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Commitments and Contingencies (Tables) | 9 Months Ended
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Sep. 30, 2021
Commitments and Contingencies Disclosure [Abstract] |
Summary of premiums and claims assumed | The following summarizes premiums and claims assumed under the Reinsurance Agreements for the nine months ended September 30, 2021 and 2020 (in thousands):
| For the Nine Months Ended September 30,
| 2021 |  | 2020
Reinsurance premiums assumed | $ | 22,827 |  |  | $ | 3,275 |
Reinsurance premiums ceded | (1,614) |  |  | (3,275) |
Claims assumed | 20,298 |  |  | 2,959 |
Claims ceded | — |  |  | (422) |
Claims-related administrative expenses | 2,160 |  |  | — |
Increase in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement | 1,983 |  |  | 2,537 |
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period | 4,002 |  |  | (502) |
Impact of consolidation on payable for claims and performance-based arrangements attributable to the Reinsurance Agreement | — |  |  | — |
Reinsurance payments paid (received) | 7,936 |  |  | (502) |
Payable (receivable) for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period | $ | (1,951) |  |  | $ | 2,537 |
Summary of major customers | The following table summarizes the partners who represented at least 10.0% of our consolidated trade accounts receivable as of September 30, 2021 and December 31, 2020:
| September 30, 2021 |  | December 31, 2020
Cook County Health and Hospitals System | 43.7 | % |  | 61.5 | %
Florida Blue Medicare, Inc | 33.3 | % |  | *
———————— * Represents less than 10.0% of the respective balance The following table summarizes those partners who represented at least 10.0% of our consolidated revenue for the three and nine months ended September 30, 2021 and 2020:
| For the Three Months Ended September 30, |  | For the Nine Months Ended September 30,
| 2021 |  | 2020 (1) |  | 2021 |  | 2020 (1)
Cook County Health and Hospitals Systems | 29.0 | % |  | 23.1 | % |  | 29.0 | % |  | 22.0 | %
Florida Blue Medicare, Inc. | 13.8 | % |  | * |  | 14.2 | % |  | *
Passport | * |  | 22.9 | % |  | * |  | 25.0 | %
———————— (1)The denominator excludes $29.5 million and $87.1 million of True Health premium revenue reclassified to discontinued operations for the three and nine months ended September 30, 2020, respectively. * Represents less than 10.0% of the respective balance

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