956
Net current period change	(23,153)	16,647	$ (16,975)
Unrealized Gain on Securities [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Beginning balance at December 31, 2014	101,467
Net current period change	(22,612)
Reclassification adjustments for gains and losses reclassified in income	(16,377)
Ending balance at December 31, 2015	62,478	101,467
Liability for Pension Benefits [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Beginning balance at December 31, 2014	(52,691)
Net current period change	12,164
Reclassification adjustments for gains and losses reclassified in income	3,672
Ending balance at December 31, 2015	$ (36,855)	$ (52,691)

Share-Based Compensation (Detai

Share-Based Compensation (Details) - USD ($) $ / shares in Units, $ in Thousands	May. 17, 2013	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2007
Aggregate Intrinsic Value [Abstract]
Non-cash exercise of stock options (in shares)	1,000,000
Weighted Average Fair Value [Roll Forward]
Total unrecognized compensation cost related to nonvested share-based compensation		$ 5,577
Cost is expected to be recognized over a weighted average period		11 months 16 days
Stock Options [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expiration date cannot exceed		7 years
Vesting periods in equal annual installments		3 years
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2015 (in shares)		17,353
Exercised during the year (in shares)		(12,913)	(199,002)	(21,724)
Outstanding balance at December 31, 2015 (in shares)		4,440	17,353
Exercisable at December 31, 2015 (in shares)		4,440
Weighted Average Exercise Price [Roll Forward]
Outstanding balance at January 1, 2015 (in dollars per share)		$ 13.50
Exercised during the year (in dollars per share)		13.85
Outstanding balance at December 31, 2015 (in dollars per share)		12.49	$ 13.50
Exercisable at December 31, 2015 (in dollars per share)		$ 12.49
Weighted Average Contractual Term [Abstract]
Outstanding balance at December 31, 2015		4 days
Exercisable at December 31, 2015		4 days
Aggregate Intrinsic Value [Abstract]
Outstanding balance at December 31, 2015		$ 50,705
Exercisable at December 31, 2015		$ 50,705
Stock option grant in period (in shares)		0	0	0
Cash received from stock options exercises		$ 0	$ 0
Non-cash exercise of stock options (in shares)		7,235	174,090	14,095
Performance Awards [Member]
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2015 (in shares)		459,899
Granted (in shares)		349,576
Lapsed (in shares)		(134,297)
Forfeited (due to termination) (in shares)		(138,433)
Forfeited (due to performance payout less than 100%) (in shares)		(41,740)
Outstanding balance at December 31, 2015 (in shares)		495,005	459,899
Weighted Average Fair Value [Roll Forward]
Outstanding balance at January 1, 2015 (in dollars per share)		$ 17.14
Granted (in dollars per share)		18.96
Lapsed (in dollars per share)		18.03
Forfeited (due to termination) (in dollars per share)		18.62
Forfeited (due to performance payout less than 100%) (in dollars per share)		16.37
Outstanding balance at December 31, 2015 (in dollars per share)		$ 17.84	$ 17.14
Restricted Awards [Member]
Number of Shares [Roll Forward]
Outstanding balance at January 1, 2015 (in shares)		179,026
Granted (in shares)		147,740
Lapsed (in shares)		(163,986)
Forfeited (due to termination) (in shares)		(6,449)
Forfeited (due to performance payout less than 100%) (in shares)		0
Outstanding balance at December 31, 2015 (in shares)		156,331	179,026
Weighted Average Fair Value [Roll Forward]
Outstanding balance at January 1, 2015 (in dollars per share)		$ 17.31
Granted (in dollars per share)		20.33	$ 16.46	$ 18.43
Lapsed (in dollars per share)		17.82
Forfeited (due to termination) (in dollars per share)		21.80
Forfeited (due to performance payout less than 100%) (in dollars per share)		0
Outstanding balance at December 31, 2015 (in dollars per share)		$ 19.45	$ 17.31
Total fair value of restricted stock vested		$ 3,608	$ 1,146	$ 865
Restricted Awards [Member] | Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting periods in equal annual installments		1 year
Restricted Awards [Member] | Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting periods in equal annual installments		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)		1,677,395	2,174,711

Net Income Available to Stock88

Net Income Available to Stockholders and Basic Net Income per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Numerator for earnings per share [Abstract]
Net income attributable to TSM available to stockholders	$ 52,121	$ 65,660	$ 55,924
Denominator for basic earnings per share [Abstract]
Weighted average of common shares (in shares)	25,674,079	27,102,127	27,692,937
Effect of dilutive securities (in shares)	87,662	86,705	99,872
Denominator for diluted earnings per share (in shares)	25,761,741	27,188,832	27,792,809
Basic net income per share attributable to TSM (in dollars per share)	$ 2.03	$ 2.42	$ 2.02
Diluted net income per share attributable to TSM (in dollars per share)	$ 2.02	$ 2.41	$ 2.01

Commitments (Details)

Commitments (Details) $ in Thousands	Jul. 15, 2013USD ($)	Dec. 31, 2015USD ($)	Dec. 31, 2015USD ($)Installment	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Summary of minimum annual rental commitments [Abstract]
2,016		$ 5,227	$ 5,227
2,017		4,098	4,098
2,018		3,406	3,406
2,019		3,249	3,249
2,020		2,541	2,541
Total		18,521	18,521
Rent Expense			7,730	$ 8,738	$ 10,287
Maximum extraordinary dividend	$ 200,000	$ 21,000
Extraordinary dividend special tax rate	50.00%	15.00%
Proceeds from association a special distribution			$ 1,672		$ 12,811
Number of installments for dividend receivable in 2016 | Installment			3

Contingencies (Details)

Contingencies (Details) $ in Thousands	Dec. 17, 2015Lawsuit	Nov. 20, 2015USD ($)	Jul. 02, 2014USD ($)	Dec. 31, 2015USD ($)Lawsuitshares
Claims by Heirs of Former Shareholders [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits | Lawsuit				9
Number of shares claimed to have inherited (in shares) | shares				124
Split conversion ratio				3,000
Joint Underwriting Association Litigations [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits | Lawsuit				18
Lawsuit filing date				August 19, 2011
Amount of claims for damages				$ 406,600
Percentage of premium amount charged as administrative cost				12.00%
TSP [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits | Lawsuit	3
Period for defendant conducting negotiations				60 days
Community Health Centers - Puerto Rico [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits | Lawsuit				6
Amount of claims for damages				$ 5,073
Claims Relating to the Provision of Health Care Services [Abstract]
Amount of claim for collection of unpaid invoices				9,600
Outstanding claims				$ 3,000
HHS and OCR [Member]
Loss Contingencies [Line Items]
Paid settlement amount		$ 3,500
Period for implementing corrective action plan		3 years
ASES [Member]
Loss Contingencies [Line Items]
Paid settlement amount		$ 1,500
TSS [Member]
Loss Contingencies [Line Items]
Overpayment of premium			$ 7,950
Amount of claims for damages			$ 5,000

Statutory Accounting (Details)

Statutory Accounting (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statutory accounting practice [Abstract]
Percentage lower than combined reported statutory capital and surplus	1.10%	1.10%
Statutory reserve specified as percentage of R B C to avoid intervention	200.00%
Period of gradual compliance provisions whose R B C is below requirement	5 years
Net admitted assets	$ 1,881	$ 1,734	$ 1,672
Capital and surplus	691	659	646
RBC requirement	301	209	205
Net income	73	88	$ 63
Servicing Assets At Amortized Value [Abstract]
Restricted catastrophe loss reserve balance	43,041	40,457
Catastrophe trust fund	46,221	42,324
Amortized cost	5,136	4,383
Fair Value	5,276	4,582
Regulated subsidiaries [Member]
Statutory accounting practice [Abstract]
Net admitted assets	$ 51,357	$ 47,222

Supplementary Information on 92

Supplementary Information on Cash Flow Activities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Noncash transactions affecting cash flows activities [Abstract]
Change in net unrealized (gain) loss on securities available for sale, including deferred income tax (asset)/liability of $(5,717), $4,717, and $(6,604) in 2015, 2014, and 2013, respectively	$ 38,989	$ (35,883)	$ 36,931
Change in liability for pension benefits, and deferred income tax (asset)/liability of $10,124, $(12,298), $12,760, in 2015, 2014, and 2013, respectively	(15,836)	19,236	(19,956)
Repurchase and retirement of common stock	(182)	(3,049)	(321)
Exercise of stock options	179	2,885	315
Unsettled sales	0	10,456	0
Other [Abstract]
Income taxes paid	6,437	16,069	19,007
Interest paid	4,792	5,764	6,257
Change in net unrealized (gain) loss on securities available for sale, Deferred income tax (asset)/liability	(5,717)	4,717	(6,604)
Change in liability for pension benefits, Deferred income tax (asset)/liability	$ 10,124	$ (12,298)	$ 12,760

Business Combination (Details)

Business Combination (Details) - USD ($) $ / shares in Units, $ in Thousands	Nov. 07, 2013	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Purchase Price Allocation [Abstract]
Operating revenue		$ 2,876,752	$ 2,299,640	$ 2,363,781
Net income (loss)		$ 52,121	$ 65,660	55,924
Unaudited pro forma financial information of ASICO [Abstract]
Operating revenues				2,373,199
Net income				$ 54,729
Basic net income per share (in dollars per share)				$ 1.98
Diluted net income per share (in dollars per share)				$ 1.97
2013 Acquisition [Member]
Business Acquisition [Line Items]
Date of business acquisition	Nov. 7, 2013
Percentage of outstanding capital stock acquired	100.00%
Allocation of Purchase Price [Abstract]
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
Purchase Price Allocation [Abstract]
Investments and cash and cash equivalents				13,292
Premiums and other receivables				915
Property and equipment				9
VOBA				4,499
Other Assets				265
Deferred tax asset				133
Future policy benefits and claim liabilities				(6,440)
Claim and policyholders liabilities				(2,123)
Accounts payable and accrued liabilities				(1,137)
Total net assets				9,413
Operating revenue				1,511
Net income (loss)				$ (187)

Segment Information (Details)

Segment Information (Details) $ in Thousands		9 Months Ended	12 Months Ended
		Sep. 30, 2015USD ($)	Dec. 31, 2015USD ($)Segment	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Segment Information [Abstract]
Number of operating segments | Segment			3
Managed Care segment [Abstract]
Earned premiums revenue			$ 2,783,154	$ 2,128,566	$ 2,203,035
Administrative service fee			$ 24,266	95,908	83,180
Number of due days of remittances			60 days
Operating revenues [Abstract]
Premiums earned, net			$ 2,783,154	2,128,566	2,203,035
Fee revenue			24,266	95,908	83,180
Total Reportable Segment			2,902,736	2,320,114	2,381,631
Consolidated operating revenues			2,876,752	2,299,640	2,363,781
Operating income [Abstract]
Consolidated operating income			39,316	54,851	49,411
Consolidated net realized investment gains			18,941	18,231	2,587
Consolidated interest expense			(8,169)	(9,274)	(9,474)
Consolidated other income, net			7,043	2,243	15,263
Consolidated income before taxes			57,131	66,051	57,787
Depreciation, Depletion and Amortization [Abstract]
Consolidated depreciation and amortization expense			16,379	24,400	25,589
Assets [Abstract]
Assets			2,206,145	2,145,736	2,047,624
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			(38,989)	35,883	(36,931)
Contract [Member]
Managed Care segment [Abstract]
Earned premiums revenue			1,097,657	1,013,746	1,038,852
Operating revenues [Abstract]
Premiums earned, net			1,097,657	1,013,746	1,038,852
Medicare business [Member]
Managed Care segment [Abstract]
Earned premiums revenue			30,607	37,748	43,211
Operating revenues [Abstract]
Premiums earned, net			30,607	37,748	43,211
Managed Care [Member]
Managed Care segment [Abstract]
Earned premiums revenue		$ 607,216
Operating revenues [Abstract]
Premiums earned, net		$ 607,216
Managed Care [Member] | Health plan [Member]
Managed Care segment [Abstract]
Earned premiums revenue			155,821	152,659	155,302
Operating revenues [Abstract]
Premiums earned, net			155,821	152,659	155,302
Unallocated Amount to Segment [Member]
Operating revenues [Abstract]
Operating revenue from external sources			53	95	341
Operating income [Abstract]
TSM operating revenue from external sources			53	95	341
TSM unallocated operating expenses			(18,858)	(14,571)	(9,913)
Depreciation, Depletion and Amortization [Abstract]
TSM depreciation expense			788	813	863
Unallocated amounts related to TSM [Abstract]
Cash, cash equivalents, and investments			12,304	44,157	28,316
Property and equipment, net			23,219	20,415	21,278
Other Assets			31,732	37,851	26,406
Unallocated amount related to TSM			67,255	102,423	76,000
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			13	(310)	(1,401)
Other Segments [Member]
Operating revenues [Abstract]
Operating revenue from external sources	[1]		3,875	4,234	4,780
Total Reportable Segment	[1]		14,738	13,334	13,627
Operating income [Abstract]
Operating Income (Loss)	[1]		(301)	(4,440)	(4,777)
TSM operating revenue from external sources	[1]		3,875	4,234	4,780
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense	[1]		556	3,264	3,314
Assets [Abstract]
Assets	[1]		25,629	22,682	28,407
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale	[1]		(10)	0	0
Reportable Segments [Member]
Operating revenues [Abstract]
Total business segments			2,894,263	2,315,063	2,378,821
Operating income [Abstract]
Operating Income (Loss)			48,498	59,610	49,725
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense			15,591	23,587	24,726
Assets [Abstract]
Assets			2,181,589	2,125,569	2,007,736
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			(39,002)	36,193	(35,530)
Reportable Segments [Member] | Managed Care [Member]
Managed Care segment [Abstract]
Earned premiums revenue			2,548,270	1,894,791	1,973,160
Administrative service fee			44,705	119,302	108,680
Operating revenues [Abstract]
Premiums earned, net			2,548,270	1,894,791	1,973,160
Fee revenue			44,705	119,302	108,680
Net investment income			11,779	15,010	16,353
Total Reportable Segment			2,610,614	2,034,784	2,103,822
Operating income [Abstract]
Operating Income (Loss)			20,514	31,445	36,130
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense			13,268	17,935	19,993
Assets [Abstract]
Assets			1,034,725	975,999	934,467
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			(15,505)	6,055	(1,898)
Reportable Segments [Member] | Life [Member]
Managed Care segment [Abstract]
Earned premiums revenue			147,864	142,245	130,170
Operating revenues [Abstract]
Premiums earned, net			147,864	142,245	130,170
Net investment income			24,457	23,717	22,212
Total Reportable Segment			172,572	166,202	152,773
Operating income [Abstract]
Operating Income (Loss)			20,012	22,561	16,156
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense			1,094	1,394	891
Assets [Abstract]
Assets			770,721	764,268	698,650
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			(13,005)	22,349	(29,867)
Reportable Segments [Member] | Property and Casualty Insurance [Member]
Managed Care segment [Abstract]
Earned premiums revenue			87,020	91,530	99,705
Operating revenues [Abstract]
Premiums earned, net			87,020	91,530	99,705
Net investment income			8,706	8,600	8,281
Total Reportable Segment			96,339	100,743	108,599
Operating income [Abstract]
Operating Income (Loss)			8,273	10,044	2,216
Depreciation, Depletion and Amortization [Abstract]
Depreciation and amortization expense			673	994	528
Assets [Abstract]
Assets			350,514	362,620	346,212
Significant noncash items [Abstract]
Consolidated net change in unrealized gain (loss) on securities available for sale			(10,482)	7,789	(3,765)
Intersegment Eliminations [Member]
Operating revenues [Abstract]
Elimination of intersegment premiums			(6,724)	(6,534)	(6,633)
Elimination of intersegment service revenue			(10,863)	(9,100)	(8,847)
Other intersegment eliminations			23	116	99
Operating income [Abstract]
Elimination of TSM charges			9,623	9,717	9,258
Unallocated amounts related to TSM [Abstract]
Elimination entries intersegment receivables and others			(42,699)	(82,256)	(36,112)
Intersegment Eliminations [Member] | Managed Care [Member]
Operating revenues [Abstract]
Intersegment premiums/fee revenue			5,860	5,681	5,629
Intersegment Eliminations [Member] | Life [Member]
Operating revenues [Abstract]
Intersegment premiums/fee revenue			251	240	391
Intersegment Eliminations [Member] | Property and Casualty Insurance [Member]
Operating revenues [Abstract]
Intersegment premiums/fee revenue			613	613	613
Intersegment Eliminations [Member] | Other Segments [Member]
Operating revenues [Abstract]
Intersegment premiums/fee revenue	[1]		$ 10,863	$ 9,100	$ 8,847
[1]	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Schedule II - Condensed Finan95

Schedule II - Condensed Financial Information of Triple-S Management Corporation (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Assets [Abstract]
Cash and cash equivalents	$ 110,037	$ 110,037	$ 89,564	$ 197,818	$ 110,037	$ 74,356
Securities available for sale, at fair value [Abstract]
Fixed maturities (amortized cost of $27,542 in 2014)				1,133,645	1,115,899
Deferred tax assets				52,361	68,695
Other assets				41,776	39,683
Total assets				2,206,145	2,145,736	2,047,624
Liabilities [Abstract]
Long-term borrowings				36,827	74,467
Liability for pension benefits				62,945	86,716
Total liabilities				1,359,289	1,287,710
Stockholders' equity [Abstract]
Additional paid-in-capital				83,438	121,405
Retained earnings				713,466	661,345
Accumulated other comprehensive income, net				25,623	48,776
Total Triple-S Management Corporation stockholders' equity				847,526	858,558
Total liabilities and stockholders' equity				2,206,145	2,145,736
Securities available for sale, fixed maturities, amortized cost				1,088,258	1,045,285
Statements of Earnings [Abstract]
Investment income	45,174	47,540	47,288
Other revenues	3,719	4,232	4,778
Total revenues	2,902,736	2,320,114	2,381,631
Operating expenses [Abstract]
Interest expense	8,169	9,274	9,474
Total operating expenses	518,721	497,194	478,169
Income before taxes	57,131	66,051	57,787
Income tax benefit	5,099	745	2,281
Net income attributable to Triple-S Management Corporation	52,121	65,660	55,924
Statements of Cash Flows [Abstract]
Net income	52,121	65,660	55,924
Adjustments to reconcile net income to net cash provided by operating activities [Abstract]
Depreciation and amortization	16,379	24,400	25,589
Share-based compensation	8,290	2,371	2,781
Deferred income tax benefit	(5,070)	(21,806)	(9,423)
Changes in assets and liabilities [Abstract]
Other assets	(2,630)	8,630	2,296
Net cash provided by operating activities	229,094	37,991	112,948
Cash flows from investing activities [Abstract]
Net cash (used in) provided by investing activities	(51,376)	29,241	(82,852)
Cash flows from financing activities [Abstract]
Repayments of long-term borrowings	(37,640)	(14,835)	(11,969)
Repurchase of common stock	(48,287)	(11,337)	(18,250)
Net cash used in financing activities	(89,937)	(31,551)	(45,304)
Net increase (decrease) in cash and cash equivalents	87,781	35,681	(15,208)
Beginning of year	110,037	74,356	89,564
End of year	$ 197,818	110,037	74,356
Summary of Long-term Borrowings [Abstract]
Total borrowings				36,827	74,467
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
2,016				1,640
2,017				1,640
2,018				1,640
2,019				1,640
2,020				25,640
Thereafter				4,627
Total borrowings				36,827	74,467
Period of notes prepaid at par, in total or partially	5 years
Class A Common Stock [Member]
Stockholders' equity [Abstract]
Common stock				951	2,378
Class B Common Stock [Member]
Stockholders' equity [Abstract]
Common stock				24,048	24,654
6.60% Senior Unsecured Notes Payable, Due 2020 [Member]
Liabilities [Abstract]
Long-term borrowings				24,000	35,000
Summary of Long-term Borrowings [Abstract]
Total borrowings				24,000	35,000
Face value of notes payable				$ 60,000
Maturity date of notes payable	Dec. 31, 2020
Fixed rate of interest on notes payable				6.60%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				$ 24,000	35,000
Summary of Significant Related Party Transactions [Abstract]
Notes bears interest rate				6.60%
Secured Loan Payable [Member]
Liabilities [Abstract]
Long-term borrowings				$ 12,827	14,467
Summary of Long-term Borrowings [Abstract]
Total borrowings				12,827	14,467
Face value of notes payable				41,000
Maturity date of notes payable	Jul. 1, 2024
Monthly installments of loan payable	$ 137
Basis points	1.00%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				12,827	14,467
Repurchase Agreement [Member]
Liabilities [Abstract]
Long-term borrowings				0	25,000
Summary of Long-term Borrowings [Abstract]
Total borrowings				0	25,000
Face value of notes payable				$ 25,000
Maturity date of notes payable	Nov. 30, 2015
Fixed rate of interest on notes payable				1.96%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				$ 0	25,000
Summary of Significant Related Party Transactions [Abstract]
Notes bears interest rate				1.96%
Parent Company [Member]
Assets [Abstract]
Cash and cash equivalents	$ 12,304	16,631	235	$ 12,304	16,631	$ 235
Securities available for sale, at fair value [Abstract]
Fixed maturities (amortized cost of $27,542 in 2014)				0	27,526
Investment in subsidiaries				866,712	883,445
Notes receivable and accrued interest from subsidiaries				48,858	62,727
Due from subsidiaries				3,730	8,599
Deferred tax assets				26,767	34,830
Other assets				28,138	23,384
Total assets				986,509	1,057,142
Liabilities [Abstract]
Notes payable and accrued interest to subsidiary				15,720	15,000
Due to subsidiary				11,860	13,191
Long-term borrowings				36,827	74,467
Liability for pension benefits				62,945	86,716
Other liabilities				11,631	9,210
Total liabilities				138,983	198,584
Stockholders' equity [Abstract]
Additional paid-in-capital				83,438	121,405
Retained earnings				713,466	661,345
Accumulated other comprehensive income, net				25,623	48,776
Total Triple-S Management Corporation stockholders' equity				847,526	858,558
Total liabilities and stockholders' equity				986,509	1,057,142
Statements of Earnings [Abstract]
Investment income	53	95	341
Other revenues	12,015	11,034	12,048
Total revenues	12,068	11,129	12,389
Operating expenses [Abstract]
General and administrative expenses	18,858	14,571	9,913
Interest expense	2,435	2,998	3,460
Total operating expenses	21,293	17,569	13,373
Income before taxes	(9,225)	(6,440)	(984)
Income tax benefit	(1,071)	(162)	(8,381)
Income (loss) of parent company	(8,154)	(6,278)	7,397
Equity in net income of subsidiaries	60,275	71,938	48,527
Net income attributable to Triple-S Management Corporation	52,121	65,660	55,924
Statements of Cash Flows [Abstract]
Net income	52,121	65,660	55,924
Adjustments to reconcile net income to net cash provided by operating activities [Abstract]
Equity in net income of subsidiaries	(60,275)	(71,938)	(48,527)
Depreciation and amortization	872	863	863
Share-based compensation	8,290	2,371	2,781
Deferred income tax benefit	(1,227)	(137)	(8,443)
Dividends received from subsidiaries	47,000	36,600	18,000
Other	42	34	(937)
Changes in assets and liabilities [Abstract]
Accrued interest from subsidiaries, net	(1,046)	(1,614)	(353)
Due from subsidiaries	4,869	(2,831)	(5,405)
Other assets	(1,953)	1,004	(618)
Due to subsidiaries	(2,162)	5,654	1,672
Other liabilities	4,614	(1,948)	9,836
Net cash provided by operating activities	51,145	33,718	24,793
Cash flows from investing activities [Abstract]
Acquisition of investment in securities classified as available for sale	0	(27,572)	0
Proceeds from sale and maturities of investment in securities classified as available for sale	27,500	28,016	11,443
Collection of note receivable from subsidiary	9,000	9,250	3,500
Issuance of note receivable to subsidiary	(2,369)	(13,131)	0
Capital contribution to subsidiary	0	(908)	0
Net acquisition of property and equipment	(3,676)	0	(711)
Net cash (used in) provided by investing activities	30,455	(4,345)	14,232
Cash flows from financing activities [Abstract]
Repayments of short-term borrowings	0	0	(10,000)
Repayments of long-term borrowings	(37,640)	(1,640)	(11,640)
Repurchase of common stock	(48,287)	(11,337)	(18,250)
Net cash used in financing activities	(85,927)	(12,977)	(39,890)
Net increase (decrease) in cash and cash equivalents	(4,327)	16,396	(865)
Beginning of year	16,631	235	1,100
End of year	12,304	16,631	235
Summary of Long-term Borrowings [Abstract]
Total borrowings				36,827	74,467
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
2,016				1,640
2,017				1,640
2,018				1,640
2,019				1,640
2,020				25,640
Thereafter				4,627
Total borrowings				36,827	74,467
Summary of Significant Related Party Transactions [Abstract]
Rent charges to subsidiaries	7,801	7,801	7,359
Interest charged to subsidiary on note receivable	2,758	2,527	2,664
Interest charged from subsidiary on note payable	$ 720	$ 755	$ 721
Parent Company [Member] | Class A Common Stock [Member]
Stockholders' equity [Abstract]
Common stock				951	2,378
Parent Company [Member] | Class B Common Stock [Member]
Stockholders' equity [Abstract]
Common stock				24,048	24,654
Parent Company [Member] | 6.60% Senior Unsecured Notes Payable, Due 2020 [Member]
Liabilities [Abstract]
Long-term borrowings				24,000	35,000
Summary of Long-term Borrowings [Abstract]
Total borrowings				24,000	35,000
Face value of notes payable				$ 60,000
Maturity date of notes payable	Dec. 31, 2020
Fixed rate of interest on notes payable				6.60%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				$ 24,000	35,000
Summary of Significant Related Party Transactions [Abstract]
Notes bears interest rate				6.60%
Parent Company [Member] | Secured Loan Payable [Member]
Liabilities [Abstract]
Long-term borrowings				$ 12,827	14,467
Summary of Long-term Borrowings [Abstract]
Total borrowings				12,827	$ 14,467
Face value of notes payable				$ 41,000
Maturity date of notes payable	Jul. 1, 2024
Fixed rate of interest on notes payable				1.23%	1.24%
Monthly installments of loan payable	$ 137
Basis points	1.00%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				$ 12,827	$ 14,467
Summary of Significant Related Party Transactions [Abstract]
Notes bears interest rate				1.23%	1.24%
Parent Company [Member] | Repurchase Agreement [Member]
Liabilities [Abstract]
Long-term borrowings				$ 0	$ 25,000
Summary of Long-term Borrowings [Abstract]
Total borrowings				0	25,000
Face value of notes payable				$ 25,000
Maturity date of notes payable	Nov. 30, 2015
Fixed rate of interest on notes payable				1.96%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Total borrowings				$ 0	25,000
Summary of Significant Related Party Transactions [Abstract]
Notes bears interest rate				1.96%
Parent Company [Member] | Notes Payable [Member]
Summary of Long-term Borrowings [Abstract]
Fixed rate of interest on notes payable				4.70%
Summary of Significant Related Party Transactions [Abstract]
Note receivable from subsidiary				$ 15,000	15,000
Notes bears interest rate				4.70%
Accrued interest				$ 720	0
Parent Company [Member] | Three Notes Receivable [Member]
Stockholders' equity [Abstract]
Securities available for sale, fixed maturities, amortized cost					27,542
Summary of Long-term Borrowings [Abstract]
Fixed rate of interest on notes payable				4.70%
Aggregate Maturities of Company's Long Term Borrowings [Abstract]
Period of notes prepaid at par, in total or partially	5 years
Summary of Significant Related Party Transactions [Abstract]
Note receivable from subsidiary				$ 35,250	44,250
Period for obtaining written authorization from the commissioner of insurance prior to proposed payment date	60 days
Notes bears interest rate				4.70%
Accrued interest				$ 4,100	2,961
Parent Company [Member] | Various Notes Receivable [Member]
Summary of Long-term Borrowings [Abstract]
Fixed rate of interest on notes payable				4.70%
Summary of Significant Related Party Transactions [Abstract]
Note receivable from subsidiary				$ 9,460	15,328
Notes bears interest rate				4.70%
Accrued interest				$ 48	$ 188

Schedule III - Supplementary 96

Schedule III - Supplementary Insurance Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Supplementary Insurance Information, by Segment [Line Items]
Deferred policy acquisition costs and value of business acquired	$ 190,648	$ 184,100	$ 177,289
Claim liabilities	491,765	390,086	420,421
Liability for future policy benefits	352,370	328,293	304,363
Unearned premiums	80,260	82,656	87,362
Other policy claims and benefits payable	0	0	0
Premium revenue	2,783,154	2,128,566	2,203,035
Net investment income	45,174	47,540	47,288
Claims incurred	2,318,715	1,747,595	1,836,201
Amortization of deferred policy acquisition costs and value of business acquired	43,594	43,638	45,955
Other operating expenses	475,127	453,556	432,214
Net premiums written	2,777,053	2,127,719	2,199,871
Managed Care [Member]
Supplementary Insurance Information, by Segment [Line Items]
Deferred policy acquisition costs and value of business acquired	0	0	0
Claim liabilities	348,297	249,330	283,615
Liability for future policy benefits	0	0	0
Unearned premiums	3,489	4,340	3,729
Other policy claims and benefits payable	0	0	0
Premium revenue	2,549,522	1,896,142	1,974,668
Net investment income	11,779	15,010	16,353
Claims incurred	2,196,693	1,629,095	1,712,882
Amortization of deferred policy acquisition costs and value of business acquired	0	0	0
Other operating expenses	393,407	374,244	354,810
Net premiums written	2,549,173	1,896,142	1,974,668
Life Insurance [Member]
Supplementary Insurance Information, by Segment [Line Items]
Deferred policy acquisition costs and value of business acquired	172,284	164,367	158,835
Claim liabilities	44,601	43,670	43,705
Liability for future policy benefits	352,370	328,293	304,363
Unearned premiums	6,596	5,158	4,790
Other policy claims and benefits payable	0	0	0
Premium revenue	148,115	142,485	130,561
Net investment income	24,457	23,717	22,212
Claims incurred	82,561	74,850	70,798
Amortization of deferred policy acquisition costs and value of business acquired	17,661	18,260	17,867
Other operating expenses	52,338	50,531	47,952
Net premiums written	144,262	142,485	130,561
Property and Casualty Insurance [Member]
Supplementary Insurance Information, by Segment [Line Items]
Deferred policy acquisition costs and value of business acquired	18,364	19,733	18,454
Claim liabilities	99,796	97,451	93,590
Liability for future policy benefits	0	0	0
Unearned premiums	70,175	73,158	78,843
Other policy claims and benefits payable	0	0	0
Premium revenue	87,633	92,143	100,318
Net investment income	8,706	8,600	8,281
Claims incurred	42,600	46,330	55,091
Amortization of deferred policy acquisition costs and value of business acquired	25,933	25,378	28,088
Other operating expenses	19,533	18,991	23,204
Net premiums written	85,734	89,092	94,642
Other Non-reportable Segments, Parent Company Operations and Net Consolidating Entries [Member]
Supplementary Insurance Information, by Segment [Line Items]
Deferred policy acquisition costs and value of business acquired	0	0	0
Claim liabilities	(929)	(365)	(489)
Liability for future policy benefits	0	0	0
Unearned premiums	0	0	0
Other policy claims and benefits payable	0	0	0
Premium revenue	(2,116)	(2,204)	(2,512)
Net investment income	232	213	442
Claims incurred	(3,139)	(2,680)	(2,570)
Amortization of deferred policy acquisition costs and value of business acquired	0	0	0
Other operating expenses	9,849	9,790	6,248
Net premiums written	$ (2,116)	$ 0	$ 0

Schedule IV - Reinsurance (Deta

Schedule IV - Reinsurance (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Reinsurance [Abstract]
Life insurance in force, gross amount	[1]	$ 10,129,123	$ 9,739,048	$ 9,675,126
Life insurance in force, ceded to other companies				3,118,181
Life insurance in force, assumed from other companies				0
Life insurance in force, net amount		$ 10,129,123	$ 9,739,048	$ 6,556,945
Life insurance in force, percentage of amount assumed to net		0.00%	0.00%	0.00%
Premiums, gross amount	[1]	$ 2,843,086	$ 2,199,351	$ 2,283,205
Premiums, ceded to other companies		64,134	70,785	78,662
Premiums, assumed from other companies		4,202	0	0
Premiums, net amount		$ 2,783,154	$ 2,128,566	$ 2,204,543
Premiums, percentage of amount assumed to net		0.20%	0.00%	0.00%
Reinsurance premiums for insurance companies intercompany elimination gross amount		$ 4,402	$ 4,354	$ 3,014
Life Insurance [Member]
Reinsurance [Abstract]
Premiums, gross amount	[1]	153,607	152,573	139,044
Premiums, ceded to other companies		9,596	10,328	8,874
Premiums, assumed from other companies		3,853	0	0
Premiums, net amount		$ 147,864	$ 142,245	$ 130,170
Premiums, percentage of amount assumed to net		2.60%	0.00%	0.00%
Accident and Health Insurance [Member]
Reinsurance [Abstract]
Premiums, gross amount	[1]	$ 2,552,699	$ 1,900,556	$ 1,985,598
Premiums, ceded to other companies		4,778	5,765	10,930
Premiums, assumed from other companies		349	0	0
Premiums, net amount		$ 2,548,270	$ 1,894,791	$ 1,974,668
Premiums, percentage of amount assumed to net		0.00%	0.00%	0.00%
Property and Casualty Insurance [Member]
Reinsurance [Abstract]
Premiums, gross amount	[1]	$ 136,780	$ 146,222	$ 158,563
Premiums, ceded to other companies		49,760	54,692	58,858
Premiums, assumed from other companies		0	0	0
Premiums, net amount		$ 87,020	$ 91,530	$ 99,705
Premiums, percentage of amount assumed to net		0.00%	0.00%	0.00%
[1]	Gross premiums amount is presented net of intercompany eliminations of $4,402, $4,354 and $3,014 for the years ended December 31, 2015, 2014, and 2013, respectively.

Schedule V - Valuation and Qu98

Schedule V - Valuation and Qualifying Accounts (Details) - Allowance for Doubtful Receivables [Member] - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at beginning of period		$ 36,368	$ 21,549	$ 24,429
Additions, charged to costs and expenses		15,781	12,847	5,644
Additions, charged (reversal) to other accounts	[1]	340	4,227	1,787
Deductions	[2]	(15,245)	(2,255)	(10,311)
Balance at end of period		$ 37,244	$ 36,368	$ 21,549
[1]	Represents premiums adjustment to provide for unresolved reconciliation items with the Government of Puerto Rico and other entities.
[2]	Deductions represent the write-off of accounts deemed uncollectible.