CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2015	Jun. 30, 2014	Jun. 30, 2015	Jun. 30, 2014
Income Statement [Abstract]
Professional service revenues	$ 97,799	$ 82,260	$ 194,815	$ 165,135
Insurance service revenues	542,208	442,746	1,070,770	868,783
Total revenues	640,007	525,006	1,265,585	1,033,918
Costs and operating expenses:
Insurance costs	517,994	400,195	1,001,197	781,352
Cost of providing services (exclusive of depreciation and amortization of intangible assets)	37,672	34,034	74,042	67,677
Sales and marketing	41,119	34,992	78,743	66,829
General and administrative	15,801	12,682	31,265	27,019
Systems development and programming costs	7,633	6,565	14,858	12,459
Amortization of intangible assets	10,608	13,267	21,825	26,816
Depreciation	3,195	3,242	6,629	6,460
Total costs and operating expenses	634,022	504,977	1,228,559	988,612
Operating income	5,985	20,029	37,026	45,306
Other income (expense):
Interest expense and bank fees	(4,764)	(8,860)	(9,968)	(30,712)
Other, net	68	(25)	518	78
Income before provision for income taxes	1,289	11,144	27,576	14,672
Provision for income taxes	2,597	4,923	13,073	6,911
Net income (loss)	$ (1,308)	$ 6,221	$ 14,503	$ 7,761
Net income (loss) per share:
Basic	$ (0.02)	$ 0.09	$ 0.21	$ 0.13
Diluted	$ (0.02)	$ 0.09	$ 0.20	$ 0.12
Weighted average shares:
Basic	70,305,185	69,053,403	70,251,980	42,914,458
Diluted	70,305,185	72,658,822	73,090,962	46,028,300