Insurance carriers
17 carriers · 43 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 231503749 · 2 contracts
$6.8M
34.6%
9,832
0.0%
-
1
Contract FLX051612
2015-01-01 → 2015-12-31
$5.4M
27.7%
9,832
0.0%
-
5
Contract FLX051613
2015-01-01 → 2015-12-31
$1.3M
6.9%
1,923
0.0%
-
2
EIN 591031071 · 3 contracts
$4.8M
24.4%
17,936
0.2%
-
2
Contract 2462154
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2015-01-01 → 2015-12-31
$2.4M
12.3%
17,936
0.0%
-
3
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2015-01-01 → 2015-12-31
$2.3M
11.6%
501
0.0%
-
20
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2015-01-01 → 2015-12-31
$107K
0.5%
22
8.9%
-
3
EIN 480840330 · 2 contracts
$2.9M
14.8%
665
0.0%
-
4
Contract 5500030000
Filed as: COVENTRY HEALTH CARE OF KANSAS, INC.
2015-01-01 → 2015-12-31
$2.2M
11.5%
665
0.0%
-
8
Contract US023492
Filed as: AETNA HEALTH, INC.
2015-01-01 → 2015-12-31
$659K
3.4%
124
0.0%
-
4
EIN 611013183 · 15 contracts
$1.8M
9.0%
322
0.0%
-
7
Contract 112699
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$689K
3.5%
322
0.0%
-
11
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$318K
1.6%
14
0.0%
-
13
Contract 176323
Filed as: HUMANA HEALTH PLAN, INC
2015-01-01 → 2015-12-31
$244K
1.2%
115
0.0%
-
15
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$171K
0.9%
63
0.0%
-
22
Contract 253027
Filed as: HUMANA HEALTH PLAN INC.
2015-01-01 → 2015-12-31
$98K
0.5%
3
0.0%
-
24
Contract 194480
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$62K
0.3%
18
0.0%
-
28
Contract 135934
Filed as: HUMANA HEALTH PLAN, INC
2015-01-01 → 2015-12-31
$45K
0.2%
10
0.0%
-
29
Contract 106124
Filed as: HUMANA MEDICAL PLAN INC.
2015-01-01 → 2015-12-31
$35K
0.2%
21
0.0%
-
30
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2015-01-01 → 2015-12-31
$34K
0.2%
2
0.0%
-
33
Contract 106089
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$18K
0.1%
1
0.0%
-
34
Contract 252976
Filed as: HUMANA MEDICAL PLAN, INC
2015-01-01 → 2015-12-31
$17K
0.1%
11
0.0%
-
36
Contract 233539
Filed as: HUMANA MEDICAL PLAN, INC
2015-01-01 → 2015-12-31
$13K
0.1%
4
0.0%
-
37
Contract 252974
Filed as: HUMANA MEDICAL PLAN, INC
2015-01-01 → 2015-12-31
$10K
0.1%
8
0.0%
-
38
Contract 290165
Filed as: HUMANA MEDICAL PLAN, INC
2015-01-01 → 2015-12-31
$4K
0.0%
2
0.0%
-
39
Contract 252975
Filed as: HUMANA MEDICAL PLAN, INC
2015-01-01 → 2015-12-31
$1K
0.0%
1
0.0%
-
5
EIN 222651245 · Contract 67-75811
$958K
4.9%
176
0.0%
-
6
EIN 941340523 · 4 contracts
$767K
3.9%
822
0.0%
-
9
Contract 125745
2015-01-01 → 2015-12-31
$613K
3.1%
210
0.0%
-
16
Contract 35903
2015-01-01 → 2015-12-31
$154K
0.8%
38
0.0%
-
40
Contract 603738
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$0
0.0%
168
-
-
41
Contract 231177
2015-01-01 → 2015-12-31
$0
0.0%
822
-
-
7
Filed as: HIGHMARK INC.
EIN 231294723 · Contract 04758700
$389K
2.0%
84
0.0%
-
8
EIN 362739571 · 5 contracts
$311K
1.6%
428
0.0%
-
17
Contract H1944
2015-01-01 → 2015-12-31
$142K
0.7%
28
0.0%
-
18
Contract H2001
2015-01-01 → 2015-12-31
$123K
0.6%
29
0.0%
-
27
Contract H0755
2015-01-01 → 2015-12-31
$46K
0.2%
12
0.0%
-
42
Contract H0609
2015-01-01 → 2015-12-31
$0
0.0%
161
-
-
43
Contract H0543
2015-01-01 → 2015-12-31
$0
0.0%
428
-
-
9
Filed as: UNITED HEALTHCARE OF WISCONSIN, INC
EIN 391555888 · Contract H5253
$261K
1.3%
47
0.0%
-
10
EIN 911467158 · 2 contracts
$220K
1.1%
381
0.0%
-
19
Contract 5679500
Filed as: GROUP HEALTH COOPERATIVE
2015-01-01 → 2015-12-31
$113K
0.6%
381
0.0%
-
21
Contract 0097400
Filed as: GROUP HEALTH COOPERATIVE
2015-01-01 → 2015-12-31
$107K
0.5%
28
0.0%
-
11
EIN 363097810 · Contract A6890E
$198K
1.0%
50
0.0%
-
12
Filed as: OXFORD HEALTH PLANS (NJ), INC.
EIN 222745725 · Contract H7187
$87K
0.4%
29
0.0%
-
13
Filed as: GROUP HEALTH OPTIONS, INC.
EIN 911467158 · Contract 5861600
$52K
0.3%
137
0.0%
-
14
EIN 943037165 · Contract GR002538
$48K
0.2%
14
0.0%
-
15
Filed as: TUFTS HEALTH PLAN, MEDICARE PREFERRED
EIN 042674079 · Contract 1187
$33K
0.2%
10
0.0%
-
16
EIN 431361841 · Contract H2654
$21K
0.1%
5
0.0%
-
17
EIN 237442369 · Contract C002233519C01
$16K
0.1%
4
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✓DentalVision✓Life✓Not declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
43 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 | 16,576 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,576 | 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)(41 contracts, 21 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 17,936 | $12.8M |
| Vision | HEALTH NET | 50 | $198K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 9,832 | $6.8M |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 176 | $958K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17,936 | — |
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."