Insurance carriers
10 carriers · 27 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 760189680 · 3 contracts
$926K
55.9%
185
0.0%
-
1
Contract E00063633387
Filed as: AETNA HEALTH, INC.
2024-01-01 → 2024-12-31
$826K
49.8%
185
0.0%
-
4
Contract E00063633387
2024-01-01 → 2024-12-31
$71K
4.3%
15
0.0%
-
13
Contract 0868374HNO
Filed as: AETNA HEALTH, INC.
2024-01-01 → 2024-12-31
$29K
1.7%
1
0.0%
-
2
EIN 611279717 · 7 contracts
$295K
17.8%
87
0.0%
-
2
Contract 311508
Filed as: CHA HMO, INC.
2024-01-01 → 2024-12-31
$198K
12.0%
87
0.0%
-
6
Contract 232558
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2024-01-01 → 2024-12-31
$54K
3.2%
18
0.0%
-
9
Contract 311272
Filed as: CHA HMO, INC.
2024-01-01 → 2024-12-31
$40K
2.4%
18
0.0%
-
21
Contract 311301
Filed as: HUMANA MEDICAL PLAN, INC.
2024-01-01 → 2024-12-31
$3K
0.2%
1
0.0%
-
24
Contract 311376
Filed as: HUMANA MEDICAL PLAN, INC.
2024-01-01 → 2024-12-31
$0
0.0%
0
-
-
25
Contract 311252
Filed as: HUMANA MEDICAL PLAN, INC.
2024-01-01 → 2024-12-31
$0
0.0%
0
-
-
26
Contract 328963
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2024-01-01 → 2024-12-31
$0
0.0%
0
-
-
3
EIN 231294723 · 2 contracts
$129K
7.8%
17
0.0%
-
3
Contract 035393
Filed as: HIGHMARK INC.
2024-01-01 → 2024-12-31
$87K
5.2%
17
0.0%
-
8
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2024-01-01 → 2024-12-31
$42K
2.6%
8
0.0%
-
4
EIN 591031071 · 2 contracts
$103K
6.2%
15
10.3%
-
5
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2024-01-01 → 2024-12-31
$71K
4.3%
15
15.0%
-
12
Contract 2452393
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2024-01-01 → 2024-12-31
$32K
1.9%
7
0.0%
-
5
EIN 952931460 · 6 contracts
$88K
5.3%
13
0.0%
-
7
Contract 103009
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2024-01-01 → 2024-12-31
$48K
2.9%
13
0.0%
-
15
Contract H2001
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2024-01-01 → 2024-12-31
$13K
0.8%
3
0.0%
-
16
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC
2024-01-01 → 2024-12-31
$10K
0.6%
2
0.0%
-
17
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2024-01-01 → 2024-12-31
$8K
0.5%
2
0.0%
-
18
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2024-01-01 → 2024-12-31
$8K
0.5%
2
0.0%
-
27
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2024-01-01 → 2024-12-31
$0
0.0%
0
-
-
6
EIN 941340523 · 3 contracts
$45K
2.7%
242
0.0%
-
11
Contract 125745
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2024-01-01 → 2024-12-31
$34K
2.1%
18
0.0%
-
20
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2024-01-01 → 2024-12-31
$7K
0.4%
242
0.0%
-
22
Contract 35903
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2024-01-01 → 2024-12-31
$3K
0.2%
0
0.0%
-
7
Filed as: OXFORD HEALTH PLANS (CT), INC.
EIN 061181201 · Contract H0755
$35K
2.1%
8
0.0%
-
8
Filed as: BRAVEN HEALTH
EIN 843673030 · Contract 65-83993
$27K
1.6%
6
0.0%
-
9
EIN 850484337 · Contract A0006531
$8K
0.5%
2
0.0%
-
10
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1187
$2K
0.1%
3
0.0%
-
Brokers
No brokers reported on this filing.
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
4 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✓DentalVisionLifeNot declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
27 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 | 2,452 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,452 | 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)(22 contracts, 17 carriers) | CHA HMO, INC. | 242 | $676K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERA HEALTHCARE | 8 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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."