Income Taxes	9 Months Ended
Sep. 30, 2014
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes During the three months ended September 30, 2014 and 2013, we recognized income tax expense of $456.3 and $225.9, respectively, which represents effective tax rates of 42.0% and 25.7%, respectively. The increase in income tax expense was primarily due to the non-tax deductible HIP Fee effective for 2014, increased income before income taxes and a favorable 2013 tax election made subsequent to the Amerigroup acquisition. The increase in the effective tax rate was primarily due to the non-tax deductible HIP fee and the favorable 2013 tax election made subsequent to the Amerigroup acquisition. During the nine months ended September 30, 2014 and 2013, we recognized income tax expense of $1,427.6 and $1,044.9, respectively, which represents effective tax rates of 41.0% and 31.0%, respectively. The increase in income tax expense was primarily due to the non-tax deductible HIP Fee effective for 2014 and increased income before income taxes. The 2013 expense and effective tax rate were lower because they include benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition and from inclusion of Amerigroup in our state apportionment factors calculation, which produces a lower state tax expense. The increase in the effective tax rate for 2014 was primarily due to the non-tax deductible HIP fee.

Income Taxes

9 Months Ended

Sep. 30, 2014

During the three months ended September 30, 2014 and 2013, we recognized income tax expense of $456.3 and $225.9, respectively, which represents effective tax rates of 42.0% and 25.7%, respectively. The increase in income tax expense was primarily due to the non-tax deductible HIP Fee effective for 2014, increased income before income taxes and a favorable 2013 tax election made subsequent to the Amerigroup acquisition. The increase in the effective tax rate was primarily due to the non-tax deductible HIP fee and the favorable 2013 tax election made subsequent to the Amerigroup acquisition.

During the nine months ended September 30, 2014 and 2013, we recognized income tax expense of $1,427.6 and $1,044.9, respectively, which represents effective tax rates of 41.0% and 31.0%, respectively. The increase in income tax expense was primarily due to the non-tax deductible HIP Fee effective for 2014 and increased income before income taxes. The 2013 expense and effective tax rate were lower because they include benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition and from inclusion of Amerigroup in our state apportionment factors calculation, which produces a lower state tax expense. The increase in the effective tax rate for 2014 was primarily due to the non-tax deductible HIP fee.