Insurance carriers
5 carriers · 25 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 4 contracts
$9.5M
65.1%
1,707
0.0%
-
1
Contract 232546
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2021-01-01 → 2021-12-31
$7.6M
52.1%
1,707
0.0%
-
3
Contract 10264
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2021-01-01 → 2021-12-31
$1.7M
11.3%
374
0.0%
-
6
Contract 35944
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2021-01-01 → 2021-12-31
$202K
1.4%
37
0.0%
-
18
Contract 607045
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2021-04-01 → 2021-12-31
$33K
0.2%
9
0.0%
-
2
EIN 200891619 · Contract 12129392
$2.8M
19.1%
23,392
0.0%
-
3
EIN 591031071 · 18 contracts
$2.2M
14.8%
1,608
0.0%
-
4
Contract 3340114
2021-01-01 → 2021-12-31
$1.1M
7.4%
1,608
0.0%
-
5
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF CALIFORNIA
2021-01-01 → 2021-12-31
$265K
1.8%
172
0.0%
-
7
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF ILLINOIS
2021-01-01 → 2021-12-31
$178K
1.2%
116
0.0%
-
8
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF TEXAS
2021-01-01 → 2021-12-31
$152K
1.0%
99
0.0%
-
9
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF FLORIDA
2021-01-01 → 2021-12-31
$95K
0.7%
62
0.0%
-
11
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF MISSOURI
2021-01-01 → 2021-12-31
$78K
0.5%
51
0.0%
-
12
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF ARIZONA
2021-01-01 → 2021-12-31
$59K
0.4%
39
0.0%
-
13
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF NORTH CAROLINA
2021-01-01 → 2021-12-31
$58K
0.4%
24
0.0%
-
15
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF PENNSYLVANIA
2021-01-01 → 2021-12-31
$50K
0.3%
32
0.0%
-
16
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF COLORADO
2021-01-01 → 2021-12-31
$39K
0.3%
25
0.0%
-
17
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF OHIO
2021-01-01 → 2021-12-31
$34K
0.2%
22
0.0%
-
19
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF NEW JERSEY
2021-01-01 → 2021-12-31
$23K
0.2%
16
0.0%
-
20
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF VIRGINIA
2021-01-01 → 2021-12-31
$14K
0.1%
6
0.0%
-
21
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF MARYLAND
2021-01-01 → 2021-12-31
$12K
0.1%
8
0.0%
-
22
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF KANSAS
2021-01-01 → 2021-12-31
$12K
0.1%
8
0.0%
-
23
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF CONNECTICUT
2021-01-01 → 2021-12-31
$7K
0.0%
5
0.0%
-
24
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF DELAWARE
2021-01-01 → 2021-12-31
$2K
0.0%
1
0.0%
-
25
Contract 3340114
Filed as: CIGNA DENTAL HEALTH OF KENTUCKY
2021-01-01 → 2021-12-31
$846
0.0%
1
0.0%
-
4
EIN 660520918 · Contract 79-791284
$87K
0.6%
10
0.0%
-
5
Filed as: HMSA
EIN 990040115 · Contract 088083 001/003
$58K
0.4%
12
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).
Health✓Dental✓Vision✓Not declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
25 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 | 17,126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 517 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 814 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,457 | Active + retired/separated + beneficiaries. No dependents. |
Schedule A — per-contract enrollment, one row per coverage line
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 1,707 | $9.6M |
| Dental(18 contracts, 18 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,608 | $2.2M |
| Vision | VISION SERVICE PLAN | 23,392 | $2.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,392 | — |
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."