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Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2020
Accounting Policies [Abstract]  
Cash and cash equivalents The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.
December 31,
202020192018
(In millions)
Cash and cash equivalents$4,154 $2,452 $2,826 
Restricted cash and cash equivalents69 56 100 
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows
$4,223 $2,508 $2,926 
Restricted cash and cash equivalents The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.
December 31,
202020192018
(In millions)
Cash and cash equivalents$4,154 $2,452 $2,826 
Restricted cash and cash equivalents69 56 100 
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows
$4,223 $2,508 $2,926 
Schedule of receivables
December 31,
20202019
(In millions)
Government receivables$969 $1,056 
Pharmacy rebate receivables178 150 
Health insurer fee reimbursement receivables104 5 
Other255 195 
Magellan Complete Care166 — 
Total$1,672 $1,406 
Amounts due to government agencies Liabilities accrued for premiums to be returned under such provisions are reported in the aggregate as “Amounts due government agencies” in the accompanying consolidated balance sheets. Categorized by program, such amounts due government agencies included the following:
December 31,
20202019
(In millions)
Medicaid program:
Minimum MLR and profit sharing$513 $92 
Other76 95 
Medicare program:
Risk adjustment and Part D risk sharing45 14 
Minimum MLR and profit sharing 62 36 
Other30 21 
Marketplace program:
Risk adjustment326 368 
Minimum MLR37 15 
Other21 23 
Magellan Complete Care143 — 
Total amounts due government agencies$1,253 $664 
Summarized premium revenue
The following table summarizes premium revenue by state health plan for the periods presented:
Year Ended December 31,
202020192018
Amount% of TotalAmount% of TotalAmount% of Total
(Dollars in millions)
California$2,109 11.5 %$2,266 14.0 %$2,150 12.2 %
Florida643 3.5 734 4.5 1,790 10.2 
Illinois 1,328 7.3 1,002 6.2 793 4.5 
Kentucky654 3.6 — — — — 
Michigan1,587 8.7 1,624 10.0 1,601 9.1 
Ohio2,962 16.2 2,553 15.8 2,388 13.6 
Texas3,085 16.9 2,991 18.5 3,244 18.4 
Washington3,169 17.3 2,695 16.6 2,361 13.4 
Other (1)
2,762 15.0 2,343 14.4 3,285 18.6 
Total$18,299 100.0 %$16,208 100.0 %$17,612 100.0 %
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(1)“Other” includes the Idaho, Mississippi, New Mexico, New York, Puerto Rico, South Carolina, Utah and Wisconsin health plans, which were immaterial to our consolidated results of operations.