Insurance carriers
11 carriers · 76 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 221211670 · 3 contracts
$14.6M
60.8%
1,174
3.1%
-
1
Contract G-22310
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2021-01-01 → 2021-12-31
$7.4M
30.9%
1,050
2.4%
-
2
Contract G-21615
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2021-01-01 → 2021-12-31
$7.2M
29.9%
944
3.9%
-
76
Contract 99700000
Filed as: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
2021-01-01 → 2021-12-31
$0
0.0%
1,174
-
-
2
EIN 232169745 · 39 contracts
$7.0M
29.2%
350
0.0%
-
3
Contract US354317
Filed as: AETNA HEALTH INC. OF PENNSYLVANIA
2021-01-01 → 2021-12-31
$1.7M
7.0%
350
0.0%
-
4
Contract 000007523
Filed as: AETNA
2021-01-01 → 2021-12-31
$1.7M
7.0%
350
0.0%
-
6
Contract US354317
Filed as: AETNA HEALTH INC. OF NEW JERSEY
2021-01-01 → 2021-12-31
$923K
3.8%
185
0.0%
-
7
Contract 000007513
Filed as: AETNA
2021-01-01 → 2021-12-31
$923K
3.8%
185
0.0%
-
8
Contract 000007543
Filed as: COVENTRY
2021-01-01 → 2021-12-31
$383K
1.6%
91
0.0%
-
11
Contract US354317
Filed as: AETNA HEALTH INC. OF NEW YORK
2021-01-01 → 2021-12-31
$172K
0.7%
36
0.0%
-
12
Contract 000007533
Filed as: AETNA
2021-01-01 → 2021-12-31
$172K
0.7%
36
0.0%
-
13
Contract US354317
Filed as: AETNA HEALTH INC. OF TEXAS
2021-01-01 → 2021-12-31
$114K
0.5%
32
0.0%
-
14
Contract 000007583
Filed as: AETNA
2021-01-01 → 2021-12-31
$114K
0.5%
32
0.0%
-
16
Contract US354317
Filed as: AETNA HEALTH INC. OF OHIO
2021-01-01 → 2021-12-31
$93K
0.4%
22
0.0%
-
17
Contract 000007573
Filed as: AETNA
2021-01-01 → 2021-12-31
$93K
0.4%
22
0.0%
-
19
Contract US354317
Filed as: AETNA HEALTH INC. OF GEORGIA
2021-01-01 → 2021-12-31
$78K
0.3%
18
0.0%
-
20
Contract 000007553
Filed as: AETNA
2021-01-01 → 2021-12-31
$78K
0.3%
18
0.0%
-
21
Contract US354317
Filed as: AETNA HEALTH INC. OF MARYLAND
2021-01-01 → 2021-12-31
$69K
0.3%
16
0.0%
-
22
Contract 000007563
Filed as: AETNA
2021-01-01 → 2021-12-31
$69K
0.3%
16
0.0%
-
24
Contract US354317
Filed as: AETNA HEALTH INC. OF CALIFORNIA
2021-01-01 → 2021-12-31
$61K
0.3%
20
0.0%
-
25
Contract 000007503
Filed as: AETNA
2021-01-01 → 2021-12-31
$61K
0.3%
20
0.0%
-
39
Contract US354317
Filed as: AETNA HEALTH INC. OF DELAWARE
2021-01-01 → 2021-12-31
$19K
0.1%
3
0.0%
-
40
Contract 000009383
Filed as: AETNA
2021-01-01 → 2021-12-31
$19K
0.1%
3
0.0%
-
41
Contract US354317
Filed as: AETNA HEALTH INC. OF NORTH CAROLINA
2021-01-01 → 2021-12-31
$18K
0.1%
5
0.0%
-
42
Contract 000009951
Filed as: AETNA
2021-01-01 → 2021-12-31
$18K
0.1%
5
0.0%
-
43
Contract US354317
Filed as: AETNA HEALTH INC. OF CONNECTICUT
2021-01-01 → 2021-12-31
$17K
0.1%
4
0.0%
-
44
Contract 000009373
Filed as: AETNA
2021-01-01 → 2021-12-31
$17K
0.1%
4
0.0%
-
47
Contract US354317
Filed as: AETNA HEALTH INC. OF MISSOURI
2021-01-01 → 2021-12-31
$13K
0.1%
4
0.0%
-
48
Contract 000009941
Filed as: AETNA
2021-01-01 → 2021-12-31
$13K
0.1%
4
0.0%
-
49
Contract US354317
Filed as: AETNA HEALTH INC. OF ILLINOIS
2021-01-01 → 2021-12-31
$13K
0.1%
3
0.0%
-
50
Contract 000009363
Filed as: AETNA
2021-01-01 → 2021-12-31
$13K
0.1%
3
0.0%
-
52
Contract US354317
Filed as: AETNA HEALTH INC. OF COLORADO
2021-01-01 → 2021-12-31
$11K
0.0%
3
0.0%
-
53
Contract 000007890
Filed as: AETNA
2021-01-01 → 2021-12-31
$11K
0.0%
3
0.0%
-
57
Contract US354317
Filed as: AETNA HEALTH INC. OF KENTUCKY
2021-01-01 → 2021-12-31
$9K
0.0%
2
0.0%
-
58
Contract 000009911
Filed as: AETNA
2021-01-01 → 2021-12-31
$9K
0.0%
2
0.0%
-
60
Contract US354317
Filed as: AETNA HEALTH INC. OF ARIZONA
2021-01-01 → 2021-12-31
$7K
0.0%
2
0.0%
-
61
Contract 000007593
Filed as: AETNA
2021-01-01 → 2021-12-31
$7K
0.0%
2
0.0%
-
64
Contract US354317
Filed as: AETNA HEALTH INC. OF OKLAHOMA
2021-01-01 → 2021-12-31
$4K
0.0%
1
0.0%
-
65
Contract 000009413
Filed as: AETNA
2021-01-01 → 2021-12-31
$4K
0.0%
1
0.0%
-
66
Contract US354317
Filed as: AETNA HEALTH INC. OF MAINE
2021-01-01 → 2021-12-31
$4K
0.0%
1
0.0%
-
67
Contract 000009393
Filed as: AETNA
2021-01-01 → 2021-12-31
$4K
0.0%
1
0.0%
-
68
Contract US354317
Filed as: AETNA HEALTH INC. OF VIRGINIA
2021-01-01 → 2021-12-31
$3K
0.0%
1
0.0%
-
69
Contract 000009433
Filed as: AETNA
2021-01-01 → 2021-12-31
$3K
0.0%
1
0.0%
-
3
EIN 061041332 · Contract PIC-COR, RET
$962K
4.0%
5,250
0.0%
-
4
Filed as: HEALTHPARTNERS, INC
EIN 411693838 · Contract 0684
$367K
1.5%
123
0.0%
-
5
EIN 952931460 · 9 contracts
$299K
1.2%
14
0.0%
-
26
Contract 149758
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2021-01-01 → 2021-12-31
$60K
0.3%
14
0.0%
-
28
Contract R5342
Filed as: UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK
2021-01-01 → 2021-12-31
$49K
0.2%
13
0.0%
-
31
Contract 092167
Filed as: UNITEDHEALTHCARE OF COLORADO
2021-01-01 → 2021-12-31
$43K
0.2%
10
0.0%
-
32
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2021-01-01 → 2021-12-31
$41K
0.2%
10
0.0%
-
34
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2021-01-01 → 2021-12-31
$32K
0.1%
7
0.0%
-
35
Contract 060486
Filed as: UNITEDHEALTHCARE OF ARIZONA
2021-01-01 → 2021-12-31
$28K
0.1%
8
0.0%
-
38
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC.
2021-01-01 → 2021-12-31
$19K
0.1%
4
0.0%
-
46
Contract 808299
Filed as: UNITEDHEALTHCARE OF OKLAHOMA, INC.
2021-01-01 → 2021-12-31
$15K
0.1%
4
0.0%
-
51
Contract 018403
Filed as: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
2021-01-01 → 2021-12-31
$12K
0.0%
4
0.0%
-
6
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1432
$222K
0.9%
61
0.0%
-
7
EIN 611103898 · 13 contracts
$215K
0.9%
16
0.0%
-
27
Contract 253064
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$56K
0.2%
1
0.0%
-
30
Contract 311307
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$46K
0.2%
13
0.0%
-
33
Contract 311228
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$38K
0.2%
16
0.0%
-
37
Contract 304121
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2021-01-01 → 2021-12-31
$23K
0.1%
8
0.0%
-
54
Contract 311246
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$10K
0.0%
4
0.0%
-
55
Contract 311309
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$10K
0.0%
4
0.0%
-
56
Contract 311470
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$9K
0.0%
3
0.0%
-
59
Contract 311224
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$7K
0.0%
3
0.0%
-
62
Contract 311262
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$5K
0.0%
2
0.0%
-
63
Contract 311226
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$5K
0.0%
2
0.0%
-
70
Contract 311244
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$2K
0.0%
1
0.0%
-
71
Contract 321599
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2021-01-01 → 2021-12-31
$2K
0.0%
1
0.0%
-
73
Contract 311242
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$1K
0.0%
0
0.0%
-
8
EIN 061181201 · 3 contracts
$125K
0.5%
22
0.0%
-
23
Contract H0755,H1045
Filed as: OXFORD HEALTH PLANS (CT), INC.
2021-01-01 → 2021-12-31
$62K
0.3%
18
0.0%
-
29
Contract H0755
Filed as: OXFORD HEALTH PLANS (CT), INC.
2021-01-01 → 2021-12-31
$48K
0.2%
22
0.0%
-
45
Contract H3307
Filed as: OXFORD HEALTH PLANS (NY), INC.
2021-01-01 → 2021-12-31
$15K
0.1%
8
0.0%
-
9
EIN 591031071 · 3 contracts
$101K
0.4%
348
0.0%
-
15
Contract 2461906
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMAPNY
2021-01-01 → 2021-12-31
$98K
0.4%
348
0.0%
-
72
Contract 2461898
2021-01-01 → 2021-12-31
$2K
0.0%
7
0.0%
-
75
Contract 2461902
2021-01-01 → 2021-12-31
$570
0.0%
1
0.0%
-
10
EIN 141640868 · Contract 706529
$88K
0.4%
25
0.0%
-
11
EIN 941340523 · 2 contracts
$24K
0.1%
4
0.0%
-
36
Contract 234499
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2021-01-01 → 2021-12-31
$23K
0.1%
4
0.0%
-
74
Contract 606369
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2021-01-01 → 2021-12-31
$640
0.0%
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✓VisionNot declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
76 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 | 19,064 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,064 | 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)(49 contracts, 35 carriers) | AETNA HEALTH INC. OF PENNSYLVANIA | 5,250 | $5.3M |
| Dental(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMAPNY | 348 | $101K |
| Life insurance(3 contracts) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,174 | $14.6M |
| Prescription drug(49 contracts, 35 carriers) | AETNA HEALTH INC. OF PENNSYLVANIA | 5,250 | $5.3M |
| Other(4 contracts, 3 carriers) | HEALTHPARTNERS, INC | 348 | $467K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,250 | — |
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."