Insurance carriers
12 carriers · 38 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 231503749 · 2 contracts
$4.5M
45.2%
2,622
0.0%
-
1
Contract FLX051612
2020-01-01 → 2020-12-31
$3.7M
36.8%
2,622
0.0%
-
3
Contract FLX051613
2020-01-01 → 2020-12-31
$838K
8.4%
418
0.0%
-
2
EIN 952931460 · 7 contracts
$1.5M
15.4%
360
0.0%
-
4
Contract 103009, 143510
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2020-01-01 → 2020-12-31
$820K
8.2%
360
0.0%
-
6
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2020-01-01 → 2020-12-31
$404K
4.1%
154
0.0%
-
16
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC
2020-01-01 → 2020-12-31
$125K
1.2%
21
0.0%
-
19
Contract H1944
Filed as: UNITEDHEALTHCARE OF NEW ENGLAND, INC
2020-01-01 → 2020-12-31
$83K
0.8%
15
0.0%
-
21
Contract H2001
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2020-01-01 → 2020-12-31
$64K
0.6%
17
0.0%
-
25
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2020-01-01 → 2020-12-31
$31K
0.3%
14
0.0%
-
31
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2020-01-01 → 2020-12-31
$12K
0.1%
2
0.0%
-
3
EIN 611279717 · 15 contracts
$1.2M
11.9%
213
0.0%
-
5
Contract 311508
Filed as: CHA HMO, INC.
2020-01-01 → 2020-12-31
$481K
4.8%
213
0.0%
-
10
Contract 311272
Filed as: CHA HMO, INC.
2020-01-01 → 2020-12-31
$193K
1.9%
74
0.0%
-
13
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2020-01-01 → 2020-12-31
$162K
1.6%
5
0.0%
-
15
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA, INC.
2020-01-01 → 2020-12-31
$137K
1.4%
46
0.0%
-
20
Contract 311301
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$71K
0.7%
13
0.0%
-
26
Contract 253027
Filed as: HUMANA HEALTH PLAN, INC.
2020-01-01 → 2020-12-31
$30K
0.3%
1
0.0%
-
27
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2020-01-01 → 2020-12-31
$30K
0.3%
1
0.0%
-
29
Contract 304726
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2020-01-01 → 2020-12-31
$25K
0.3%
6
0.0%
-
30
Contract 312929
Filed as: HUMANA HEALTH PLAN, INC
2020-01-01 → 2020-12-31
$22K
0.2%
12
0.0%
-
32
Contract 311303
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$11K
0.1%
3
0.0%
-
33
Contract 311252
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$9K
0.1%
6
0.0%
-
35
Contract 311299
Filed as: CHA HMO, INC.
2020-01-01 → 2020-12-31
$5K
0.1%
2
0.0%
-
36
Contract 311335
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$3K
0.0%
2
0.0%
-
37
Contract 311384
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$3K
0.0%
2
0.0%
-
38
Contract 311376
Filed as: HUMANA MEDICAL PLAN, INC.
2020-01-01 → 2020-12-31
$3K
0.0%
1
0.0%
-
4
EIN 860334392 · 2 contracts
$1.2M
11.7%
287
1.3%
-
2
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2020-01-01 → 2020-12-31
$1.0M
10.5%
287
0.0%
-
17
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2020-01-01 → 2020-12-31
$115K
1.2%
24
12.7%
-
5
EIN 911467158 · 4 contracts
$505K
5.1%
280
0.0%
-
9
Contract 8183400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2020-01-01 → 2020-12-31
$213K
2.1%
280
0.0%
-
12
Contract 125745
2020-01-01 → 2020-12-31
$179K
1.8%
86
0.0%
-
18
Contract 35903
2020-01-01 → 2020-12-31
$87K
0.9%
23
0.0%
-
28
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2020-01-01 → 2020-12-31
$27K
0.3%
11
0.0%
-
6
EIN 230370270 · 2 contracts
$346K
3.5%
40
0.0%
-
11
Contract 035393
Filed as: HIGHMARK INC.
2020-01-01 → 2020-12-31
$192K
1.9%
40
0.0%
-
14
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2020-01-01 → 2020-12-31
$154K
1.5%
28
0.0%
-
7
EIN 222651245 · Contract 67-75811
$332K
3.3%
75
0.0%
-
8
Filed as: AETNA HEALTH, INC.
EIN 521270921 · Contract US023492
$259K
2.6%
57
0.0%
-
9
EIN 061181201 · Contract H0755
$54K
0.5%
10
0.0%
-
10
Filed as: PRESBYTERIAN HEALTH PLAN
EIN 850484337 · Contract GR002538
$38K
0.4%
7
0.0%
-
11
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1187
$36K
0.4%
9
0.0%
-
12
EIN 470676824 · Contract H2802
$8K
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
38 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 | 7,434 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,434 | 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)(35 contracts, 25 carriers) | CIGNA HEALTHCARE OF ARIZONA, INC. | 360 | $5.2M |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,622 | $4.5M |
| Prescription drug(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC. | 75 | $485K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,622 | — |
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."