Insurance carriers
13 carriers · 21 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 8 contracts
$67.4M
70.9%
7,567
0.0%
-
1
Contract 225153
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2020-01-01 → 2020-12-31
$29.2M
30.7%
7,567
0.0%
-
2
Contract 8504
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. CALIFORNIA
2020-01-01 → 2020-12-31
$20.2M
21.3%
3,437
0.0%
-
4
Contract 7981
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. NORTHWEST
2020-01-01 → 2020-12-31
$4.6M
4.8%
943
0.0%
-
5
Contract 146
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. GEORGIA
2020-01-01 → 2020-12-31
$4.6M
4.8%
870
0.0%
-
6
Contract 07473
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. COLORADO
2020-01-01 → 2020-12-31
$4.1M
4.3%
721
0.0%
-
11
Contract 7461
Filed as: KAISER PERMANENTE MID-ATLANTIC
2020-01-01 → 2020-12-31
$2.6M
2.8%
451
0.0%
-
14
Contract 1067700
Filed as: KAISER PERMANENTE WASHINGTON
2020-01-01 → 2020-12-31
$1.4M
1.5%
259
0.0%
-
17
Contract 166
Filed as: KAISER FOUNDATION HEALTH PLAN, INC. HAWAII
2020-01-01 → 2020-12-31
$652K
0.7%
131
0.0%
-
2
Filed as: UNITED HEALTHCARE PACIFICARE OF ARIZONA
EIN 362739571 · Contract 730476
$7.6M
8.1%
1,190
0.0%
-
3
Filed as: BLUECROSS BLUESHIELD OF ILLINOIS
EIN 361236610 · Contract H14298
$3.8M
4.0%
718
0.0%
-
4
EIN 232311553 · Contract 100124
$3.2M
3.4%
403
0.0%
-
5
Filed as: HMSA
EIN 990040115 · Contract 51781-1,61122-2
$2.9M
3.1%
671
0.0%
-
6
Filed as: CIGNA
EIN 591031071 · Contract 2445010
$2.7M
2.9%
13,279
0.0%
-
7
Filed as: HEALTH ALLIANCE MEDICAL PLANS IL
EIN 371260731 · Contract 00418A
$2.6M
2.7%
247
0.0%
-
8
Filed as: IHC SELECT HEALTH
EIN 870409820 · Contract G1006747-1001
$1.8M
1.9%
262
0.0%
-
9
EIN 541283337 · Contract 2758,2939
$1.3M
1.4%
152
0.0%
-
10
EIN 382242827 · Contract 10000919
$1.0M
1.1%
170
0.0%
-
11
EIN 942761537 · 2 contracts
$324K
0.3%
263
0.0%
-
18
Contract 71106
Filed as: DELTACARE
2020-01-01 → 2020-12-31
$236K
0.2%
151
0.0%
-
20
Contract 277
Filed as: HAWAII DENTAL SERVICES
2020-01-01 → 2020-12-31
$89K
0.1%
263
0.0%
-
12
EIN 161483784 · Contract 22556
$146K
0.2%
20
0.0%
-
13
Filed as: UNITED CONCORDIA DENTAL PLANS OF THE MIDWEST, INC.
EIN 382289438 · Contract 810625-001,002
$14K
0.0%
60
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
21 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 | 115,281 | 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) | 115,281 | 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 | 13,279 | $3.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,279 | — |
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."