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Claims Payable
6 Months Ended
Jun. 30, 2012
Insurance [Abstract]  
Claims Payable
Claims Payable
The following table presents the components of the change in claims payable for the periods presented (dollars in thousands): 
 
Six Months Ended June 30,
 
2012
 
2011
Claims payable, beginning of period
$
573,448

 
$
510,675

Health benefits expense incurred during the period:
 
 
 
Related to current year
3,528,233

 
2,613,310

Related to prior years
(97,982
)
 
(74,588
)
Total incurred
3,430,251

 
2,538,722

Health benefits payments during the period:
 
 
 
Related to current year
2,880,028

 
2,168,850

Related to prior years
437,173

 
361,039

Total payments
3,317,201

 
2,529,889

Claims payable, end of period
$
686,498

 
$
519,508


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.