Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2019

The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.



	December 31,
	2019		2018		2017
	(In millions)
Cash and cash equivalents	$	2,452	$	2,826	$	3,186
Restricted cash and cash equivalents, non-current	56		100		95
Restricted cash and cash equivalents, current	—		—		9
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows	$	2,508	$	2,926	$	3,290

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,
	2019		2018		2017
	(In millions)
Cash and cash equivalents	$	2,452	$	2,826	$	3,186
Restricted cash and cash equivalents, non-current	56		100		95
Restricted cash and cash equivalents, current	—		—		9
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows	$	2,508	$	2,926	$	3,290

Summarized premium revenue

The following table summarizes premium revenue by health plan for the periods presented:



	Year Ended December 31,
	2019				2018				2017
	Amount		% of Total		Amount		% of Total		Amount		% of Total
	(Dollars in millions)
California	$	2,266	14.0	%	$	2,150	12.2	%	$	2,701	14.3	%
Florida	734		4.5		1,790		10.2		2,568		13.6
Illinois	1,002		6.2		793		4.5		593		3.1
Michigan	1,624		10.0		1,601		9.1		1,596		8.5
New Mexico ⁽¹⁾	—		—		1,356		7.7		1,368		7.3
Ohio	2,553		15.8		2,388		13.6		2,216		11.8
Puerto Rico	474		2.9		696		3.9		732		3.9
South Carolina	583		3.6		495		2.8		445		2.4
Texas	2,991		18.5		3,244		18.4		2,813		14.9
Washington	2,695		16.6		2,361		13.4		2,608		13.8
Other ⁽¹⁾	1,286		7.9		738		4.2		1,214		6.4
Total	$	16,208	100.0	%	$	17,612	100.0	%	$	18,854	100.0	%

_______________________

(1)

“Other” includes the Idaho, Mississippi, New York, Utah and Wisconsin health plans, which are not individually significant to our consolidated operating results. In 2019, “Other” also includes the New Mexico health plan. The New Mexico health plan’s Medicaid contract terminated on December 31, 2018, and therefore its results are not individually significant to our consolidated operating results in 2019.

Amounts due to government agencies

A summary of the categories of amounts due government agencies is as follows:



	December 31,
	2019		2018
	(In millions)
Medicaid program:
Medical cost floors and corridors	$	74	$	103
Other amounts due to states	84		81
Marketplace program:
Risk adjustment	368		466
Cost sharing reduction	—		183
Other	138		134
Total	$	664	$	967

Quality incentive premium revenue recognized

The following table quantifies the quality incentive premium revenue recognized for the periods presented, including the amounts earned in the periods presented and prior periods.



	Year Ended December 31,
	2019			2018			2017
	(In millions)
Maximum available quality incentive premium - current period	$	186		$	182		$	150

Amount of quality incentive premium revenue recognized in current period:
Earned current period	$	156		$	133		$	97
Earned prior periods	38			31			10
Total	$	194		$	164		$	107

Quality incentive premium revenue recognized as a percentage of total premium revenue	1.2		%	0.9		%	0.6		%