Insurance carriers
14 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 7 contracts
$53.1M
54.3%
6,229
0.0%
-
1
Contract 225153
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2016-01-01 → 2016-12-31
$21.5M
22.0%
6,229
0.0%
-
2
Contract 8504
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2016-01-01 → 2016-12-31
$15.3M
15.6%
2,831
0.0%
-
6
Contract 146
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. GEORGIA
2016-01-01 → 2016-12-31
$4.9M
5.0%
1,023
0.0%
-
7
Contract 07473
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. COLORADO
2016-01-01 → 2016-12-31
$4.8M
4.9%
936
0.0%
-
8
Contract 7981
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. NORTHWEST
2016-01-01 → 2016-12-31
$4.6M
4.7%
822
0.0%
-
15
Contract 7461
Filed as: KAISER PERMANENTE MID-ATLANTIC
2016-01-01 → 2016-12-31
$1.6M
1.6%
297
0.0%
-
19
Contract 166
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. HAWAII
2016-01-01 → 2016-12-31
$408K
0.4%
109
0.0%
-
2
EIN 952931460 · 3 contracts
$23.2M
23.7%
1,988
0.0%
-
3
Contract 102178,149646
Filed as: UNITED HEALTH CARE PACIFICARE OF SOUTH CALIFORNIA
2016-01-01 → 2016-12-31
$9.6M
9.8%
1,988
0.0%
-
4
Contract 148792,148209
Filed as: UNITED HEALTH CARE PACIFICARE OF NORTH CALIFORNIA
2016-01-01 → 2016-12-31
$6.8M
7.0%
894
0.0%
-
5
Contract 730476
Filed as: UNITED HEALTHCARE PACIFICARE OF ARIZONA
2016-01-01 → 2016-12-31
$6.8M
6.9%
1,208
0.0%
-
3
EIN 232311553 · Contract 100124
$3.2M
3.3%
705
0.0%
-
4
Filed as: BLUECROSS BLUESHIELD OF ILLINOIS
EIN 361236610 · Contract H14298
$3.1M
3.2%
573
0.0%
-
5
Filed as: HEALTH ALLIANCE MEDICAL PLANS IL
EIN 371260731 · Contract 00418A
$3.0M
3.1%
350
0.0%
-
6
Filed as: CIGNA
EIN 591031071 · Contract 2445010
$3.0M
3.1%
12,183
0.0%
-
7
Filed as: HMSA
EIN 990040155 · Contract 51781-1,61122-2
$2.9M
3.0%
727
0.0%
-
8
Filed as: IHC SELECT HEALTH
EIN 870409820 · Contract G1006747-1001
$1.9M
2.0%
332
0.0%
-
9
EIN 541283337 · Contract 2758,2939
$1.4M
1.4%
221
0.0%
-
10
Filed as: GROUP HEALTH COOPERATIVE
EIN 910511770 · Contract 1067700
$1.4M
1.4%
291
0.0%
-
11
EIN 382242827 · Contract 10000919
$1.2M
1.2%
227
0.0%
-
12
EIN 161483784 · Contract 14700L
$206K
0.2%
38
0.0%
-
13
EIN 990107971 · 2 contracts
$193K
0.2%
509
0.0%
-
21
Contract 277
Filed as: HAWAII DENTAL SERVICES
2016-01-01 → 2016-12-31
$153K
0.2%
509
0.0%
-
22
Contract 71106
Filed as: DELTACARE
2016-01-01 → 2016-12-31
$40K
0.0%
296
0.0%
-
14
Filed as: UNITED CONCORDIA DENTAL PLANS OF THE MIDWEST, INC.
EIN 382289438 · Contract 810625-001,002
$17K
0.0%
80
0.0%
-
Brokers
No brokers reported on this filing.
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
3 benefit types
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
HealthDental✓VisionNot declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
23 Sch A contracts
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
Form 5500 line 6 — sponsor-reported, single number per filing
| Active participants | 103,328 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 103,328 | Active + retired/separated + beneficiaries. No dependents. |
Schedule A — per-contract enrollment, one row per coverage line
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|
| Dental(4 contracts, 4 carriers) | CIGNA | 12,183 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,183 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."