Insurance carriers
13 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 8 contracts
$57.1M
57.0%
6,209
0.0%
-
1
Contract 225153
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2017-01-01 → 2017-12-31
$22.7M
22.7%
6,209
0.0%
-
2
Contract 8504
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2017-01-01 → 2017-12-31
$15.9M
15.8%
2,825
0.0%
-
6
Contract 07473
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. COLORADO
2017-01-01 → 2017-12-31
$4.8M
4.8%
877
0.0%
-
7
Contract 146
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. GEORGIA
2017-01-01 → 2017-12-31
$4.8M
4.7%
992
0.0%
-
8
Contract 7981
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. NORTHWEST
2017-01-01 → 2017-12-31
$4.8M
4.7%
811
0.0%
-
14
Contract 7461
Filed as: KAISER PERMANENTE MID-ATLANTIC
2017-01-01 → 2017-12-31
$2.0M
2.0%
394
0.0%
-
16
Contract 1067700
Filed as: KAISER PERMANENTE WASHINGTON
2017-01-01 → 2017-12-31
$1.7M
1.7%
300
0.0%
-
19
Contract 166
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. HAWAII
2017-01-01 → 2017-12-31
$468K
0.5%
110
0.0%
-
2
EIN 952931460 · 3 contracts
$22.8M
22.8%
1,934
0.0%
-
3
Contract 102178,149646
Filed as: UNITED HEALTH CARE PACIFICARE OF SOUTH CALIFORNIA
2017-01-01 → 2017-12-31
$9.5M
9.4%
1,934
0.0%
-
4
Contract 148792,148209
Filed as: UNITED HEALTH CARE PACIFICARE OF NORTH CALIFORNIA
2017-01-01 → 2017-12-31
$6.7M
6.7%
808
0.0%
-
5
Contract 730476
Filed as: UNITED HEALTHCARE PACIFICARE OF ARIZONA
2017-01-01 → 2017-12-31
$6.7M
6.6%
1,220
0.0%
-
3
EIN 232311553 · Contract 100124
$3.4M
3.4%
693
0.0%
-
4
Filed as: BLUECROSS BLUESHIELD OF ILLINOIS
EIN 361236610 · Contract H14298
$3.4M
3.4%
638
0.0%
-
5
Filed as: HEALTH ALLIANCE MEDICAL PLANS IL
EIN 371260731 · Contract 00418A
$3.2M
3.2%
328
0.0%
-
6
Filed as: HMSA
EIN 990040115 · Contract 51781-1,61122-2
$3.0M
3.0%
761
0.0%
-
7
Filed as: CIGNA
EIN 591031071 · Contract 2445010
$2.7M
2.7%
14,435
0.0%
-
8
Filed as: IHC SELECT HEALTH
EIN 870409820 · Contract G1006747-1001
$1.9M
1.9%
287
0.0%
-
9
EIN 541283337 · Contract 2758,2939
$1.2M
1.2%
185
0.0%
-
10
EIN 382242827 · Contract 10000919
$1.1M
1.1%
212
0.0%
-
11
EIN 942761537 · 2 contracts
$296K
0.3%
335
0.0%
-
21
Contract 71106
Filed as: DELTACARE
2017-01-01 → 2017-12-31
$201K
0.2%
223
0.0%
-
22
Contract 277
Filed as: HAWAII DENTAL SERVICES
2017-01-01 → 2017-12-31
$95K
0.1%
335
0.0%
-
12
EIN 161483784 · Contract 22556
$260K
0.3%
56
0.0%
-
13
Filed as: UNITED CONCORDIA DENTAL PLANS OF THE MIDWEST, INC.
EIN 382289438 · Contract 810625-001,002
$14K
0.0%
68
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 | 104,795 | 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) | 104,795 | 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 | 14,435 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,435 | — |
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."