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Premiums Receivable - Components of Premiums Receivable (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Premiums Receivable, Net [Abstract]        
Premiums receivable $ 177,037 $ 148,374    
Allowance for doubtful accounts (5,458) (6,424) (5,573) (5,104)
Premiums receivable, net $ 171,579 $ 141,950