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Claims Payable
6 Months Ended
Jun. 30, 2011
Claims Payable [Abstract]  
Claims Payable
8.  Claims Payable
 
The following table presents the components of the change in claims payable for the periods presented:
 
                 
    Six Months Ended June 30,  
    2011     2010  
 
Claims payable, beginning of period
  $ 510,675     $ 529,036  
Health benefits expense incurred during the period:
               
Related to current year
    2,613,310       2,408,166  
Related to prior years
    (74,588 )     (90,149 )
                 
Total incurred
    2,538,722       2,318,017  
Health benefits payments during the period:
               
Related to current year
    2,168,850       1,960,389  
Related to prior years
    361,039       361,061  
                 
Total payments
    2,529,889       2,321,450  
                 
Claims payable, end of period
  $ 519,508     $ 525,603  
                 
 
Health benefits expense incurred during both periods was reduced for amounts related to prior years. The amounts related to prior years include the impact of amounts previously included in the liability to establish it at a level sufficient under moderately adverse conditions that were not needed and the reduction in health benefits expense due to revisions to prior estimates.