Insurance carriers
11 carriers · 63 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 232169745 · 23 contracts
$8.5M
31.3%
860
0.0%
-
3
Contract US354317
Filed as: AETNA HEALTH INC. OF PENNSYLVANIA
2017-01-01 → 2017-12-31
$3.3M
12.1%
860
0.0%
-
5
Contract US354317
Filed as: AETNA HEALTH INC. OF NEW JERSEY
2017-01-01 → 2017-12-31
$2.2M
8.3%
564
0.0%
-
8
Contract US354317
Filed as: AETNA HEALTH INC. OF FLORIDA
2017-01-01 → 2017-12-31
$916K
3.4%
277
0.0%
-
10
Contract US354317
Filed as: AETNA HEALTH INC. OF NEW YORK
2017-01-01 → 2017-12-31
$424K
1.6%
111
0.0%
-
11
Contract US354317
Filed as: AETNA HEALTH INC. OF OHIO
2017-01-01 → 2017-12-31
$335K
1.2%
103
0.0%
-
15
Contract US354317
Filed as: AETNA HEALTH INC. OF TEXAS
2017-01-01 → 2017-12-31
$206K
0.8%
77
0.0%
-
19
Contract US354317
Filed as: AETNA HEALTH INC. OF GEORGIA
2017-01-01 → 2017-12-31
$171K
0.6%
49
0.0%
-
20
Contract US354317
Filed as: AETNA HEALTH INC. OF MARYLAND
2017-01-01 → 2017-12-31
$160K
0.6%
48
0.0%
-
21
Contract US354317
Filed as: AETNA HEALTH INC. OF CONNECTICUT
2017-01-01 → 2017-12-31
$143K
0.5%
42
0.0%
-
22
Contract US354317
Filed as: AETNA HEALTH INC. OF CALIFORNIA
2017-01-01 → 2017-12-31
$138K
0.5%
63
0.0%
-
29
Contract US354317
Filed as: AETNA HEALTH INC. OF ARIZONA
2017-01-01 → 2017-12-31
$89K
0.3%
33
0.0%
-
32
Contract US354317
Filed as: AETNA HEALTH INC. OF NORTH CAROLINA
2017-01-01 → 2017-12-31
$83K
0.3%
29
0.0%
-
34
Contract US354317
Filed as: AETNA HEALTH INC. OF ILLINOIS
2017-01-01 → 2017-12-31
$71K
0.3%
19
0.0%
-
38
Contract US354317
Filed as: AETNA HEALTH INC. OF COLORADO
2017-01-01 → 2017-12-31
$45K
0.2%
16
0.0%
-
42
Contract US354317
Filed as: AETNA HEALTH INC. OF VIRGINIA
2017-01-01 → 2017-12-31
$32K
0.1%
13
0.0%
-
43
Contract US354317
Filed as: AETNA HEALTH INC. OF MAINE
2017-01-01 → 2017-12-31
$29K
0.1%
9
0.0%
-
44
Contract US354317
Filed as: AETNA HEALTH INC. OF OKLAHOMA
2017-01-01 → 2017-12-31
$29K
0.1%
10
0.0%
-
49
Contract US354317
Filed as: AETNA HEALTH INC. OF KENTUCKY
2017-01-01 → 2017-12-31
$21K
0.1%
6
0.0%
-
50
Contract US354317
Filed as: AETNA HEALTH INC. OF NEVADA
2017-01-01 → 2017-12-31
$21K
0.1%
7
0.0%
-
51
Contract US354317
Filed as: AETNA HEALTH INC. OF MISSOURI
2017-01-01 → 2017-12-31
$18K
0.1%
7
0.0%
-
55
Contract US354317
Filed as: AETNA HEALTH INC. OF DELAWARE
2017-01-01 → 2017-12-31
$13K
0.0%
4
0.0%
-
59
Contract US354317
Filed as: AETNA HEALTH INC. OF KANSAS
2017-01-01 → 2017-12-31
$5K
0.0%
2
0.0%
-
62
Contract US354317
Filed as: AETNA HEALTH INC. OF MASSACHUSETTS
2017-01-01 → 2017-12-31
$3K
0.0%
1
0.0%
-
2
EIN 221211670 · 3 contracts
$8.3M
30.6%
1,264
3.1%
-
1
Contract G-21615
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$5.2M
19.2%
1,015
2.6%
-
4
Contract G-22310
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$3.1M
11.4%
1,094
3.9%
-
63
Contract 99700000
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$0
0.0%
1,264
-
-
3
EIN 591031071 · 4 contracts
$5.8M
21.5%
329
0.0%
-
2
Contract 2461906
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMAPNY
2017-01-01 → 2017-12-31
$4.4M
16.2%
329
0.0%
-
7
Contract 2461902
2017-01-01 → 2017-12-31
$1.1M
4.2%
3
0.0%
-
13
Contract 2461898
2017-01-01 → 2017-12-31
$239K
0.9%
3
0.0%
-
35
Contract 2470454
2017-01-01 → 2017-12-31
$56K
0.2%
0
0.0%
-
4
EIN 410797853 · Contract 0684
$1.2M
4.6%
459
0.0%
-
5
EIN 952931460 · 9 contracts
$906K
3.3%
49
0.0%
-
17
Contract 149758
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2017-01-01 → 2017-12-31
$190K
0.7%
47
0.0%
-
18
Contract R5342
Filed as: UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK
2017-01-01 → 2017-12-31
$177K
0.7%
49
0.0%
-
24
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2017-01-01 → 2017-12-31
$119K
0.4%
27
0.0%
-
25
Contract 060486
Filed as: UNITEDHEALTHCARE OF ARIZONA
2017-01-01 → 2017-12-31
$115K
0.4%
37
0.0%
-
27
Contract 092167
Filed as: UNITEDHEALTHCARE OF COLORADO
2017-01-01 → 2017-12-31
$98K
0.4%
24
0.0%
-
33
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2017-01-01 → 2017-12-31
$81K
0.3%
22
0.0%
-
37
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2017-01-01 → 2017-12-31
$49K
0.2%
11
0.0%
-
40
Contract 018403
Filed as: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
2017-01-01 → 2017-12-31
$43K
0.2%
15
0.0%
-
41
Contract 808299
Filed as: UNITEDHEALTHCARE OF OKLAHOMA, INC.
2017-01-01 → 2017-12-31
$35K
0.1%
10
0.0%
-
6
EIN 061041332 · Contract PIC-COR, RET
$802K
3.0%
5,112
0.0%
-
7
EIN 611013183 · 16 contracts
$523K
1.9%
33
0.0%
-
23
Contract 295020
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$120K
0.4%
33
0.0%
-
28
Contract 237090
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$96K
0.4%
26
0.0%
-
31
Contract 240818
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$83K
0.3%
28
0.0%
-
39
Contract 253064
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$43K
0.2%
1
0.0%
-
45
Contract 294885
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$27K
0.1%
1
0.0%
-
46
Contract 237105
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$26K
0.1%
9
0.0%
-
47
Contract 237143
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$25K
0.1%
10
0.0%
-
48
Contract 237151
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$23K
0.1%
8
0.0%
-
52
Contract 237158
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$18K
0.1%
6
0.0%
-
53
Contract 237170
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$15K
0.1%
6
0.0%
-
54
Contract 237155
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$14K
0.1%
5
0.0%
-
56
Contract 292860
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$12K
0.0%
4
0.0%
-
57
Contract 237168
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$9K
0.0%
3
0.0%
-
58
Contract 237113
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$5K
0.0%
2
0.0%
-
60
Contract 295164
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$4K
0.0%
1
0.0%
-
61
Contract 295833
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$3K
0.0%
1
0.0%
-
8
EIN 061181120 · 3 contracts
$375K
1.4%
125
0.0%
-
14
Contract H0755
Filed as: OXFORD HEALTH PLANS (CT), INC.
2017-01-01 → 2017-12-31
$235K
0.9%
125
0.0%
-
30
Contract H0755
Filed as: OXFORD HEALTH PLANS (CT), INC.
2017-01-01 → 2017-12-31
$89K
0.3%
31
0.0%
-
36
Contract H3307
Filed as: OXFORD HEALTH PLANS (NY), INC.
2017-01-01 → 2017-12-31
$51K
0.2%
32
0.0%
-
9
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1432
$332K
1.2%
100
0.0%
-
10
EIN 141640868 · Contract 706529
$202K
0.7%
52
0.0%
-
11
Filed as: PREFERRED CARE PARTNERS, INC.
EIN 650885893 · Contract H1045
$113K
0.4%
34
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✓VisionNot declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
63 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 | 20,646 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,646 | 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)(56 contracts, 39 carriers) | AETNA HEALTH INC. OF PENNSYLVANIA | 5,112 | $13.0M |
| Dental(4 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMAPNY | 329 | $5.8M |
| Life insurance(3 contracts) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,264 | $8.3M |
| Prescription drug(56 contracts, 39 carriers) | AETNA HEALTH INC. OF PENNSYLVANIA | 5,112 | $13.0M |
| Other(4 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMAPNY | 329 | $5.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,112 | — |
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."