Insurance carriers
14 carriers · 43 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 231503749 · 2 contracts
$5.2M
28.2%
3,071
0.0%
-
1
Contract FLX051612
2016-01-01 → 2016-12-31
$3.9M
21.5%
3,071
0.0%
-
6
Contract FLX051613
2016-01-01 → 2016-12-31
$1.2M
6.8%
103
0.0%
-
2
EIN 591031071 · 3 contracts
$4.5M
24.4%
16,838
0.2%
-
2
Contract 2452393
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2016-01-01 → 2016-12-31
$2.4M
13.3%
16,838
0.0%
-
4
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2016-01-01 → 2016-12-31
$1.9M
10.6%
457
0.0%
-
20
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2016-01-01 → 2016-12-31
$107K
0.6%
22
9.0%
-
3
EIN 480840330 · 2 contracts
$2.6M
14.0%
621
0.0%
-
3
Contract 5500030000
Filed as: COVENTRY HEALTH CARE OF KANSAS, INC.
2016-01-01 → 2016-12-31
$2.0M
10.9%
621
0.0%
-
9
Contract US023492
Filed as: AETNA HEALTH, INC.
2016-01-01 → 2016-12-31
$582K
3.2%
107
0.0%
-
4
EIN 952931460 · 4 contracts
$1.9M
10.4%
338
0.0%
-
5
Contract 143510, 103009
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2016-01-01 → 2016-12-31
$1.3M
7.3%
338
0.0%
-
11
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2016-01-01 → 2016-12-31
$492K
2.7%
112
0.0%
-
24
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2016-01-01 → 2016-12-31
$50K
0.3%
11
0.0%
-
33
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2016-01-01 → 2016-12-31
$24K
0.1%
4
0.0%
-
5
EIN 611013183 · 15 contracts
$1.7M
9.5%
296
0.0%
-
7
Contract 112699
Filed as: HUMANA HEALTH PLAN, INC.
2016-01-01 → 2016-12-31
$787K
4.3%
296
0.0%
-
13
Contract 176323
Filed as: HUMANA HEALTH PLAN, INC
2016-01-01 → 2016-12-31
$281K
1.5%
107
0.0%
-
14
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2016-01-01 → 2016-12-31
$190K
1.0%
60
0.0%
-
15
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2016-01-01 → 2016-12-31
$188K
1.0%
8
0.0%
-
23
Contract 194480
Filed as: HUMANA MEDICAL PLAN, INC.
2016-01-01 → 2016-12-31
$73K
0.4%
17
0.0%
-
25
Contract 135934
Filed as: HUMANA HEALTH PLAN, INC
2016-01-01 → 2016-12-31
$49K
0.3%
9
0.0%
-
29
Contract 106124
Filed as: HUMANA MEDICAL PLAN INC.
2016-01-01 → 2016-12-31
$39K
0.2%
19
0.0%
-
30
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2016-01-01 → 2016-12-31
$39K
0.2%
2
0.0%
-
32
Contract 253027
Filed as: HUMANA HEALTH PLAN INC.
2016-01-01 → 2016-12-31
$24K
0.1%
2
0.0%
-
35
Contract 106089
Filed as: HUMANA MEDICAL PLAN, INC.
2016-01-01 → 2016-12-31
$21K
0.1%
1
0.0%
-
36
Contract 252976
Filed as: HUMANA MEDICAL PLAN, INC
2016-01-01 → 2016-12-31
$17K
0.1%
10
0.0%
-
38
Contract 233539
Filed as: HUMANA MEDICAL PLAN, INC
2016-01-01 → 2016-12-31
$16K
0.1%
4
0.0%
-
39
Contract 252974
Filed as: HUMANA MEDICAL PLAN, INC
2016-01-01 → 2016-12-31
$10K
0.1%
6
0.0%
-
40
Contract 290165
Filed as: HUMANA MEDICAL PLAN, INC
2016-01-01 → 2016-12-31
$4K
0.0%
2
0.0%
-
41
Contract 252975
Filed as: HUMANA MEDICAL PLAN, INC
2016-01-01 → 2016-12-31
$2K
0.0%
1
0.0%
-
6
EIN 941340523 · 7 contracts
$904K
4.9%
815
0.0%
-
10
Contract 125745
2016-01-01 → 2016-12-31
$549K
3.0%
190
0.0%
-
17
Contract 35903
2016-01-01 → 2016-12-31
$129K
0.7%
32
0.0%
-
19
Contract 5679500
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2016-01-01 → 2016-12-31
$110K
0.6%
338
0.0%
-
22
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2016-01-01 → 2016-12-31
$76K
0.4%
25
0.0%
-
28
Contract 5861600
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2016-01-01 → 2016-12-31
$40K
0.2%
91
0.0%
-
42
Contract 603738
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2016-01-01 → 2016-12-31
$0
0.0%
164
-
-
43
Contract 231177
2016-01-01 → 2016-12-31
$0
0.0%
815
-
-
7
EIN 222651245 · Contract 67-75811
$703K
3.8%
146
0.0%
-
8
Filed as: HIGHMARK INC.
EIN 231294723 · Contract 04758700
$350K
1.9%
76
0.0%
-
9
EIN 362739571 · 3 contracts
$248K
1.4%
24
0.0%
-
18
Contract H1944
2016-01-01 → 2016-12-31
$116K
0.6%
24
0.0%
-
21
Contract H2001
2016-01-01 → 2016-12-31
$85K
0.5%
22
0.0%
-
26
Contract H0755
2016-01-01 → 2016-12-31
$46K
0.3%
11
0.0%
-
10
EIN 363097810 · Contract A6890E, A6890G
$146K
0.8%
37
0.0%
-
11
EIN 943037165 · Contract GR002538
$43K
0.2%
13
0.0%
-
12
Filed as: TUFTS HEALTH PLAN MEDICARE PREFERRED
EIN 042674079 · Contract 1187
$31K
0.2%
8
0.0%
-
13
EIN 431361841 · Contract H2654
$24K
0.1%
5
0.0%
-
14
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 | 16,488 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,488 | 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, 23 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 16,838 | $13.2M |
| Vision | HEALTH NET | 37 | $146K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,071 | $5.2M |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 146 | $703K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,838 | — |
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."