Triple-s Management (GTS) 10-Q 6 May 16 2016 Q1 Quarterly report Financial data

Document and Entity Information

Document and Entity Information	3 Months Ended
	Mar. 31, 2016shares
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	2,016
Document Fiscal Period Focus	Q1
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2016
Common Class A [Member]
Entity Information [Line Items]
Entity Common Stock, Shares Outstanding	950,968
Common Class B [Member]
Entity Information [Line Items]
Entity Common Stock, Shares Outstanding	23,798,815

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Mar. 31, 2016	Dec. 31, 2015
Securities available for sale, at fair value:
Fixed maturities	$ 1,180,889	$ 1,133,645
Equity securities	293,985	197,071
Securities held to maturity, at amortized cost:
Fixed maturities	2,929	2,929
Policy loans	8,132	7,901
Cash and cash equivalents	112,466	197,818
Total investments and cash	1,598,401	1,539,364
Premiums and other receivables, net	316,802	282,646
Deferred policy acquisition costs and value of business acquired	187,560	190,648
Property and equipment, net	72,221	73,953
Deferred tax asset	51,496	52,361
Goodwill	25,397	25,397
Other assets	67,981	41,776
Total assets	2,319,858	2,206,145
Liabilities and Equity
Claim liabilities	525,066	491,765
Liability for future policy benefits	306,925	289,530
Unearned premiums	75,873	80,260
Policyholder deposits	180,980	179,287
Liability to Federal Employees' Health Benefits Program (FEHBP)	28,358	26,695
Accounts payable and accrued liabilities	219,941	176,910
Deferred tax liability	17,976	15,070
Long-term borrowings	36,417	36,827
Liability for pension benefits	64,406	62,945
Total liabilities	1,455,942	1,359,289
Triple-S Management Corporation stockholders' equity
Additional paid-in capital	77,081	83,438
Retained earnings	716,922	713,466
Accumulated other comprehensive income	45,834	25,623
Total Triple-S Management Corporation stockholders' equity	864,587	847,526
Non-controlling interest in consolidated subsidiary	(671)	(670)
Total stockholders' equity	863,916	846,856
Total liabilities and equity	2,319,858	2,206,145
Class A Common Stock [Member]
Triple-S Management Corporation stockholders' equity
Common stock	951	951
Class B Common Stock [Member]
Triple-S Management Corporation stockholders' equity
Common stock	$ 23,799	$ 24,048

Condensed Consolidated Balance3

Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) - $ / shares	Mar. 31, 2016	Dec. 31, 2015
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	950,968
Common stock, outstanding (in shares)	950,968	950,968
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)	23,798,815	24,047,755
Common stock, outstanding (in shares)	23,798,815	24,047,755

Condensed Consolidated Statemen

Condensed Consolidated Statements of Earnings (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Revenues:
Premiums earned, net	$ 738,534	$ 532,558
Administrative service fees	5,083	29,123
Net investment income	11,358	10,918
Other operating revenues	812	1,153
Total operating revenues	755,787	573,752
Net realized investment gains (losses):
Total other-than-temporary impairment losses on securities	0	(1,202)
Net realized gains, excluding other-than-temporary impairment losses on securities	58	7,415
Total net investment gains on the sale of securities	58	6,213
Other income, net	875	1,759
Total revenues	756,720	581,724
Benefits and expenses:
Claims incurred	626,694	432,430
Operating expenses	122,980	127,375
Total operating costs	749,674	559,805
Interest expense	1,882	2,182
Total benefits and expenses	751,556	561,987
Income before taxes	5,164	19,737
Income taxes	1,709	4,931
Net income	3,455	14,806
Less: Net loss attributable to non-controlling interest	1	30
Net income attributable to Triple-S Management Corporation	$ 3,456	$ 14,836
Earnings per share attributable to Triple-S Management Corporation
Basic net income per share (in dollars per share)	$ 0.14	$ 0.56
Diluted net income per share (in dollars per share)	$ 0.14	$ 0.56

Condensed Consolidated Stateme5

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Condensed Consolidated Statements of Comprehensive Income (Unaudited) [Abstract]
Net income	$ 3,455	$ 14,806
Other comprehensive income (loss), net of tax:
Net unrealized change in fair value of available for sale securities, net of taxes	19,577	1,794
Defined benefit pension plan:
Actuarial loss, net	722	887
Prior service credit, net	(88)	(61)
Total other comprehensive income, net of tax	20,211	2,620
Comprehensive income	23,666	17,426
Comprehensive income attributable to non-controlling interest	1	30
Comprehensive income attributable to Triple-S Management Corporation	$ 23,667	$ 17,456

Condensed Consolidated Stateme6

Condensed Consolidated Statements of Stockholders' Equity (Unaudited) $ in Thousands	USD ($)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total Triple-S Management Corporation stockholders' equity	$ 858,558
Balance at Dec. 31, 2014	858,558
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation	1,883
Repurchase and retirement of common stock	(14,997)
Comprehensive income	17,456
Total Triple-S Management Corporation stockholders' equity	858,558
Balance at Mar. 31, 2015	862,338
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total Triple-S Management Corporation stockholders' equity	862,900
Non-controlling interest in consolidated subsidiary	(562)
Total Triple-S Management Corporation stockholders' equity	847,526
Non-controlling interest in consolidated subsidiary	(670)
Balance at Dec. 31, 2015	847,526
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation	1,421
Repurchase and retirement of common stock	(8,027)
Comprehensive income	23,667
Total Triple-S Management Corporation stockholders' equity	847,526
Balance at Mar. 31, 2016	863,916
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total Triple-S Management Corporation stockholders' equity	864,587
Non-controlling interest in consolidated subsidiary	$ (671)

Condensed Consolidated Stateme7

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Cash flows from operating activities:
Net income	$ 3,455	$ 14,806
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	3,700	4,174
Net amortization of investments	1,936	1,533
Additions to the allowance for doubtful receivables	1,531	5,554
Deferred tax benefit	(2,435)	(379)
Net realized investment gains on sale of securities	(58)	(6,213)
Interest credited to policyholder deposits	1,195	899
Share-based compensation	1,085	1,883
(Increase) decrease in assets:
Premium and other receivables, net	(35,687)	(11,567)
Deferred policy acquisition costs and value of business acquired	(685)	541
Deferred taxes	162	(1,282)
Other assets	(26,485)	(25,267)
Increase (decrease) in liabilities:
Claim liabilities	33,301	11,556
Liability for future policy benefits	17,395	6,323
Unearned premiums	(4,387)	(7,473)
Liability to FEHBP	1,663	1,114
Accounts payable and accrued liabilities	35,574	42,574
Net cash provided by operating activities	31,260	38,776
Securities available for sale:
Fixed maturities sold	90,328	139,115
Fixed maturities matured/called	699	30,320
Equity securities sold	11,257	28,566
Securities available for sale:
Fixed maturities	(118,039)	(126,895)
Equity securities	(92,956)	(11,973)
Increase in other investments	(182)	(1,549)
Net disbursements for policy loans	(231)	(137)
Net capital expenditures	(1,465)	(1,463)
Net cash (used in) provided by investing activities	(110,589)	55,984
Cash flows from financing activities:
Change in outstanding checks in excess of bank balances	1,916	(2,428)
Repayments of long-term borrowings	(410)	(410)
Repurchase and retirement of common stock	(8,027)	(14,997)
Proceeds from policyholder deposits	3,403	3,047
Surrenders of policyholder deposits	(2,905)	(3,687)
Net cash used in financing activities	(6,023)	(18,475)
Net (decrease) increase in cash and cash equivalents	(85,352)	76,285
Cash and cash equivalents:
Beginning of period	197,818	110,037
End of period	$ 112,466	$ 186,322

Basis of Presentation

Basis of Presentation	3 Months Ended
	Mar. 31, 2016
Basis of Presentation [Abstract]
Basis of Presentation	(1) Basis of Presentation The accompanying condensed consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited. In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries. The condensed consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the U.S. (GAAP) for complete financial statements. These condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2015. In the opinion of management, all adjustments, consisting of a normal recurring nature necessary for a fair presentation of such condensed consolidated interim financial statements, have been included. The results of operations for the three months ended March 31, 2016 are not necessarily indicative of the results for the full year ending December 31, 2016.

Recent Accounting Standards

Recent Accounting Standards	3 Months Ended
	Mar. 31, 2016
Recent Accounting Standards [Abstract]
Recent Accounting Standards	(2) Recent Accounting Standards 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 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 the adoption of this guidance may have on the Company's consolidated financial statements. On March 30, 2016, the FASB issued guidance to For public companies, these amendments are effective for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. We are currently evaluating the impact the adoption of this guidance may have on the Company's consolidated financial statements. Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended March 31, 2016 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Investment in Securities

Investment in Securities	3 Months Ended
	Mar. 31, 2016
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 March 31, 2016 and December 31, 2015, were as follows: March 31, 2016 Amortized cost Gross unrealized gains Gross unrealized losses Estimated fair value Securities available for sale: Fixed maturities: Obligations of government- sponsored enterprises $ 103,472 $ 881 $ - $ 104,353 U.S. Treasury securities and obligations of U.S.government instrumentalities 116,643 1,354 - 117,997 Obligations of the Commonwealth of Puerto Rico and its instrumentalities 25,636 782 - 26,418 Municipal securities 642,621 48,559 - 691,180 Corporate bonds 202,032 16,121 (13 ) 218,140 Residential mortgage-backed securities 826 51 - 877 Collateralized mortgage obligations 21,683 242 (1 ) 21,924 Total fixed maturities 1,112,913 67,990 (14 ) 1,180,889 Equity securities - Mutual funds 259,738 35,134 (887 ) 293,985 Total $ 1,372,651 $ 103,124 $ (901 ) $ 1,474,874 December 31, 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 March 31, 2016 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 instrumentalities $ 620 $ 214 $ - $ 834 Residential mortgage-backed securities 191 17 - 208 Certificates of deposit 2,118 - - 2,118 Total $ 2,929 $ 231 $ - $ 3,160 December 31, 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 instrumentalities $ 620 $ 178 $ - $ 798 Residential mortgage-backed securities 191 17 - 208 Certificates of deposit 2,118 - - 2,118 Total $ 2,929 $ 195 $ - $ 3,124 Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of March 31, 2016 and December 31, 2015 were as follows: March 31, 2016 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 Corporate bonds $ 5,284 $ (13 ) 1 $ - $ - - $ 5,284 $ (13 ) 1 Collateralized mortgage obligations 1,292 (1 ) 1 - - - 1,292 (1 ) 1 Total fixed maturities 6,576 (14 ) 2 - - - 6,576 (14 ) 2 Equity securities-Mutual funds 30,491 (887 ) 6 - - - 30,491 (887 ) 6 Total for securities available for sale $ 37,067 $ (901 ) 8 $ - $ - - $ 37,067 $ (901 ) 8 December 31, 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 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. Corporate Bonds : The unrealized losses of these bonds were principally caused by fluctuations in interest rates and general market conditions. All corporate bonds with an unrealized loss have investment grade ratings. Because the decline in estimated fair value is principally attributable to changes in interest rates; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired. 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. There was no impairment on Cofina during the three months ended March 31, 2016. During the three months ended March 31, 2015, we recorded an other-than-temporary impairment related to these positions amounting to $1,202. Maturities of investment securities classified as available for sale and held to maturity were as follows: March 31, 2016 Amortized cost Estimated fair value Securities available for sale: Due in one year or less $ 54,942 $ 55,431 Due after one year through five years 375,679 384,401 Due after five years through ten years 112,592 121,883 Due after ten years 547,191 596,373 Residential mortgage-backed securities 826 877 Collateralized mortgage obligations 21,683 21,924 $ 1,112,913 $ 1,180,889 Securities held to maturity: Due in one year or less $ 2,118 $ 2,118 Due after ten years 620 834 Residential mortgage-backed securities 191 208 $ 2,929 $ 3,160 Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties. Information regarding realized and unrealized gains and losses from investments is as follows: Three months ended March 31, 2016 2015 Realized gains (losses): Fixed maturity securities: Securities available for sale: Gross gains from sales $ 961 $ 4,009 Gross losses from sales (1,359 ) (275 ) Gross losses from other-than-temporary impairments - (1,202 ) Total fixed maturity securities (398 ) 2,532 Securities available for sale: Gross gains from sales 587 3,736 Gross losses from sales (131 ) (55 ) 456 3,681 Total equity securities 456 3,681 Net realized gains on securities available for sale $ 58 $ 6,213 The other-than-temporary impairments on fixed maturity securities are attributable to credit losses. Three months ended March 31, 2016 2015 Changes in net unrealized gains (losses): Recognized in accumulated other comprehensive income: Fixed maturities – available for sale $ 22,589 $ 4,091 Equity securities – available for sale 6,769 (1,278 ) $ 29,358 $ 2,813 Not recognized in the consolidated financial statements: Fixed maturities – held to maturity $ 36 $ 17 The deferred tax liability on unrealized gains change recognized in accumulated other comprehensive income during the three months ended March 31, 2016 and 2015 $ , respectively. As of March 31, 2016 and December 31, 2015, no individual investment in securities exceeded 10% of stockholders’ equity.

Premiums and Other Receivables,

Premiums and Other Receivables, Net	3 Months Ended
	Mar. 31, 2016
Premiums and Other Receivables, Net [Abstract]
Premiums and Other Receivables, Net	(4) Premiums and Other Receivables, Net Premiums and other receivables, net as of March 31, 2016, and December 31, 2015 were as follows: March 31, 2016 December 31, 2015 Premium $ 118,298 $ 92,600 Self-funded group receivables 69,761 73,552 FEHBP 13,105 13,859 Agent balances 22,207 25,424 Accrued interest 11,435 12,624 Reinsurance recoverable 59,160 48,506 Other 61,527 53,325 355,493 319,890 Less allowance for doubtful receivables: Premium 30,270 28,944 Other 8,421 8,300 38,691 37,244 Total premium and other receivables, net $ 316,802 $ 282,646 As of March 31, 2016 and December 31, 2015, the Company had premiums and other receivables of $90,046 and $78,230, respectively, from the Government of Puerto Rico, including its agencies, municipalities and public corporations. The

Fair Value Measurements

Fair Value Measurements	3 Months Ended
	Mar. 31, 2016
Fair Value Measurements [Abstract]
Fair Value Measurements	(5) Fair Value Measurements Assets recorded at fair value in the condensed consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure their fair value. Level inputs, as defined by current accounting guidance for fair value measurements and disclosures, are as follows: Level Input: Input Definition: Level 1 Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date. Level 2 Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date. Level 3 Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date. The Corporation uses observable inputs when available. Fair value is based upon quoted market prices when available. The Corporation limits valuation adjustments to those deemed necessary to ensure that the security’s fair value adequately represents the price that would be received or paid in the marketplace. Valuation adjustments may include consideration of counterparty credit quality and liquidity as well as other criteria. The estimated fair value amounts are subjective in nature and may involve uncertainties and matters of significant judgment for certain financial instruments. Changes in the underlying assumptions used in estimating fair value could affect the results. The fair value measurement levels are not indicative of risk of investment. The fair value of investment securities is estimated based on quoted market prices for those or similar investments. Additional information pertinent to the estimated fair value of investment in securities is included in note 3. The following tables summarize fair value measurements by level at March 31, 2016 and December 31, 2015 for assets measured at fair value on a recurring basis: March 31, 2016 Level 1 Level 2 Level 3 Total Securities available for sale: Fixed maturity securities Obligations of government-sponsored enterprises $ - $ 104,353 $ - $ 104,353 U.S. Treasury securities and obligations of U.S government instrumentalities 117,997 - - 117,997 Obligations of the Commonwealth of Puerto Rico and its instrumentalities - 26,418 - 26,418 Municipal securities - 691,180 - 691,180 Corporate bonds - 218,140 - 218,140 Residential agency mortgage-backed securities - 877 - 877 Collateralized mortgage obligations - 21,924 - 21,924 Total fixed maturities 117,997 1,062,892 - 1,180,889 Equity securities - Mutual funds 236,032 50,956 6,997 293,985 Total $ 354,029 $ 1,113,848 $ 6,997 $ 1,474,874 December 31, 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 Collateralized 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 Total $ 330,352 $ 992,406 $ 7,958 $ 1,330,716 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 in and/or out of Level 3 and between Levels 1 and 2 during the three months ended March 31, 2016 and 2015. A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months ended March 31 is as follows: Fair Value Measurements Using Significant Unobservable Inputs (Level 3) 2016 2015 Beginning balance $ 7,958 $ 13,349 Realized gains 151 1,412 Unrealized in other accumulated comprehensive income (649 ) (2,602 ) Purchases 8 79 Capital distributions (471 ) (2,047 ) Ending balance $ 6,997 $ 10,191 In addition to the preceding disclosures on assets recorded at fair value in the condensed 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 condensed 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 condensed 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 senior unsecured notes payable was determined using broker quotations. A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our consolidated balance sheets at March 31, 2016 and December 31, 2015 are as follows: March 31, 2016 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 8,132 $ - $ 8,132 $ - $ 8,132 Liabilities: Policyholder deposits $ 180,980 $ - $ 180,980 $ - $ 180,980 Long-term borrowings: Loans payable to bank - variable 12,417 - 12,417 - 12,417 6.6% senior unsecured notes payable 24,000 - 19,800 - 19,800 Total long-term borrowings 36,417 - 32,217 - 32,217 Total liabilities $ 217,397 $ - $ 213,197 $ - $ 213,197 December 31, 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

Claim Liabilities

Claim Liabilities	3 Months Ended
	Mar. 31, 2016
Claim Liabilities [Abstract]
Claim Liabilities	(6) Claim Liabilities The activity in claim liabilities is as follows: Three months ended March 31, 2016 2015 Claim liabilities at beginning of period $ 491,765 $ 390,086 Reinsurance recoverable on claim liabilities (40,714 ) (40,635 ) Net claim liabilities at beginning of period 451,051 349,451 Incurred claims and loss-adjustment expenses: Current period insured events 633,681 447,162 Prior period insured events (13,749 ) (21,609 ) Total 619,932 425,553 Payments of losses and loss-adjustment expenses: Current period insured events 370,135 244,728 Prior period insured events 215,653 168,592 Total 585,788 413,320 Net claim liabilities at end of period 485,195 361,684 Reinsurance recoverable on claim liabilities 39,871 39,958 Claim liabilities at end of period $ 525,066 $ 401,642 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 the three months ended March 31, 2016 and 2015 are due primarily to better than expected utilization trends. Reinsurance recoverable on unpaid claims is reported as premium and other receivables, net in the accompanying consolidated financial statements. The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $6,762 and $6,877 during the three months ended March 31, 2016 and 2015, respectively.

Long-Term Borrowings

Long-Term Borrowings	3 Months Ended
	Mar. 31, 2016
Long-Term Borrowings [Abstract]
Long-Term Borrowings	(7) Long-Term Borrowings On March 11, 2016, Triple-S Salud, Inc. (TSS) entered into a $30,000 revolving loan agreement with a commercial bank in Puerto Rico. This unused line of credit has an interest rate of LIBOR plus 220 basis points, matures on March 11, 2017, and contains certain financial and non-financial covenants that are customary for this type of facility.

Pension Plan

Pension Plan	3 Months Ended
	Mar. 31, 2016
Pension Plan [Abstract]
Pension Plan	(8) Pension Plan The components of net periodic benefit cost for the three months ended March 31 were as follows: Three months ended 2016 2015 Components of net periodic benefit cost: Service cost $ 1,250 $ 897 Interest cost 2,762 1,900 Expected return on assets (2,926 ) (1,864 ) Amortization of prior service benefit (144 ) (100 ) Amortization of actuarial loss 1,183 1,454 Net periodic benefit cost $ 2,125 $ 2,287 Employer Contributions:

Stock Repurchase Program

Stock Repurchase Program	3 Months Ended
	Mar. 31, 2016
Stock Repurchase Program [Abstract]
Stock Repurchase Programs	(9) Stock Repurchase Program The Company repurchases shares through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended, under repurchase programs authorized by the Board of Directors. In November 2015 the Company’s Board of Directors authorized a $25,000 repurchase program of its Class B common stock. During the three months ended March 31, 2016, the Company repurchased and retired under this program 367,101 shares at an average per share price of $21.99, for an aggregate cost of $8,027.

Comprehensive Income

Comprehensive Income	3 Months Ended
	Mar. 31, 2016
Comprehensive Income [Abstract]
Comprehensive Income	(10) Comprehensive Income The accumulated balances for each classification of other comprehensive income, net of tax, are as follows: March 31, 2016 Net unrealized gain on securities Liability for pension benefits Accumulated other comprehensive income Balance at January 1, 2016 $ 62,478 $ (36,855 ) $ 25,623 Other comprehensive income before reclassifications 19,623 - 19,623 Amounts reclassified from accumulated other comprehensive income (46 ) 634 588 Net current period change 19,577 634 20,211 Balance at March 31, 2016 $ 82,055 $ (36,221 ) $ 45,834 March 31, 2015 Net unrealized gain on securities Liability for pension benefits Accumulated other comprehensive income Balance at January 1, 2015 $ 101,467 $ (52,691 ) $ 48,776 Other comprehensive income before reclassifications 832 - 832 Amounts reclassified from accumulated other comprehensive income 962 826 1,788 Net current period change 1,794 826 2,620 Balance at March 31, 2015 $ 103,261 $ (51,865 ) $ 51,396

Share-Based Compensation

Share-Based Compensation	3 Months Ended
	Mar. 31, 2016
Share-Based Compensation [Abstract]
Share-Based Compensation	(11) Share-Based Compensation Share-based compensation expense recorded during the three months ended March 31, 2016 and 2015 was $1,085 and $1,883, respectively. There were no stock option exercises during the three months ended March 31, 2016 and 2015.

Net Income Available to Stockho

Net Income Available to Stockholders and Net Income per Share	3 Months Ended
	Mar. 31, 2016
Net Income Available to Stockholders and Net Income per Share [Abstract]
Net Income Available to Stockholders and Net Income per Share	(12) Net Income Available to Stockholders and Net Income per Share The following table sets forth the computation of basic and diluted earnings per share for the three months ended March 31: Three months ended March 31, 2016 2015 Numerator for earnings per share: Net income attributable to TSM available to stockholders $ 3,456 $ 14,836 Denominator for basic earnings per share: Weighted average of common shares 24,587,681 26,497,642 Effect of dilutive securities 72,353 97,576 Denominator for diluted earnings per share 24,660,034 26,595,218 Basic net income per share attributable to TSM $ 0.14 $ 0.56 Diluted net income per share attributable to TSM $ 0.14 $ 0.56

Contingencies

Contingencies	3 Months Ended
	Mar. 31, 2016
Contingencies [Abstract]
Contingencies	(13) Contingencies The following information supplements and amends, as applicable, the disclosures in Note 24 to the Consolidated Financial Statements of the Company’s 2015 Annual Report on Form 10-K. Our business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla governmental authorities. Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time. The Commissioner of Insurance of Puerto Rico, as well as other Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla government authorities, regularly make inquiries and conduct audits concerning the Company's compliance with such laws and regulations. Penalties associated with violations of these laws and regulations may include significant fines and exclusion from participating in certain publicly funded programs and may require the Company to comply with corrective action plans or changes in our practices. We are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below. Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution. The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any. Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company. Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have rights to acquire shares of the Company on favorable terms pursuant to agreements previously entered by our predecessor managed care subsidiary, Seguros de Servicios de Salud de Puerto Rico, Inc. (SSS), with physicians or dentists who joined our provider network to sell such new provider shares of SSS at a future date (Share Acquisition Agreements) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions. Claims by Heirs of Former Shareholders The Company and TSS are defending 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 judgement. The parties are awaiting further proceedings. In the second case, entitled Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al, the 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 for a Writ of Certiorari with the Puerto Rico Court of Appeals, which was denied on March 8, 2016. On March 23, 2016, the Company filed with the Puerto Rico Court of Appeals a request for reconsideration, which the plaintiff opposed. The parties are awaiting the Court of Appeals’ decision on Motion for Reconsideration. 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, plaintiffs 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 the Company’s 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 for a 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 the Company’s motion to dismiss unopposed. On March 18, 2016, the court dismissed the complaint with prejudice. 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 a Motion to Dismiss on the grounds that the complaint is time-barred. On April, 19, 2016, the Court ordered the Plaintiff to oppose to the Company’s Motion to Dismiss within 30 days. 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. On April 22, 2016, plaintiff and negotiating defendants filed a stipulation of settlement and release which is subject to approval of the court. TSP is evaluating the terms of the proposed settlement and release to determine further actions.

Segment Information

Segment Information	3 Months Ended
	Mar. 31, 2016
Segment Information [Abstract]
Segment Information	(14) Segment Information The operations of the Corporation are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance. The Corporation evaluates performance based primarily on the operating revenues and operating income of each segment. Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments. Operating costs include claims incurred and operating expenses. The Corporation calculates operating income or loss as operating revenues less operating costs. The Managed Care segment participates in the Commonwealth of Puerto Rico Health Insurance Plan (similar to Medicaid) (Medicaid) program to provide health coverage to medically indigent citizens in Puerto Rico, as defined by the laws of the government of Puerto Rico, by administering the provision of the physical health component in designated service regions in Puerto Rico. We served all eight service regions on an administrative service only basis (ASO) until March 31, 2015. Administrative service fees during the three months ended March 31, 2015 amounted to $23,642. Effective April 1, 2015, we started to provide healthcare services to only two regions of the Medicaid program on a risk based model. The following tables summarize the operations by reportable segment for the three months ended March 31, 2016 and 2015: Three months ended March 31, 2016 2015 Operating revenues: Managed Care: Premiums earned, net $ 678,380 $ 472,167 Administrative service fees 5,083 29,123 Intersegment premiums/service fees 1,485 1,193 Net investment income 3,480 2,998 Total managed care 688,428 505,481 Life Insurance: Premiums earned, net 38,966 37,780 Intersegment premiums 137 61 Net investment income 5,914 5,781 Total life insurance 45,017 43,622 Property and Casualty Insurance: Premiums earned, net 21,188 22,611 Intersegment premiums 153 153 Net investment income 1,929 2,090 Total property and casualty insurance 23,270 24,854 Other segments: * Intersegment service revenues 2,545 2,383 Operating revenues from external sources 856 1,183 Total other segments 3,401 3,566 Total business segments 760,116 577,523 TSM operating revenues from external sources 4 14 Elimination of intersegment premiums/service fees (1,775 ) (1,407 ) Elimination of intersegment service revenues (2,545 ) (2,383 ) Other intersegment eliminations (13 ) 5 Consolidated operating revenues $ 755,787 $ 573,752 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic. Three months ended March 31, 2016 2015 Operating income (loss): Managed care $ (641 ) $ 10,972 Life insurance 5,598 4,816 Property and casualty insurance 2,111 1,506 Other segments * (179 ) (163 ) Total business segments 6,889 17,131 TSM operating revenues from external sources 4 14 TSM unallocated operating expenses (3,167 ) (5,603 ) Elimination of TSM intersegment charges 2,387 2,405 Consolidated operating income 6,113 13,947 Consolidated net realized investment gains 58 6,213 Consolidated interest expense (1,882 ) (2,182 ) Consolidated other income, net 875 1,759 Consolidated income before taxes $ 5,164 $ 19,737 Depreciation and amortization expense: Managed care $ 2,934 $ 3,479 Life insurance 255 270 Property and casualty insurance 161 102 Other segments* 153 126 Total business segments 3,503 3,977 TSM depreciation expense 197 197 Consolidated depreciation and amortization expense $ 3,700 $ 4,174 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic. March 31, 2016 December 31, 2015 Assets: Managed care $ 1,120,881 $ 1,034,725 Life insurance 808,929 770,721 Property and casualty insurance 355,090 350,514 Other segments * 25,979 25,629 Total business segments 2,310,879 2,181,589 Unallocated amounts related to TSM: Cash, cash equivalents, and investments 154 12,304 Property and equipment, net 22,996 23,219 Other assets 30,608 31,732 53,758 67,255 Elimination entries-intersegment receivables and others (44,779 ) (42,699 ) Consolidated total assets $ 2,319,858 $ 2,206,145 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Subsequent Events

Subsequent Events	3 Months Ended
	Mar. 31, 2016
Subsequent Events [Abstract]
Subsequent Events	(15) 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 Standards Codification.

Recent Accounting Standards (Po

Recent Accounting Standards (Policies)	3 Months Ended
	Mar. 31, 2016
Recent Accounting Standards [Abstract]
Recent Accounting Standards	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 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 the adoption of this guidance may have on the Company's consolidated financial statements. On March 30, 2016, the FASB issued guidance to For public companies, these amendments are effective for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. We are currently evaluating the impact the adoption of this guidance may have on the Company's consolidated financial statements. Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended March 31, 2016 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

Investment in Securities (Table

Investment in Securities (Tables)	3 Months Ended
	Mar. 31, 2016
Investment in Securities [Abstract]
Amortized cost and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security	The amortized cost for debt securities and cost for equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security at March 31, 2016 and December 31, 2015, were as follows: March 31, 2016 Amortized cost Gross unrealized gains Gross unrealized losses Estimated fair value Securities available for sale: Fixed maturities: Obligations of government- sponsored enterprises $ 103,472 $ 881 $ - $ 104,353 U.S. Treasury securities and obligations of U.S.government instrumentalities 116,643 1,354 - 117,997 Obligations of the Commonwealth of Puerto Rico and its instrumentalities 25,636 782 - 26,418 Municipal securities 642,621 48,559 - 691,180 Corporate bonds 202,032 16,121 (13 ) 218,140 Residential mortgage-backed securities 826 51 - 877 Collateralized mortgage obligations 21,683 242 (1 ) 21,924 Total fixed maturities 1,112,913 67,990 (14 ) 1,180,889 Equity securities - Mutual funds 259,738 35,134 (887 ) 293,985 Total $ 1,372,651 $ 103,124 $ (901 ) $ 1,474,874 December 31, 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 March 31, 2016 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 instrumentalities $ 620 $ 214 $ - $ 834 Residential mortgage-backed securities 191 17 - 208 Certificates of deposit 2,118 - - 2,118 Total $ 2,929 $ 231 $ - $ 3,160 December 31, 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 instrumentalities $ 620 $ 178 $ - $ 798 Residential mortgage-backed securities 191 17 - 208 Certificates of deposit 2,118 - - 2,118 Total $ 2,929 $ 195 $ - $ 3,124
Securities in continuous unrealized loss position	Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of March 31, 2016 and December 31, 2015 were as follows: March 31, 2016 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 Corporate bonds $ 5,284 $ (13 ) 1 $ - $ - - $ 5,284 $ (13 ) 1 Collateralized mortgage obligations 1,292 (1 ) 1 - - - 1,292 (1 ) 1 Total fixed maturities 6,576 (14 ) 2 - - - 6,576 (14 ) 2 Equity securities-Mutual funds 30,491 (887 ) 6 - - - 30,491 (887 ) 6 Total for securities available for sale $ 37,067 $ (901 ) 8 $ - $ - - $ 37,067 $ (901 ) 8 December 31, 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
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 were as follows: March 31, 2016 Amortized cost Estimated fair value Securities available for sale: Due in one year or less $ 54,942 $ 55,431 Due after one year through five years 375,679 384,401 Due after five years through ten years 112,592 121,883 Due after ten years 547,191 596,373 Residential mortgage-backed securities 826 877 Collateralized mortgage obligations 21,683 21,924 $ 1,112,913 $ 1,180,889 Securities held to maturity: Due in one year or less $ 2,118 $ 2,118 Due after ten years 620 834 Residential mortgage-backed securities 191 208 $ 2,929 $ 3,160
Realized gains and losses from investments	Information regarding realized and unrealized gains and losses from investments is as follows: Three months ended March 31, 2016 2015 Realized gains (losses): Fixed maturity securities: Securities available for sale: Gross gains from sales $ 961 $ 4,009 Gross losses from sales (1,359 ) (275 ) Gross losses from other-than-temporary impairments - (1,202 ) Total fixed maturity securities (398 ) 2,532 Securities available for sale: Gross gains from sales 587 3,736 Gross losses from sales (131 ) (55 ) 456 3,681 Total equity securities 456 3,681 Net realized gains on securities available for sale $ 58 $ 6,213
Changes in net unrealized gains (losses)	The other-than-temporary impairments on fixed maturity securities are attributable to credit losses. Three months ended March 31, 2016 2015 Changes in net unrealized gains (losses): Recognized in accumulated other comprehensive income: Fixed maturities – available for sale $ 22,589 $ 4,091 Equity securities – available for sale 6,769 (1,278 ) $ 29,358 $ 2,813 Not recognized in the consolidated financial statements: Fixed maturities – held to maturity $ 36 $ 17

Premiums and Other Receivable25

Premiums and Other Receivables, Net (Tables)	3 Months Ended
	Mar. 31, 2016
Premiums and Other Receivables, Net [Abstract]
Premiums and other receivables, net	Premiums and other receivables, net as of March 31, 2016, and December 31, 2015 were as follows: March 31, 2016 December 31, 2015 Premium $ 118,298 $ 92,600 Self-funded group receivables 69,761 73,552 FEHBP 13,105 13,859 Agent balances 22,207 25,424 Accrued interest 11,435 12,624 Reinsurance recoverable 59,160 48,506 Other 61,527 53,325 355,493 319,890 Less allowance for doubtful receivables: Premium 30,270 28,944 Other 8,421 8,300 38,691 37,244 Total premium and other receivables, net $ 316,802 $ 282,646

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	3 Months Ended
	Mar. 31, 2016
Fair Value Measurements [Abstract]
Fair value measurements by level	The following tables summarize fair value measurements by level at March 31, 2016 and December 31, 2015 for assets measured at fair value on a recurring basis: March 31, 2016 Level 1 Level 2 Level 3 Total Securities available for sale: Fixed maturity securities Obligations of government-sponsored enterprises $ - $ 104,353 $ - $ 104,353 U.S. Treasury securities and obligations of U.S government instrumentalities 117,997 - - 117,997 Obligations of the Commonwealth of Puerto Rico and its instrumentalities - 26,418 - 26,418 Municipal securities - 691,180 - 691,180 Corporate bonds - 218,140 - 218,140 Residential agency mortgage-backed securities - 877 - 877 Collateralized mortgage obligations - 21,924 - 21,924 Total fixed maturities 117,997 1,062,892 - 1,180,889 Equity securities - Mutual funds 236,032 50,956 6,997 293,985 Total $ 354,029 $ 1,113,848 $ 6,997 $ 1,474,874 December 31, 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 Collateralized 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 Total $ 330,352 $ 992,406 $ 7,958 $ 1,330,716
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3)	A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months ended March 31 is as follows: Fair Value Measurements Using Significant Unobservable Inputs (Level 3) 2016 2015 Beginning balance $ 7,958 $ 13,349 Realized gains 151 1,412 Unrealized in other accumulated comprehensive income (649 ) (2,602 ) Purchases 8 79 Capital distributions (471 ) (2,047 ) Ending balance $ 6,997 $ 10,191
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 sheets at March 31, 2016 and December 31, 2015 are as follows: March 31, 2016 Carrying Fair Value Value Level 1 Level 2 Level 3 Total Assets: Policy loans $ 8,132 $ - $ 8,132 $ - $ 8,132 Liabilities: Policyholder deposits $ 180,980 $ - $ 180,980 $ - $ 180,980 Long-term borrowings: Loans payable to bank - variable 12,417 - 12,417 - 12,417 6.6% senior unsecured notes payable 24,000 - 19,800 - 19,800 Total long-term borrowings 36,417 - 32,217 - 32,217 Total liabilities $ 217,397 $ - $ 213,197 $ - $ 213,197 December 31, 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

Claim Liabilities (Tables)

Claim Liabilities (Tables)	3 Months Ended
	Mar. 31, 2016
Claim Liabilities [Abstract]
Activity in total claim liabilities	The activity in claim liabilities is as follows: Three months ended March 31, 2016 2015 Claim liabilities at beginning of period $ 491,765 $ 390,086 Reinsurance recoverable on claim liabilities (40,714 ) (40,635 ) Net claim liabilities at beginning of period 451,051 349,451 Incurred claims and loss-adjustment expenses: Current period insured events 633,681 447,162 Prior period insured events (13,749 ) (21,609 ) Total 619,932 425,553 Payments of losses and loss-adjustment expenses: Current period insured events 370,135 244,728 Prior period insured events 215,653 168,592 Total 585,788 413,320 Net claim liabilities at end of period 485,195 361,684 Reinsurance recoverable on claim liabilities 39,871 39,958 Claim liabilities at end of period $ 525,066 $ 401,642

Pension Plan (Tables)

Pension Plan (Tables)	3 Months Ended
	Mar. 31, 2016
Pension Plan [Abstract]
Schedule of components of net periodic benefit	The components of net periodic benefit cost for the three months ended March 31 were as follows: Three months ended 2016 2015 Components of net periodic benefit cost: Service cost $ 1,250 $ 897 Interest cost 2,762 1,900 Expected return on assets (2,926 ) (1,864 ) Amortization of prior service benefit (144 ) (100 ) Amortization of actuarial loss 1,183 1,454 Net periodic benefit cost $ 2,125 $ 2,287

Comprehensive Income (Tables)

Comprehensive Income (Tables)	3 Months Ended
	Mar. 31, 2016
Comprehensive Income [Abstract]
Accumulated balances of other comprehensive income, net of tax	The accumulated balances for each classification of other comprehensive income, net of tax, are as follows: March 31, 2016 Net unrealized gain on securities Liability for pension benefits Accumulated other comprehensive income Balance at January 1, 2016 $ 62,478 $ (36,855 ) $ 25,623 Other comprehensive income before reclassifications 19,623 - 19,623 Amounts reclassified from accumulated other comprehensive income (46 ) 634 588 Net current period change 19,577 634 20,211 Balance at March 31, 2016 $ 82,055 $ (36,221 ) $ 45,834 March 31, 2015 Net unrealized gain on securities Liability for pension benefits Accumulated other comprehensive income Balance at January 1, 2015 $ 101,467 $ (52,691 ) $ 48,776 Other comprehensive income before reclassifications 832 - 832 Amounts reclassified from accumulated other comprehensive income 962 826 1,788 Net current period change 1,794 826 2,620 Balance at March 31, 2015 $ 103,261 $ (51,865 ) $ 51,396

Net Income Available to Stock30

Net Income Available to Stockholders and Net Income per Share (Tables)	3 Months Ended
	Mar. 31, 2016
Net Income Available to Stockholders and Net Income per Share [Abstract]
Computation of basic and diluted earnings per share	The following table sets forth the computation of basic and diluted earnings per share for the three months ended March 31: Three months ended March 31, 2016 2015 Numerator for earnings per share: Net income attributable to TSM available to stockholders $ 3,456 $ 14,836 Denominator for basic earnings per share: Weighted average of common shares 24,587,681 26,497,642 Effect of dilutive securities 72,353 97,576 Denominator for diluted earnings per share 24,660,034 26,595,218 Basic net income per share attributable to TSM $ 0.14 $ 0.56 Diluted net income per share attributable to TSM $ 0.14 $ 0.56

Segment Information (Tables)

Segment Information (Tables)	3 Months Ended
	Mar. 31, 2016
Segment Information [Abstract]
Operating revenues by major operating segment	The following tables summarize the operations by reportable segment for the three months ended March 31, 2016 and 2015: Three months ended March 31, 2016 2015 Operating revenues: Managed Care: Premiums earned, net $ 678,380 $ 472,167 Administrative service fees 5,083 29,123 Intersegment premiums/service fees 1,485 1,193 Net investment income 3,480 2,998 Total managed care 688,428 505,481 Life Insurance: Premiums earned, net 38,966 37,780 Intersegment premiums 137 61 Net investment income 5,914 5,781 Total life insurance 45,017 43,622 Property and Casualty Insurance: Premiums earned, net 21,188 22,611 Intersegment premiums 153 153 Net investment income 1,929 2,090 Total property and casualty insurance 23,270 24,854 Other segments: * Intersegment service revenues 2,545 2,383 Operating revenues from external sources 856 1,183 Total other segments 3,401 3,566 Total business segments 760,116 577,523 TSM operating revenues from external sources 4 14 Elimination of intersegment premiums/service fees (1,775 ) (1,407 ) Elimination of intersegment service revenues (2,545 ) (2,383 ) Other intersegment eliminations (13 ) 5 Consolidated operating revenues $ 755,787 $ 573,752 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Operating income (loss)	Three months ended March 31, 2016 2015 Operating income (loss): Managed care $ (641 ) $ 10,972 Life insurance 5,598 4,816 Property and casualty insurance 2,111 1,506 Other segments * (179 ) (163 ) Total business segments 6,889 17,131 TSM operating revenues from external sources 4 14 TSM unallocated operating expenses (3,167 ) (5,603 ) Elimination of TSM intersegment charges 2,387 2,405 Consolidated operating income 6,113 13,947 Consolidated net realized investment gains 58 6,213 Consolidated interest expense (1,882 ) (2,182 ) Consolidated other income, net 875 1,759 Consolidated income before taxes $ 5,164 $ 19,737 Depreciation and amortization expense: Managed care $ 2,934 $ 3,479 Life insurance 255 270 Property and casualty insurance 161 102 Other segments* 153 126 Total business segments 3,503 3,977 TSM depreciation expense 197 197 Consolidated depreciation and amortization expense $ 3,700 $ 4,174 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
Assets	March 31, 2016 December 31, 2015 Assets: Managed care $ 1,120,881 $ 1,034,725 Life insurance 808,929 770,721 Property and casualty insurance 355,090 350,514 Other segments * 25,979 25,629 Total business segments 2,310,879 2,181,589 Unallocated amounts related to TSM: Cash, cash equivalents, and investments 154 12,304 Property and equipment, net 22,996 23,219 Other assets 30,608 31,732 53,758 67,255 Elimination entries-intersegment receivables and others (44,779 ) (42,699 ) Consolidated total assets $ 2,319,858 $ 2,206,145 * Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

Investment in Securities (Detai

Investment in Securities (Details) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2016USD ($)Security	Mar. 31, 2015USD ($)	Dec. 31, 2015USD ($)Security
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	$ 1,112,913		$ 1,088,258
Gross unrealized gains	67,990		46,474
Gross unrealized losses	(14)		(1,087)
Estimated fair value	1,180,889		1,133,645
Available-for-sale equity securities, amortized cost basis [Abstract]
Estimated fair value	293,985		197,071
Available-for-sale securities, amortized cost basis [Abstract]
Amortized cost	1,372,651		1,257,851
Gross unrealized gains	103,124		74,325
Gross unrealized losses	(901)		(1,460)
Estimated fair value	1,474,874		1,330,716
Securities held to maturity [Abstract]
Amortized cost	2,929		2,929
Gross unrealized gains	231		195
Gross unrealized losses	0		0
Estimated fair value	3,160		3,124
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	37,067		240,407
12 months or longer, Estimated Fair Value	0		0
Estimated Fair Value, Total	37,067		240,407
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss	(901)		(1,460)
12 months or longer, Gross Unrealized Loss	0		0
Gross Unrealized Loss, Total	$ (901)		$ (1,460)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	8		29
12 months or longer, Number of Securities | Security	0		0
Number of Securities | Security	8		29
Fair value of the positions other-than-temporarily impaired	$ 0	$ 1,202
Securities available for sale, Amortized Cost [Abstract]
Due in one year or less, amortized cost	54,942
Due after one year through five, amortized cost	375,679
Due after five years through ten years, amortized cost	112,592
Due after ten years, amortized cost	547,191
Residential mortgage-backed securities, amortized cost	826
Collateralized mortgage obligations, amortized cost	21,683
Amortized cost	1,112,913		$ 1,088,258
Securities available for sale, Estimated Fair Value [Abstract]
Due in one year or less, estimated fair value	55,431
Due after one year through five, estimated fair value	384,401
Due after five years through ten years, estimated fair value	121,883
Due after ten years, estimated fair value	596,373
Residential mortgage-backed securities, estimated fair value	877
Collateralized mortgage obligations, estimated fair value	21,924
Estimated fair value	1,180,889		1,133,645
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		2,929
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	834
Residential mortgage-backed securities, estimated fair value	208
Estimated fair value	3,160		$ 3,124
Securities available for sale [Abstract]
Net realized gains on securities available for sale	58	6,213
Recognized in accumulated other comprehensive income [Abstract]
Available-for-sale Securities	29,358	2,813
Not recognized in the consolidated financial statements [Abstract]
Fixed maturities - held to maturity	36	17
Deferred tax liability on unrealized gains	$ 9,781	1,019
Percentage of individual investment in securities to stockholders' equity	10.00%		10.00%
Obligation of Government-sponsored Enterprises [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	$ 103,472		$ 115,965
Gross unrealized gains	881		301
Gross unrealized losses	0		(26)
Estimated fair value	104,353		116,240
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			18,989
12 months or longer, Estimated Fair Value			0
Estimated Fair Value, Total			18,989
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss			(26)
12 months or longer, Gross Unrealized Loss			0
Gross Unrealized Loss, Total			$ (26)
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
Number of Securities | Security			1
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	103,472		$ 115,965
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	104,353		116,240
U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	116,643		163,322
Gross unrealized gains	1,354		234
Gross unrealized losses	0		(286)
Estimated fair value	117,997		163,270
Securities held to maturity [Abstract]
Amortized cost	620		620
Gross unrealized gains	214		178
Gross unrealized losses	0		0
Estimated fair value	834		798
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			130,996
12 months or longer, Estimated Fair Value			0
Estimated Fair Value, Total			130,996
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss			(286)
12 months or longer, Gross Unrealized Loss			0
Gross Unrealized Loss, Total			$ (286)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security			5
12 months or longer, Number of Securities | Security			0
Number of Securities | Security			5
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	116,643		$ 163,322
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	117,997		163,270
Securities held to maturity, Amortized Cost [Abstract]
Amortized cost	620		620
Securities held to maturity, Estimated Fair Value [Abstract]
Estimated fair value	834		798
Obligations of The Commonwealth of Puerto Rico and Its Instrumentalities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	25,636		25,302
Gross unrealized gains	782		317
Gross unrealized losses	0		0
Estimated fair value	26,418		25,619
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	25,636		25,302
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	26,418		25,619
Municipal Securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	642,621		612,225
Gross unrealized gains	48,559		35,418
Gross unrealized losses	0		(197)
Estimated fair value	691,180		647,446
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value			43,937
12 months or longer, Estimated Fair Value			0
Estimated Fair Value, Total			43,937
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss			(197)
12 months or longer, Gross Unrealized Loss			0
Gross Unrealized Loss, Total			$ (197)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security			11
12 months or longer, Number of Securities | Security			0
Number of Securities | Security			11
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	642,621		$ 612,225
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	691,180		647,446
Corporate Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	202,032		148,198
Gross unrealized gains	16,121		9,782
Gross unrealized losses	(13)		(572)
Estimated fair value	218,140		157,408
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	5,284		35,718
12 months or longer, Estimated Fair Value	0		0
Estimated Fair Value, Total	5,284		35,718
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss	(13)		(572)
12 months or longer, Gross Unrealized Loss	0		0
Gross Unrealized Loss, Total	$ (13)		$ (572)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	1		9
12 months or longer, Number of Securities | Security	0		0
Number of Securities | Security	1		9
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	$ 202,032		$ 148,198
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	218,140		157,408
Residential Mortgage-backed Securities [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	826		883
Gross unrealized gains	51		54
Gross unrealized losses	0		0
Estimated fair value	877		937
Securities held to maturity [Abstract]
Amortized cost	191		191
Gross unrealized gains	17		17
Gross unrealized losses	0		0
Estimated fair value	208		208
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	826		883
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	877		937
Securities held to maturity, Amortized Cost [Abstract]
Amortized cost	191		191
Securities held to maturity, Estimated Fair Value [Abstract]
Estimated fair value	208		208
Collateralized Mortgage Obligations [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Amortized cost	21,683		22,363
Gross unrealized gains	242		368
Gross unrealized losses	(1)		(6)
Estimated fair value	21,924		22,725
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	1,292		1,448
12 months or longer, Estimated Fair Value	0		0
Estimated Fair Value, Total	1,292		1,448
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss	(1)		(6)
12 months or longer, Gross Unrealized Loss	0		0
Gross Unrealized Loss, Total	$ (1)		$ (6)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	1		1
12 months or longer, Number of Securities | Security	0		0
Number of Securities | Security	1		1
Securities available for sale, Amortized Cost [Abstract]
Amortized cost	$ 21,683		$ 22,363
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	21,924		22,725
Fixed Maturities [Member]
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	6,576		231,088
12 months or longer, Estimated Fair Value	0		0
Estimated Fair Value, Total	6,576		231,088
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss	(14)		(1,087)
12 months or longer, Gross Unrealized Loss	0		0
Gross Unrealized Loss, Total	$ (14)		$ (1,087)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	2		27
12 months or longer, Number of Securities | Security	0		0
Number of Securities | Security	2		27
Securities available for sale [Abstract]
Gross gains from sales	$ 961	4,009
Gross losses from sales	(1,359)	(275)
Gross losses from other-than-temporary impairments	0	(1,202)
Total fixed maturity securities	(398)	2,532
Recognized in accumulated other comprehensive income [Abstract]
Available-for-sale Securities	22,589	4,091
Mutual Funds [Member]
Available-for-sale equity securities, amortized cost basis [Abstract]
Amortized cost	259,738		$ 169,593
Gross unrealized gains	35,134		27,851
Gross unrealized losses	(887)		(373)
Estimated fair value	293,985		197,071
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value [Abstract]
Less than 12 months, Estimated Fair Value	30,491		9,319
12 months or longer, Estimated Fair Value	0		0
Estimated Fair Value, Total	30,491		9,319
Available-for-sale Securities, Continuous Unrealized Loss Position, Aggregate Losses [Abstract]
Less than 12 months, Gross Unrealized Loss	(887)		(373)
12 months or longer, Gross Unrealized Loss	0		0
Gross Unrealized Loss, Total	$ (887)		$ (373)
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Less than 12 months, Number of Securities | Security	6		2
12 months or longer, Number of Securities | Security	0		0
Number of Securities | Security	6		2
Equity Securities [Member]
Securities available for sale [Abstract]
Gross gains from sales	$ 587	3,736
Gross losses from sales	(131)	(55)
Total equity securities	456	3,681
Recognized in accumulated other comprehensive income [Abstract]
Available-for-sale Securities	6,769	(1,278)
Certificates of Deposit [Member]
Securities held to maturity [Abstract]
Amortized cost	2,118		$ 2,118
Gross unrealized gains	0		0
Gross unrealized losses	0		0
Estimated fair value	2,118		2,118
Securities held to maturity, Amortized Cost [Abstract]
Amortized cost	2,118		2,118
Securities held to maturity, Estimated Fair Value [Abstract]
Estimated fair value	2,118		$ 2,118
Escrow Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated fair value	16,306
Available-for-sale securities, amortized cost basis [Abstract]
Gross unrealized gains	46
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	16,306
Cofina Bonds [Member]
Available-for-sale debt securities, amortized cost basis [Abstract]
Estimated fair value	10,112
Available-for-sale securities, amortized cost basis [Abstract]
Gross unrealized gains	736
Available-for-sale, Securities in Unrealized Loss Positions, Number of Securities [Abstract]
Fair value of the positions other-than-temporarily impaired	0	$ 1,202
Securities available for sale, Estimated Fair Value [Abstract]
Estimated fair value	$ 10,112

Premiums and Other Receivable33

Premiums and Other Receivables, Net (Details) - USD ($) $ in Thousands	Mar. 31, 2016	Dec. 31, 2015
Premiums and Other Receivables [Line Items]
Premium	$ 118,298	$ 92,600
Self-insured group receivables	69,761	73,552
FEHBP	13,105	13,859
Agent balances	22,207	25,424
Accrued interest	11,435	12,624
Reinsurance recoverable	59,160	48,506
Other	61,527	53,325
Premiums and other receivables	355,493	319,890
Less allowance for doubtful receivables [Abstract]
Premium	30,270	28,944
Other	8,421	8,300
Premiums and other receivables, allowance	38,691	37,244
Total premiums and other receivables, net	316,802	282,646
Government of Puerto Rico [Member]
Premiums and Other Receivables [Line Items]
Premiums and other receivables	90,046	78,230
Less allowance for doubtful receivables [Abstract]
Premiums and other receivables, allowance	$ 19,491	$ 19,133

Fair Value Measurements (Detail

Fair Value Measurements (Details) - Fair Value, Measurements, Recurring [Member] - USD ($) $ in Thousands	Mar. 31, 2016	Dec. 31, 2015
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	$ 104,353	$ 116,240
U.S. Treasury securities and obligations of U.S. government instrumentalities	117,997	163,270
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	26,418	25,619
Municipal securities	691,180	647,446
Corporate bonds	218,140	157,408
Residential agency mortgage-backed securities	877	937
Collateralized mortgage obligations	21,924	22,725
Total fixed maturities	1,180,889	1,133,645
Equity securities [Abstract]
Equity securities - Mutual funds	293,985	197,071
Total	1,474,874	1,330,716
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	117,997	163,270
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	0
Municipal securities	0	0
Corporate bonds	0	0
Residential agency mortgage-backed securities	0	0
Collateralized mortgage obligations	0	0
Total fixed maturities	117,997	163,270
Equity securities [Abstract]
Equity securities - Mutual funds	236,032	167,082
Total	354,029	330,352
Level 2 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	104,353	116,240
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	26,418	25,619
Municipal securities	691,180	647,446
Corporate bonds	218,140	157,408
Residential agency mortgage-backed securities	877	937
Collateralized mortgage obligations	21,924	22,725
Total fixed maturities	1,062,892	970,375
Equity securities [Abstract]
Equity securities - Mutual funds	50,956	22,031
Total	1,113,848	992,406
Level 3 [Member]
Fixed maturity securities [Abstract]
Obligations of government-sponsored enterprises	0	0
U.S. Treasury securities and obligations of U.S. government instrumentalities	0	0
Obligations of the Commonwealth of Puerto Rico and its instrumentalities	0	0
Municipal securities	0	0
Corporate bonds	0	0
Residential agency mortgage-backed securities	0	0
Collateralized mortgage obligations	0	0
Total fixed maturities	0	0
Equity securities [Abstract]
Equity securities - Mutual funds	6,997	7,958
Total	$ 6,997	$ 7,958

Fair Value Measurements, Recurr

Fair Value Measurements, Recurring Basis Roll Forward (Details) - Fair Value, Measurements, Recurring [Member] - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Reconciliation of assets measured at fair value on a recurring basis using significant unobservable inputs [Roll Forward]
Beginning balance	$ 7,958	$ 13,349
Realized gains	151	1,412
Unrealized in other accumulated comprehensive income	(649)	(2,602)
Purchases	8	79
Capital distributions	(471)	(2,047)
Ending balance	$ 6,997	$ 10,191

Fair Value Measurements, Repurc

Fair Value Measurements, Repurchase Agreement (Details) - USD ($) $ in Thousands	Mar. 31, 2016	Dec. 31, 2015
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	$ 8,132	$ 7,901
Liabilities [Abstract]
Policyholder deposits	180,980	179,287
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,417	12,827
6.6% senior unsecured notes payable	24,000	24,000
Total long-term borrowings	36,417	36,827
Total liabilities	217,397	216,114
Fair Value [Member]
Assets [Abstract]
Policy loans	8,132	7,901
Liabilities [Abstract]
Policyholder deposits	180,980	179,287
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,417	12,827
6.6% senior unsecured notes payable	19,800	19,920
Total long-term borrowings	32,217	32,747
Total liabilities	213,197	212,034
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
Total long-term borrowings	0	0
Total liabilities	0	0
Fair Value [Member] | Level 2 [Member]
Assets [Abstract]
Policy loans	8,132	7,901
Liabilities [Abstract]
Policyholder deposits	180,980	179,287
Long-term borrowings [Abstract]
Loans payable to bank - variable	12,417	12,827
6.6% senior unsecured notes payable	19,800	19,920
Total long-term borrowings	32,217	32,747
Total liabilities	213,197	212,034
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
Total long-term borrowings	0	0
Total liabilities	$ 0	$ 0

Claim Liabilities (Details)

Claim Liabilities (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Claim liabilities [Roll Forward]
Claim liabilities at beginning of period	$ 491,765	$ 390,086
Reinsurance recoverable on claim liabilities	(40,714)	(40,635)
Net claim liabilities at beginning of period	451,051	349,451
Incurred claims and loss-adjustment expenses [Abstract]
Current period insured events	633,681	447,162
Prior period insured events	(13,749)	(21,609)
Total	619,932	425,553
Payments of losses and loss-adjustment expenses [Abstract]
Current period insured events	370,135	244,728
Prior period insured events	215,653	168,592
Total	585,788	413,320
Net claim liabilities at end of period	485,195	361,684
Reinsurance recoverable on claim liabilities	39,871	39,958
Claim liabilities at end of period	525,066	401,642
Change in liability for future policy benefits, expense	$ 6,762	$ 6,877

Long-Term Borrowings (Details)

Long-Term Borrowings (Details) - TSS [Member]	Mar. 11, 2016USD ($)
Debt Instrument [Line Items]
Revolving loan agreement amount	$ 30,000
LIBOR [Member]
Debt Instrument [Line Items]
Basis points	2.20%

Pension Plan (Details)

Pension Plan (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Components of net periodic benefit cost [Abstract]
Service cost	$ 1,250	$ 897
Interest cost	2,762	1,900
Expected return on assets	(2,926)	(1,864)
Amortization of prior service benefit	(144)	(100)
Amortization of actuarial loss	1,183	1,454
Net periodic benefit cost	2,125	$ 2,287
Expected employer future contributions	$ 8,000

Stock Repurchase Program (Detai

Stock Repurchase Program (Details) - Common Class B [Member] - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2016	Nov. 30, 2015
Equity, Class of Treasury Stock [Line Items]
Amount authorized under stock repurchase program		$ 25,000
Number of stock repurchased and retired (in shares)	367,101
Average cost per share repurchased (in dollars per share)	$ 21.99
Value of stock repurchased	$ 8,027

Comprehensive Income (Details)

Comprehensive Income (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Accumulated Other Comprehensive Income Loss [Line Items]
Balance, beginning of period	$ 25,623	$ 48,776
Other comprehensive income before reclassifications	19,623	832
Amounts reclassified from accumulated other comprehensive income	588	1,788
Total other comprehensive income, net of tax	20,211	2,620
Balance, end of period	45,834	51,396
Net Unrealized Gain on Securities [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Balance, beginning of period	62,478	101,467
Other comprehensive income before reclassifications	19,623	832
Amounts reclassified from accumulated other comprehensive income	(46)	962
Total other comprehensive income, net of tax	19,577	1,794
Balance, end of period	82,055	103,261
Liability for Pension Benefits [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Balance, beginning of period	(36,855)	(52,691)
Other comprehensive income before reclassifications	0	0
Amounts reclassified from accumulated other comprehensive income	634	826
Total other comprehensive income, net of tax	634	826
Balance, end of period	$ (36,221)	$ (51,865)

Share-Based Compensation (Detai

Share-Based Compensation (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Share-Based Compensation [Abstract]
Compensation expense	$ 1,085	$ 1,883
Stock option exercises during period (in shares)	0	0

Net Income Available to Stock43

Net Income Available to Stockholders and Net Income per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Numerator for earnings per share [Abstract]
Net income attributable to TSM available to stockholders	$ 3,456	$ 14,836
Denominator for basic earnings per share [Abstract]
Weighted average of common shares (in shares)	24,587,681	26,497,642
Effect of dilutive securities (in shares)	72,353	97,576
Denominator for diluted earnings per share (in shares)	24,660,034	26,595,218
Basic net income per share attributable to TSM (in dollars per share)	$ 0.14	$ 0.56
Diluted net income per share attributable to TSM (in dollars per share)	$ 0.14	$ 0.56

Contingencies (Details)

Contingencies (Details) $ in Thousands	Apr. 19, 2016	Dec. 17, 2015Lawsuit	Mar. 31, 2016USD ($)Lawsuitshares
Claims of Heirs of Former Shareholders [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits			9
Number of shares claimed to have inherited (in shares) | shares			124
Split conversion ratio			3,000
Period to oppose plaintiff	30 days
Joint Underwriting Association Litigations [Member]
Loss Contingencies [Line Items]
Number of defending individual lawsuits			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		3
Period for defendant conducting negotiations			60 days

Segment Information (Details)

Segment Information (Details) $ in Thousands		3 Months Ended
		Mar. 31, 2016USD ($)SegmentRegion	Mar. 31, 2015USD ($)	Dec. 31, 2015USD ($)
Segment Information [Abstract]
Number of operating segments | Segment		3
Number of service regions | Region		8
Number of regions of medical program | Region		2
Operating revenues [Abstract]
Premiums earned, net		$ 738,534	$ 532,558
Total revenues		756,720	581,724
Consolidated operating revenues		755,787	573,752
Operating income (loss) [Abstract]
Consolidated operating income		6,113	13,947
Consolidated net realized investment gains		58	6,213
Consolidated interest expense		(1,882)	(2,182)
Consolidated other income, net		875	1,759
Consolidated income before taxes		5,164	19,737
Depreciation and amortization expense [Abstract]
Consolidated depreciation and amortization expense		3,700	4,174
Assets [Abstract]
Assets		2,319,858		$ 2,206,145
Managed Care [Member]
Segment Reporting Information [Line Items]
Administrative service fees			23,642
Unallocated Amount to Segment [Member]
Operating revenues [Abstract]
TSM operating revenues from external sources		4	14
Operating income (loss) [Abstract]
TSM operating revenues from external sources		4	14
TSM unallocated operating expenses		(3,167)	(5,603)
Depreciation and amortization expense [Abstract]
TSM depreciation expense		197	197
Unallocated amounts related to TSM [Abstract]
Cash, cash equivalents, and investments		154		12,304
Property and equipment, net		22,996		23,219
Other assets		30,608		31,732
Unallocated amount related to TSM		53,758		67,255
Other Segments [Member]
Operating revenues [Abstract]
TSM operating revenues from external sources	[1]	856	1,183
Total revenues	[1]	3,401	3,566
Operating income (loss) [Abstract]
Operating income (loss)	[1]	(179)	(163)
TSM operating revenues from external sources	[1]	856	1,183
Depreciation and amortization expense [Abstract]
Depreciation and amortization expense	[1]	153	126
Assets [Abstract]
Assets	[1]	25,979		25,629
Reportable Segment [Member]
Operating revenues [Abstract]
Total business segments		760,116	577,523
Operating income (loss) [Abstract]
Operating income (loss)		6,889	17,131
Depreciation and amortization expense [Abstract]
Depreciation and amortization expense		3,503	3,977
Assets [Abstract]
Assets		2,310,879		2,181,589
Reportable Segment [Member] | Managed Care [Member]
Operating revenues [Abstract]
Premiums earned, net		678,380	472,167
Administrative service fees		5,083	29,123
Net investment income		3,480	2,998
Total revenues		688,428	505,481
Operating income (loss) [Abstract]
Operating income (loss)		(641)	10,972
Depreciation and amortization expense [Abstract]
Depreciation and amortization expense		2,934	3,479
Assets [Abstract]
Assets		1,120,881		1,034,725
Reportable Segment [Member] | Life Insurance [Member]
Operating revenues [Abstract]
Premiums earned, net		38,966	37,780
Net investment income		5,914	5,781
Total revenues		45,017	43,622
Operating income (loss) [Abstract]
Operating income (loss)		5,598	4,816
Depreciation and amortization expense [Abstract]
Depreciation and amortization expense		255	270
Assets [Abstract]
Assets		808,929		770,721
Reportable Segment [Member] | Property and Casualty Insurance [Member]
Operating revenues [Abstract]
Premiums earned, net		21,188	22,611
Net investment income		1,929	2,090
Total revenues		23,270	24,854
Operating income (loss) [Abstract]
Operating income (loss)		2,111	1,506
Depreciation and amortization expense [Abstract]
Depreciation and amortization expense		161	102
Assets [Abstract]
Assets		355,090		350,514
Intersegment Eliminations [Member]
Operating revenues [Abstract]
Elimination of intersegment premiums/service fees		(1,775)	(1,407)
Elimination of intersegment service revenues		(2,545)	(2,383)
Other intersegment eliminations		(13)	5
Operating income (loss) [Abstract]
Elimination of TSM intersegment charges		2,387	2,405
Unallocated amounts related to TSM [Abstract]
Elimination entries-intersegment receivables and others		(44,779)		$ (42,699)
Intersegment Eliminations [Member] | Managed Care [Member]
Operating revenues [Abstract]
Intersegment premiums/service fees		1,485	1,193
Intersegment Eliminations [Member] | Life Insurance [Member]
Operating revenues [Abstract]
Intersegment premiums/service fees		137	61
Intersegment Eliminations [Member] | Property and Casualty Insurance [Member]
Operating revenues [Abstract]
Intersegment premiums/service fees		153	153
Intersegment Eliminations [Member] | Other Segments [Member]
Operating revenues [Abstract]
Intersegment premiums/service fees	[1]	$ 2,545	$ 2,383
[1]	Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.