Liability for Unpaid Health Claims (Tables)

12 Months Ended

Dec. 31, 2013

Text Block [Abstract]

Summary of Liability for Unpaid Health Claims

Activity in the liability for unpaid health claims is summarized as follows:

	Year Ended December 31,
	2013			2012			2011
Balance at beginning of year	$	104,870		$	103,517		$	100,598
Acquisition of Family Heritage		0			11,700			0
Incurred related to:
Current year		720,490			704,934			628,137
Prior years		(11,594	)		(17,531	)		(10,644	)
Total incurred		708,896			687,403			617,493
Paid related to:
Current year		636,150			627,495			538,910
Prior years		75,897			70,255			75,664
Total paid		712,047			697,750			614,574
Balance at end of year	$	101,719		$	104,870		$	103,517