Insurance carriers
9 carriers · 72 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 221211670 · 2 contracts
$7.0M
63.7%
1,124
4.2%
-
1
Contract G-21615
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2015-01-01 → 2015-12-31
$4.7M
43.0%
1,074
3.6%
-
2
Contract G-22310
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2015-01-01 → 2015-12-31
$2.3M
20.7%
1,124
5.6%
-
2
EIN 952931460 · 14 contracts
$1.1M
10.0%
88
0.0%
-
6
Contract 149758
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2015-01-01 → 2015-12-31
$179K
1.6%
51
0.0%
-
8
Contract 40530
2015-01-01 → 2015-12-31
$148K
1.4%
88
0.0%
-
9
Contract 14100
2015-01-01 → 2015-12-31
$148K
1.4%
49
0.0%
-
13
Contract 82009
Filed as: UNITEDHEALTHCARE OF FL, INC
2015-01-01 → 2015-12-31
$95K
0.9%
32
0.0%
-
14
Contract 060486
Filed as: UNITEDHEALTHCARE OF ARIZONA
2015-01-01 → 2015-12-31
$94K
0.9%
34
0.0%
-
15
Contract 70069
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2015-01-01 → 2015-12-31
$91K
0.8%
24
0.0%
-
16
Contract 092167
Filed as: UNITEDHEALTHCARE OF COLORADO
2015-01-01 → 2015-12-31
$83K
0.8%
25
0.0%
-
18
Contract 71516
Filed as: UNITEDHEALTHCARE OF NORTH CAROLINA
2015-01-01 → 2015-12-31
$68K
0.6%
21
0.0%
-
19
Contract 27021
2015-01-01 → 2015-12-31
$63K
0.6%
25
0.0%
-
23
Contract H-3659
Filed as: UNITEDHEALTHCARE OF OHIO, INC.
2015-01-01 → 2015-12-31
$37K
0.3%
10
0.0%
-
24
Contract 018403
Filed as: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
2015-01-01 → 2015-12-31
$36K
0.3%
15
0.0%
-
27
Contract 66045
2015-01-01 → 2015-12-31
$25K
0.2%
18
0.0%
-
28
Contract 808299
Filed as: UNITEDHEALTHCARE OF OKLAHOMA, INC.
2015-01-01 → 2015-12-31
$24K
0.2%
8
0.0%
-
72
Contract 667192
Filed as: UNITEDHEALTHCARE OF NEVADA
2015-01-01 → 2015-12-31
$0
0.0%
0
-
-
3
EIN 410797853 · Contract 0684
$945K
8.6%
400
0.0%
-
4
EIN 061041332 · Contract PIC-COR, RET
$737K
6.7%
3,194
0.0%
-
5
EIN 611013183 · 19 contracts
$493K
4.5%
34
0.0%
-
11
Contract 259154
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$103K
0.9%
34
0.0%
-
17
Contract 237090
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$73K
0.7%
27
0.0%
-
20
Contract 240818
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$58K
0.5%
24
0.0%
-
21
Contract 260492
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$40K
0.4%
1
0.0%
-
22
Contract 253058
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$40K
0.4%
1
0.0%
-
25
Contract 253064
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$35K
0.3%
1
0.0%
-
29
Contract 237143
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$23K
0.2%
11
0.0%
-
30
Contract 237151
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$21K
0.2%
9
0.0%
-
31
Contract 237105
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$18K
0.2%
8
0.0%
-
32
Contract 260175
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$16K
0.1%
0
0.0%
-
33
Contract 237158
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$15K
0.1%
6
0.0%
-
34
Contract 237155
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$10K
0.1%
4
0.0%
-
35
Contract 237170
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$10K
0.1%
4
0.0%
-
36
Contract 253080
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$9K
0.1%
0
0.0%
-
37
Contract 237168
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$8K
0.1%
3
0.0%
-
40
Contract 294885
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$5K
0.0%
1
0.0%
-
42
Contract 292860
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$4K
0.0%
2
0.0%
-
43
Contract 237113
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$4K
0.0%
2
0.0%
-
46
Contract 293707
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$1K
0.0%
1
0.0%
-
6
EIN 042674079 · 2 contracts
$291K
2.7%
95
0.0%
-
5
Contract 1432
Filed as: TUFTS HEALTH PLAN, MEDICARE PREFERRED
2015-01-01 → 2015-12-31
$265K
2.4%
95
0.0%
-
26
Contract 50232
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2015-01-01 → 2015-12-31
$25K
0.2%
1
0.0%
-
7
EIN 066033492 · 31 contracts
$264K
2.4%
198
0.0%
-
7
Contract 800256
2015-01-01 → 2015-12-31
$151K
1.4%
198
0.0%
-
12
Contract 800256
Filed as: AETNA DENTAL INC.
2015-01-01 → 2015-12-31
$95K
0.9%
125
0.0%
-
39
Contract 800256
Filed as: AETNA DENTAL OF CALIFORNIA INC
2015-01-01 → 2015-12-31
$6K
0.1%
8
0.0%
-
41
Contract 800256
Filed as: AETNA DENTAL INC.
2015-01-01 → 2015-12-31
$5K
0.0%
6
0.0%
-
44
Contract 800256
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$3K
0.0%
4
0.0%
-
45
Contract 800256
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$3K
0.0%
4
0.0%
-
47
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
48
Contract US354317
Filed as: AETNA HEALTH OF CALIFORNIA INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
49
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
50
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
51
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
52
Contract US354317
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
53
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
54
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
55
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
56
Contract US354317
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
57
Contract US354317
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
58
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
59
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
60
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
61
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
62
Contract US354317
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
63
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
64
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
65
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
66
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
67
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
68
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
69
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
70
Contract US354317
Filed as: AETNA HEALTH INC.
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
71
Contract US354317
2015-01-01 → 2015-12-31
$0
0.0%
-
-
-
8
EIN 141640868 · Contract 706529
$141K
1.3%
51
0.0%
-
9
EIN 421282065 · Contract 0264340004
$7K
0.1%
1
0.0%
-
Brokers
No brokers 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
72 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21,529 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,529 | 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)(63 contracts, 21 carriers) | GROUP HEALTH PLAN, INC. | 400 | $3.0M |
| Dental(6 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 198 | $264K |
| Vision | HM LIFE INSURANCE COMPANY | 3,194 | $737K |
| Life insurance(2 contracts) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,124 | $7.0M |
| Prescription drug(63 contracts, 21 carriers) | GROUP HEALTH PLAN, INC. | 400 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,194 | — |
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."