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Schedule II - Valuation and Qualifying Accounts (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Allowance for Doubtful Accounts [Member]      
Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Period $ 10,826 $ 13,045 $ 19,511
Charged to Costs & Expenses 1,736 3,228 5,782
Charged to Other Accounts 0 0 0
Deductions [1] (6,350) (5,447) (12,248)
Balance at End of Period 6,212 10,826 13,045
Claim Losses [Member]      
Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Period 24,871 26,128 26,106
Charged to Costs & Expenses 10,448 11,138 13,998
Charged to Other Accounts 0 0 0
Deductions [2] (9,975) (12,395) (13,976)
Balance at End of Period 25,344 24,871 26,128
Valuation Allowance of Deferred Tax Assets [Member]      
Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Period 21,911 24,173 30,955
Charged to Costs & Expenses (2,645) (5,506) (5,295)
Charged to Other Accounts [3] (95) 3,244 (1,487)
Deductions 0 0 0
Balance at End of Period $ 19,171 $ 21,911 $ 24,173
[1] Amount represents accounts written off, net of recoveries.
[2] Amount represents claim payments, net of recoveries.
[3] Amount represents adjustments for acquired net operating loss and credit carryforwards.