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INCOME TAXES (Tables)
12 Months Ended
Dec. 31, 2012
Income Tax Disclosure [Abstract]  
Components of income tax expense (benefit)
The provision (benefit) for income taxes consisted of the following (in thousands): 
 
Years ended December 31,
 
2012
 
2011
 
2010
Current provision:
 
 
 
 
 
Federal
$
200,766

 
$
199,986

 
$
350,451

State
18,279

 
21,105

 
28,216

Deferred provision/(benefit):
 

 
 

 
 

Federal
62,643

 
86,483

 
(117,600
)
State
15,784

 
7,422

 
(13,149
)
Income tax expense
$
297,472

 
$
314,996

 
$
247,918

Reconciliation of effective tax rate
The Company’s effective tax rate differs from the federal statutory rate of 35% as a result of the following: 
 
Years ended December 31,
 
2012
 
2011
 
2010
Statutory federal tax rate
35.00
 %
 
35.00
 %
 
35.00
 %
Effect of:
 

 
 

 
 

State income taxes, net of federal benefit
3.08
 %
 
2.64
 %
 
1.56
 %
Tax exempt investment income
(1.35
)%
 
(0.97
)%
 
(1.34
)%
Remuneration disallowed
1.35
 %
 
0.51
 %
 
0.55
 %
Other
(0.16
)%
 
(0.47
)%
 
0.34
 %
Effective tax rate
37.92
 %
 
36.71
 %
 
36.11
 %
Deferred income tax assets and liabilities
The effect of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities at December 31, 2012 and 2011 are presented below (in thousands): 
 
December 31,
 
2012
 
2011
Deferred tax assets:
 
 
 
Net operating loss carryforward
$
37,203

 
$
50,913

Deferred compensation
42,990

 
82,747

Deferred revenue
9,750

 
8,540

Medical liabilities
61,631

 
55,442

Accounts receivable
1,039

 
1,499

Other accrued liabilities
44,160

 
96,429

Unrealized capital losses
153

 
1,415

Other assets
12,361

 
14,435

Gross deferred tax assets
209,287

 
311,420

Less valuation allowance
(2,335
)
 
(4,168
)
Deferred tax asset
$
206,952

 
$
307,252

Deferred tax liabilities:
 

 
 

Unrealized gain on securities
$
(41,746
)
 
$
(36,226
)
Other liabilities
(4,798
)
 
(11,119
)
Depreciation
(10,127
)
 
(12,119
)
Intangibles
(169,243
)
 
(179,802
)
Internally developed software
(30,553
)
 
(28,744
)
Tax liability of limited partnership investment
(5,332
)
 
(11,719
)
Gross deferred tax liabilities
(261,799
)
 
(279,729
)
Net deferred tax (liability) asset (1)
$
(54,847
)
 
$
27,523

 
(1) 
Includes $132.5 million and $181.8 million classified as other current assets at December 31, 2012 and 2011, respectively, and $187.3 million and $154.2 million classified as other long-term liabilities at December 31, 2012 and 2011, respectively.
Summary of Deferred Tax Liability
A reconciliation of the total amounts of unrecognized tax benefits for the years ended December 31, 2012, 2011 and 2010 is as follows (in thousands): 
 
2012
 
2011
 
2010
Gross unrecognized tax benefits - beginning balance
$
85,432

 
$
136,255

 
$
129,084

Gross increases to tax positions taken in the current period
53,308

 
46,949

 
100,426

Gross increases to tax positions taken in prior periods
3,568

 
2,985

 
7,128

Gross decreases to tax positions taken in prior periods
(49,413
)
 
(92,390
)
 
(94,712
)
Decrease due to settlements with tax authorities
(1,722
)
 

 

Decreases due to a lapse of statute of limitations
(3,674
)
 
(8,367
)
 
(5,671
)
Gross unrecognized tax benefits  - ending balance
$
87,499

 
$
85,432

 
$
136,255