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Commitments and Contingencies (Tables)
9 Months Ended
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,
20212020
Reinsurance premiums assumed$22,827 $3,275 
Reinsurance premiums ceded(1,614)(3,275)
Claims assumed20,298 2,959 
Claims ceded— (422)
Claims-related administrative expenses2,160 — 
Increase in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement1,983 2,537 
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period4,002 (502)
Impact of consolidation on payable for claims and performance-based arrangements attributable to the Reinsurance Agreement— — 
Reinsurance payments paid (received)7,936 (502)
Payable (receivable) for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period$(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, 2021December 31, 2020
Cook County Health and Hospitals System43.7 %61.5 %
Florida Blue Medicare, Inc33.3 %*
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*     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 Systems29.0 %23.1 %29.0 %22.0 %
Florida Blue Medicare, Inc.13.8 %*14.2 %*
Passport*22.9 %*25.0 %
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(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