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Income Taxes
3 Months Ended
Mar. 31, 2015
Income Tax Disclosure [Abstract]  
Income Taxes
INCOME TAXES
The effective income tax rate from operations was 55.7% and 53.5% for the three months ended March 31, 2015 and 2014, respectively. For the three months ended March 31, 2015 and 2014, our effective income tax rate was impacted by the health insurer fee that became effective in 2014 under the ACA. The health insurer fee is not deductible for federal income tax purposes and in many state jurisdictions, and is effective for calendar years beginning after December 31, 2013. In September 2014, we paid the health insurer fee that was calculated based on 2013 premiums. The health insurer fee that is based on 2014 premiums will be due in September 2015. See Note 2, under the heading "Accounting for Certain Provisions of the ACA—Premium-based Fee on Health Insurers" for additional information regarding the health insurer fee. Other items that caused our effective income tax rate to differ from the statutory federal tax rate of 35% for the three months ended March 31, 2015 and 2014 included state income taxes, tax-exempt interest and non-deductible compensation.