Insurance carriers
6 carriers · 18 contracts · ranked by premium
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Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 840591617 · 6 contracts
$0
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1
Contract 35607
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2024-01-01 → 2024-12-31
$0
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2
Contract 10124
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2024-01-01 → 2024-12-31
$0
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3
Contract 4193
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2024-01-01 → 2024-12-31
$0
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4
Contract 9109
2024-01-01 → 2024-12-31
$0
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5
Contract 19516
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2024-01-01 → 2024-12-31
$0
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6
Contract 100793
2024-01-01 → 2024-12-31
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2
EIN 222777159 · 2 contracts
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7
Contract 30043759
2024-01-01 → 2024-12-31
$0
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17
Contract 30043759
2024-01-01 → 2024-12-31
$0
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3
EIN 860773195 · 4 contracts
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8
Contract 10522331001
Filed as: EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE COMPANY OF NY
2024-01-01 → 2024-12-31
$0
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11
Contract 10522341001
Filed as: EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE COMPANY OF NY
2024-01-01 → 2024-12-31
$0
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15
Contract 1052231
Filed as: EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE COMPANY OF NY
2024-01-01 → 2024-12-31
$0
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18
Contract 1052232
Filed as: EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE COMPANY OF NY
2024-01-01 → 2024-12-31
$0
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4
EIN 590781901 · 4 contracts
$0
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9
Contract 49256-CI
2024-01-01 → 2024-12-31
$0
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10
Contract 49256-ACCIDENT
2024-01-01 → 2024-12-31
$0
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12
Contract 49257-ACCIDENT
2024-01-01 → 2024-12-31
$0
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13
Contract 49257-CI
2024-01-01 → 2024-12-31
$0
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5
Filed as: AIG UK LIMITED
Contract 0010015190
$0
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6
Filed as: METLIFE LEGAL PLANS
EIN 341650967 · Contract 470010
$0
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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✓DentalVision✓Not declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
18 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 | 749 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,227 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,979 | 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 OF COLORADO | 0 | $0 |
| Vision(6 contracts, 2 carriers) | VISION SERVICE PLAN | 0 | $0 |
| Prescription drug(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 0 | $0 |
| Other(6 contracts, 3 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Opportunity flags
0 of 12 tripped
No prospect flags tripped on this filing.