Insurance carriers
12 carriers · 47 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 231503749 · 2 contracts
$5.8M
46.4%
7,796
0.0%
-
1
Contract FLX051612
2019-01-01 → 2019-12-31
$4.5M
36.0%
7,796
0.0%
-
3
Contract FLX051613
2019-01-01 → 2019-12-31
$1.3M
10.4%
1,189
0.0%
-
2
EIN 952931460 · 8 contracts
$1.8M
14.7%
215
0.0%
-
4
Contract 103009, 143510
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2019-01-01 → 2019-12-31
$911K
7.3%
215
0.0%
-
7
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2019-01-01 → 2019-12-31
$471K
3.8%
92
0.0%
-
15
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC
2019-01-01 → 2019-12-31
$146K
1.2%
25
0.0%
-
18
Contract H1944
Filed as: UNITEDHEALTHCARE OF NEW ENGLAND, INC
2019-01-01 → 2019-12-31
$85K
0.7%
16
0.0%
-
19
Contract H2001
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2019-01-01 → 2019-12-31
$77K
0.6%
20
0.0%
-
20
Contract 750
2019-01-01 → 2019-12-31
$69K
0.6%
26
0.0%
-
24
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2019-01-01 → 2019-12-31
$49K
0.4%
9
0.0%
-
33
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2019-01-01 → 2019-12-31
$18K
0.1%
3
0.0%
-
3
EIN 860334392 · 2 contracts
$1.7M
13.5%
323
0.9%
-
2
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2019-01-01 → 2019-12-31
$1.6M
12.5%
323
0.0%
-
17
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2019-01-01 → 2019-12-31
$120K
1.0%
24
12.7%
-
4
EIN 611279717 · 23 contracts
$1.2M
9.7%
244
0.0%
-
5
Contract 311508
Filed as: CHA HMO, INC.
2019-01-01 → 2019-12-31
$576K
4.6%
244
0.0%
-
13
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2019-01-01 → 2019-12-31
$161K
1.3%
6
0.0%
-
14
Contract 311272
Filed as: CHA HMO, INC.
2019-01-01 → 2019-12-31
$157K
1.3%
84
0.0%
-
16
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA, INC.
2019-01-01 → 2019-12-31
$127K
1.0%
48
0.0%
-
27
Contract 311301
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$30K
0.2%
15
0.0%
-
28
Contract 253027
Filed as: HUMANA HEALTH PLAN, INC.
2019-01-01 → 2019-12-31
$27K
0.2%
1
0.0%
-
29
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2019-01-01 → 2019-12-31
$27K
0.2%
1
0.0%
-
30
Contract 304726
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2019-01-01 → 2019-12-31
$24K
0.2%
6
0.0%
-
31
Contract 176323
Filed as: HUMANA HEALTH PLAN, INC
2019-01-01 → 2019-12-31
$22K
0.2%
0
0.0%
-
32
Contract 312929
Filed as: HUMANA HEALTH PLAN, INC
2019-01-01 → 2019-12-31
$18K
0.1%
13
0.0%
-
35
Contract 311303
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$9K
0.1%
3
0.0%
-
36
Contract 311252
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$7K
0.1%
6
0.0%
-
37
Contract 194480
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$6K
0.1%
0
0.0%
-
38
Contract 311376
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$3K
0.0%
3
0.0%
-
39
Contract 106124
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$3K
0.0%
0
0.0%
-
40
Contract 311299
Filed as: CHA HMO, INC.
2019-01-01 → 2019-12-31
$3K
0.0%
2
0.0%
-
41
Contract 311335
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$3K
0.0%
2
0.0%
-
42
Contract 311384
Filed as: HUMANA MEDICAL PLAN, INC.
2019-01-01 → 2019-12-31
$2K
0.0%
2
0.0%
-
43
Contract 252976
Filed as: HUMANA MEDICAL PLAN, INC
2019-01-01 → 2019-12-31
$1K
0.0%
0
0.0%
-
44
Contract 233539
Filed as: HUMANA MEDICAL PLAN, INC
2019-01-01 → 2019-12-31
$1K
0.0%
0
0.0%
-
45
Contract 252974
Filed as: HUMANA MEDICAL PLAN, INC
2019-01-01 → 2019-12-31
$672
0.0%
0
0.0%
-
46
Contract 290165
Filed as: HUMANA MEDICAL PLAN, INC
2019-01-01 → 2019-12-31
$377
0.0%
0
0.0%
-
47
Contract 252975
Filed as: HUMANA MEDICAL PLAN, INC
2019-01-01 → 2019-12-31
$336
0.0%
0
0.0%
-
5
Filed as: AETNA HEALTH, INC.
EIN 521270921 · Contract US023492
$528K
4.2%
191
0.0%
-
6
EIN 941340523 · 4 contracts
$521K
4.2%
403
0.0%
-
9
Contract 125745
2019-01-01 → 2019-12-31
$241K
1.9%
86
0.0%
-
12
Contract 8183400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2019-01-01 → 2019-12-31
$163K
1.3%
403
0.0%
-
21
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2019-01-01 → 2019-12-31
$66K
0.5%
13
0.0%
-
23
Contract 35903
2019-01-01 → 2019-12-31
$51K
0.4%
24
0.0%
-
7
EIN 231294723 · 2 contracts
$408K
3.3%
43
0.0%
-
10
Contract 035393
Filed as: HIGHMARK INC.
2019-01-01 → 2019-12-31
$230K
1.8%
43
0.0%
-
11
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2019-01-01 → 2019-12-31
$178K
1.4%
35
0.0%
-
8
EIN 222651245 · Contract 67-75811
$387K
3.1%
87
0.0%
-
9
EIN 061181201 · Contract H0755
$51K
0.4%
10
0.0%
-
10
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1187
$34K
0.3%
9
0.0%
-
11
Filed as: PRESBYTERIAN HEALTH PLAN
EIN 850484337 · Contract GR002538
$32K
0.3%
8
0.0%
-
12
EIN 470676824 · Contract H2802
$10K
0.1%
2
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✓DentalVisionLife✓Not declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
47 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 | 9,664 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,664 | 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)(44 contracts, 26 carriers) | CIGNA HEALTHCARE OF ARIZONA, INC. | 403 | $6.2M |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 7,796 | $5.8M |
| Prescription drug(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC. | 87 | $565K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,796 | — |
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."