Consolidated Statements of Income (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Revenues
Service and administrative fees	$ 49,238	$ 22,898	$ 135,022	$ 67,195
Brokerage commissions and fees	8,787	8,411	28,409	27,295
Ceding commission	8,731	11,122	22,851	25,396
Net investment income	772	744	2,433	2,219
Net realized investment gains (losses)	756	(16)	2,043	(6)
Net earned premium	34,106	33,893	100,929	97,770
Other income (1)	179	52	529	172
Gain on sale of subsidiary	0	0	402	0
Total segment revenue	102,569	77,104	292,618	220,041
Expenses:
Net losses and loss adjustment expenses	9,957	11,430	31,096	32,272
Member benefit claims	13,834	1,157	34,624	3,558
Commissions	43,175	33,377	120,148	96,647
Personnel costs	14,649	12,708	45,089	36,467
Other operating expenses	10,850	7,959	30,438	21,635
Depreciation and amortization	1,378	871	4,063	2,584
Amortization of intangibles	1,870	1,127	5,598	3,775
Interest expense	1,501	2,025	4,489	5,267
Total expenses	97,214	70,654	275,545	202,205
Income before income taxes and non-controlling interests	5,355	6,450	17,073	17,836
Income taxes	2,268	2,397	6,048	6,392
Income before non-controlling interest	3,087	4,053	11,025	11,444
Less: net (loss) income attributable to non-controlling interests	(135)	29	868	62
Net Income	$ 3,222	$ 4,024	$ 10,157	$ 11,382
Earnings per share:
Basic	$ 0.17	$ 0.21	$ 0.52	$ 0.59
Diluted	$ 0.16	$ 0.20	$ 0.49	$ 0.56
Weighted average common shares outstanding:
Basic	19,405,597	19,531,694	19,500,430	19,705,105
Diluted	20,404,508	20,463,238	20,531,122	20,620,084