Insurance carriers
14 carriers · 42 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 231503749 · 2 contracts
$5.3M
34.8%
13,598
0.0%
-
1
Contract FLX051612
2017-01-01 → 2017-12-31
$4.0M
26.1%
13,598
0.0%
-
4
Contract FLX051613
2017-01-01 → 2017-12-31
$1.3M
8.7%
1,577
0.0%
-
2
EIN 480840330 · 2 contracts
$2.4M
16.0%
587
0.0%
-
2
Contract 550000000
Filed as: COVENTRY HEALTH CARE OF KANSAS, INC.
2017-01-01 → 2017-12-31
$2.0M
12.9%
587
0.0%
-
9
Contract US023492
Filed as: AETNA HEALTH, INC.
2017-01-01 → 2017-12-31
$468K
3.1%
90
0.0%
-
3
EIN 860334392 · 2 contracts
$2.0M
13.2%
410
0.6%
-
3
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2017-01-01 → 2017-12-31
$1.9M
12.5%
410
0.0%
-
19
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2017-01-01 → 2017-12-31
$107K
0.7%
22
11.3%
-
4
EIN 952931460 · 6 contracts
$1.9M
12.7%
280
0.0%
-
5
Contract 103009
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2017-01-01 → 2017-12-31
$1.1M
7.3%
280
0.0%
-
10
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2017-01-01 → 2017-12-31
$467K
3.0%
103
0.0%
-
14
Contract H5253
Filed as: UNITED HEALTHCARE OF WISCONSIN, INC.
2017-01-01 → 2017-12-31
$190K
1.2%
31
0.0%
-
20
Contract H1944
Filed as: UNITEDHEALTHCARE OF NEW ENGLAND
2017-01-01 → 2017-12-31
$107K
0.7%
19
0.0%
-
28
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2017-01-01 → 2017-12-31
$41K
0.3%
10
0.0%
-
33
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2017-01-01 → 2017-12-31
$19K
0.1%
3
0.0%
-
5
EIN 611013183 · 15 contracts
$1.3M
8.7%
276
0.0%
-
6
Contract 112699
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$595K
3.9%
276
0.0%
-
13
Contract 176323
Filed as: HUMANA HEALTH PLAN, INC
2017-01-01 → 2017-12-31
$210K
1.4%
94
0.0%
-
15
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2017-01-01 → 2017-12-31
$174K
1.1%
8
0.0%
-
16
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA, INC.
2017-01-01 → 2017-12-31
$146K
1.0%
53
0.0%
-
23
Contract 194480
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$59K
0.4%
17
0.0%
-
27
Contract 253027
Filed as: HUMANA HEALTH PLAN INC.
2017-01-01 → 2017-12-31
$43K
0.3%
2
0.0%
-
29
Contract 135934
Filed as: HUMANA HEALTH PLAN, INC
2017-01-01 → 2017-12-31
$37K
0.2%
9
0.0%
-
32
Contract 106124
Filed as: HUMANA MEDICAL PLAN INC.
2017-01-01 → 2017-12-31
$27K
0.2%
16
0.0%
-
35
Contract 252976
Filed as: HUMANA MEDICAL PLAN, INC
2017-01-01 → 2017-12-31
$12K
0.1%
7
0.0%
-
36
Contract 106089
Filed as: HUMANA MEDICAL PLAN, INC.
2017-01-01 → 2017-12-31
$11K
0.1%
0
0.0%
-
37
Contract 233539
Filed as: HUMANA MEDICAL PLAN, INC
2017-01-01 → 2017-12-31
$10K
0.1%
3
0.0%
-
38
Contract 252974
Filed as: HUMANA MEDICAL PLAN, INC
2017-01-01 → 2017-12-31
$6K
0.0%
4
0.0%
-
40
Contract 290165
Filed as: HUMANA MEDICAL PLAN, INC
2017-01-01 → 2017-12-31
$3K
0.0%
2
0.0%
-
41
Contract 252975
Filed as: HUMANA MEDICAL PLAN, INC
2017-01-01 → 2017-12-31
$2K
0.0%
2
0.0%
-
42
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2017-01-01 → 2017-12-31
$0
0.0%
1
-
-
6
EIN 941340523 · 5 contracts
$826K
5.4%
277
0.0%
-
8
Contract 125745
2017-01-01 → 2017-12-31
$508K
3.3%
170
0.0%
-
17
Contract 35903
2017-01-01 → 2017-12-31
$127K
0.8%
32
0.0%
-
21
Contract 5679500
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2017-01-01 → 2017-12-31
$92K
0.6%
277
0.0%
-
25
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2017-01-01 → 2017-12-31
$53K
0.3%
19
0.0%
-
26
Contract 5861600
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2017-01-01 → 2017-12-31
$46K
0.3%
97
0.0%
-
7
EIN 231294723 · 2 contracts
$541K
3.5%
64
0.0%
-
11
Contract 04758700
Filed as: HIGHMARK INC.
2017-01-01 → 2017-12-31
$313K
2.0%
64
0.0%
-
12
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2017-01-01 → 2017-12-31
$227K
1.5%
46
0.0%
-
8
EIN 222651245 · Contract 67-75811
$527K
3.4%
117
0.0%
-
9
EIN 940734860 · 2 contracts
$145K
0.9%
22
0.0%
-
22
Contract H2001
2017-01-01 → 2017-12-31
$90K
0.6%
22
0.0%
-
24
Contract H0755
2017-01-01 → 2017-12-31
$56K
0.4%
11
0.0%
-
10
EIN 363097810 · Contract A6890E, A6890G
$125K
0.8%
28
0.0%
-
11
Filed as: TUFTS HEALTH PLAN MEDICARE PREFERRED
EIN 042674079 · Contract 1187
$32K
0.2%
8
0.0%
-
12
EIN 943037165 · Contract GR002538
$29K
0.2%
9
0.0%
-
13
EIN 470676824 · Contract 988
$19K
0.1%
4
0.0%
-
14
Filed as: FALLON COMMUNITY HEALTH PLAN
EIN 237442369 · Contract C002233519C01
$5K
0.0%
1
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
42 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 | 15,138 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 15,138 | 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)(40 contracts, 26 carriers) | COVENTRY HEALTH CARE OF KANSAS, INC. | 587 | $10.0M |
| Vision | HEALTH NET | 28 | $125K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 13,598 | $5.3M |
| Prescription drug(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC. | 117 | $754K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,598 | — |
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."