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Short- and Long-Term Investments and Investments on Deposit for Licensure (Details) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost $ 1,377,711 $ 1,621,878
Gross Unrealized Holding Gains 23,580 22,022
Gross Unrealized Holding Losses 1,230 3,364
Fair value 1,400,061 1,640,536
Certificates of deposit [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 13,019 118,081
Gross Unrealized Holding Gains 0 13
Gross Unrealized Holding Losses 0 0
Fair value 13,019 118,094
Commercial paper [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 51,685 172,657
Gross Unrealized Holding Gains 77 2
Gross Unrealized Holding Losses 0 95
Fair value 51,762 172,564
Corporate bonds [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 572,785 565,382
Gross Unrealized Holding Gains 3,441 2,852
Gross Unrealized Holding Losses 163 1,510
Fair value 576,063 566,724
Debt Securities of Government Sponsored Entities [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 219,432 289,901
Gross Unrealized Holding Gains 616 742
Gross Unrealized Holding Losses 80 100
Fair value 219,968 290,543
Equity index funds [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 60,889 40,146
Gross Unrealized Holding Gains 3,355 1,355
Gross Unrealized Holding Losses 394 658
Fair value 63,850 40,843
Money market funds [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 60,105 15,067
Gross Unrealized Holding Gains 0 0
Gross Unrealized Holding Losses 0 0
Fair value 60,105 15,067
Municipal bonds [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 379,855 394,599
Gross Unrealized Holding Gains 16,029 16,978
Gross Unrealized Holding Losses 591 1,000
Fair value 395,293 410,577
U.S. Treasury securities [Member]
   
Reconciliation schedule of available-for-sale securities from cost basis to fair value    
Amortized Cost 19,941 26,045
Gross Unrealized Holding Gains 62 80
Gross Unrealized Holding Losses 2 1
Fair value $ 20,001 $ 26,124