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Claims Payable (Tables)
6 Months Ended
Jun. 30, 2011
Claims Payable [Abstract]  
Components of the change in claims payable
                 
    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