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Regulatory Requirements (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2015
Sep. 30, 2015
[3],[4]
Jun. 30, 2015
[5],[6]
Mar. 31, 2015
[7],[8]
Dec. 31, 2014
Sep. 30, 2014
[11],[12]
Jun. 30, 2014
[13],[14]
Mar. 31, 2014
[15]
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Regulatory Assets [Line Items]                      
Statutory-basis capital and surplus of our regulated subsidiaries $ 1,800,000,000               $ 1,800,000,000    
GAAP net income 37,100,000 [1],[2] $ 60,300,000 $ 58,400,000 $ 30,000,000 $ 4,900,000 [9],[10] $ (8,900,000) $ 120,900,000 $ 28,800,000 185,677,000 $ 145,629,000 $ 170,126,000
Statutory capital and surplus, regulatory requirements 467,300,000               467,300,000    
Capital and surplus unavailable for payment of dividends 467,300,000               467,300,000    
Restricted net assets 135,800,000               135,800,000    
Health Plan Subsidiaries [Member]                      
Regulatory Assets [Line Items]                      
Statutory-basis capital and surplus of our regulated subsidiaries 184,300,000       188,500,000       184,300,000 188,500,000  
Statutory-basis net income of health plan subsidiaries                 (75,300,000.0) (130,500,000.0) (158,000)
Subsidiaries [Member] | Department of Managed Health Care [Member]                      
Regulatory Assets [Line Items]                      
GAAP equity $ 1,600,000,000       $ 1,300,000,000       1,600,000,000 1,300,000,000  
GAAP net income                 $ 343,700,000 $ 202,300,000 $ 140,700,000
[1] Includes $22.7 million in pretax expenses primarily related to the Cognizant Transaction.
[2] Includes $58.2 million amortization of deferred costs of health insurer's fee and $21.1 million in other ACA fees.
[3] Includes $21.7 million in pretax expenses primarily related to the Cognizant Transaction.
[4] Includes $58.4 million amortization of deferred costs of health insurer's fee and $22.2 million in other ACA fees.
[5] Includes $26.4 million in pretax expenses primarily related to the Cognizant Transaction.
[6] Includes $58.5 million amortization of deferred costs of health insurer's fee and $21.5 million in other ACA fees.
[7] Includes $1.9 million pretax asset impairment and $44.3 million in pretax expenses primarily related to the Cognizant Transaction.
[8] Includes $57.8 million amortization of deferred costs of health insurer's fee and $20.8 million in other ACA fees.
[9] Includes $3.8 million pretax asset impairment primarily related to our assets held for sale in connection with the Cognizant Transaction and $68.3 million in pretax expenses primarily related to the Cognizant Transaction.
[10] Includes $35.4 million amortization of deferred costs of health insurer's fee and $25.8 million in other ACA fees.
[11] Includes $31.9 million amortization of deferred costs of health insurer's fee and $26.6 million in other ACA fees.
[12] Includes $84.7 million pretax asset impairment related to our assets held for sale in connection with the Cognizant Transaction and $21.1 million in pretax expenses primarily related to the Cognizant transaction.
[13] Includes $37.8 million amortization of deferred costs of health insurer's fee and $22.5 million in other ACA fees.
[14] Includes tax benefit of $72.6 million, net of adjustments, as a result of a loss on the stock of one of our subsidiaries.
[15] Includes $36.3 million amortization of deferred costs of health insurer's fee and $22.5 million in other ACA fees.