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SEGMENT INFORMATION (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2012
segments
Dec. 31, 2011
Dec. 31, 2010
Segment Reporting [Abstract]                      
Number of reportable segments                 3    
Operating revenues:                      
Managed care premiums                 12,926,375 $ 11,014,950 $ 10,414,640
Management services                 1,186,988 1,171,733 1,173,276
Total operating revenues 3,445,817 3,457,783 3,517,796 3,691,967 [1] 3,129,156 2,975,543 3,033,046 [2] 3,048,938 14,113,363 12,186,683 11,587,916
Medical costs                 10,853,774 9,041,402 8,265,947
Cost of sales                 266,803 283,544 252,052
Gross margin                 2,992,786 2,861,737 3,069,917
Selling, general and administrative                 2,080,236 2,016,042 1,961,947
Provider class action - (release) / charge                 0 (159,300) 278,000
Depreciation and amortization                 152,859 136,865 140,685
Operating earnings 178,534 159,478 145,203 276,476 [1] 148,943 192,613 355,101 [2] 171,473 759,691 868,130 689,285
Commercial Products Division [Member]
                     
Operating revenues:                      
Managed care premiums                 5,737,626 6,053,178 5,564,834
Management services                 429,209 387,949 418,221
Total operating revenues                 6,166,835 6,441,127 5,983,055
Medical costs                 4,649,073 4,891,471 4,323,704
Cost of sales                 0 0 0
Gross margin                 1,517,762 1,549,656 1,659,351
Government Programs Division [Member]
                     
Operating revenues:                      
Managed care premiums                 7,236,240 4,990,770 4,851,756
Management services                 0 0 0
Total operating revenues                 7,236,240 4,990,770 4,851,756
Medical costs                 6,252,192 4,178,929 3,944,193
Cost of sales                 0 0 0
Gross margin                 984,048 811,841 907,563
Workers' Compensation [Member]
                     
Operating revenues:                      
Managed care premiums                 0 0 0
Management services                 757,779 783,784 755,055
Total operating revenues                 757,779 783,784 755,055
Medical costs                 0 0 0
Cost of sales                 266,803 283,544 252,052
Gross margin                 490,976 500,240 503,003
Elimination [Member]
                     
Operating revenues:                      
Managed care premiums                 (47,491) (28,998) (1,950)
Management services                 0 0 0
Total operating revenues                 (47,491) (28,998) (1,950)
Medical costs                 (47,491) (28,998) (1,950)
Cost of sales                 0 0 0
Gross margin                 0 $ 0 $ 0
[1] During the quarter ended March 31, 2012, CMS announced which contract years are subject to the CMS RADV audits and other core areas of the audit methodology. As a result of these changes, the Company recorded a non-recurring pre-tax adjustment to earnings of $133.0 million during the first quarter of 2012. See Note A, Organization and Summary of Significant Accounting Policies, to the consolidated financial statements for additional information.
[2] On May 27, 2011, the court entered an order of final approval of a settlement and, accordingly, the Company recorded a non-recurring pre-tax adjustment that increased earnings of $159.3 million in the second quarter of 2011.