Insurance carriers
11 carriers · 36 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 860334392 · 2 contracts
$1.3M
29.9%
255
1.1%
-
1
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2021-01-01 → 2021-12-31
$1.2M
27.3%
255
0.0%
-
12
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2021-01-01 → 2021-12-31
$116K
2.6%
24
12.7%
-
2
EIN 952931460 · 7 contracts
$1.0M
23.0%
156
0.0%
-
2
Contract 103009, 143510
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2021-01-01 → 2021-12-31
$572K
12.7%
156
0.0%
-
4
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2021-01-01 → 2021-12-31
$230K
5.1%
57
0.0%
-
11
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC
2021-01-01 → 2021-12-31
$116K
2.6%
19
0.0%
-
17
Contract H1944
Filed as: UNITEDHEALTHCARE OF NEW ENGLAND, INC
2021-01-01 → 2021-12-31
$54K
1.2%
11
0.0%
-
20
Contract H2001
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2021-01-01 → 2021-12-31
$39K
0.9%
9
0.0%
-
26
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2021-01-01 → 2021-12-31
$16K
0.4%
4
0.0%
-
29
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2021-01-01 → 2021-12-31
$9K
0.2%
2
0.0%
-
3
EIN 611279717 · 15 contracts
$1.0M
22.2%
192
0.0%
-
3
Contract 311508
Filed as: CHA HMO, INC.
2021-01-01 → 2021-12-31
$489K
10.8%
192
0.0%
-
9
Contract 311272
Filed as: CHA HMO, INC.
2021-01-01 → 2021-12-31
$137K
3.0%
61
0.0%
-
13
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$111K
2.5%
5
0.0%
-
14
Contract 232558
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA, INC.
2021-01-01 → 2021-12-31
$106K
2.4%
39
0.0%
-
21
Contract 311301
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$39K
0.9%
12
0.0%
-
23
Contract 253027
Filed as: HUMANA HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$29K
0.6%
1
0.0%
-
24
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2021-01-01 → 2021-12-31
$29K
0.6%
1
0.0%
-
25
Contract 304726
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2021-01-01 → 2021-12-31
$20K
0.4%
5
0.0%
-
27
Contract 312929
Filed as: HUMANA HEALTH PLAN, INC
2021-01-01 → 2021-12-31
$13K
0.3%
8
0.0%
-
28
Contract 311303
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$9K
0.2%
3
0.0%
-
31
Contract 311252
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$7K
0.2%
6
0.0%
-
32
Contract 311299
Filed as: CHA HMO, INC.
2021-01-01 → 2021-12-31
$4K
0.1%
2
0.0%
-
33
Contract 311335
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$3K
0.1%
1
0.0%
-
34
Contract 311384
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$2K
0.1%
2
0.0%
-
36
Contract 311376
Filed as: HUMANA MEDICAL PLAN, INC.
2021-01-01 → 2021-12-31
$1K
0.0%
1
0.0%
-
4
EIN 911467158 · 4 contracts
$450K
10.0%
265
0.0%
-
5
Contract 8183400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2021-01-01 → 2021-12-31
$194K
4.3%
265
0.0%
-
8
Contract 125745
2021-01-01 → 2021-12-31
$150K
3.3%
84
0.0%
-
16
Contract 35903
2021-01-01 → 2021-12-31
$66K
1.5%
19
0.0%
-
19
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2021-01-01 → 2021-12-31
$40K
0.9%
10
0.0%
-
5
EIN 231294723 · 2 contracts
$307K
6.8%
37
0.0%
-
7
Contract 035393
Filed as: HIGHMARK INC.
2021-01-01 → 2021-12-31
$183K
4.1%
37
0.0%
-
10
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2021-01-01 → 2021-12-31
$124K
2.8%
25
0.0%
-
6
EIN 222651245 · Contract 67-75811
$193K
4.3%
66
0.0%
-
7
Filed as: AETNA HEALTH, INC.
EIN 521270921 · Contract 0868374HNO
$91K
2.0%
3
0.0%
-
8
Filed as: OXFORD HEALTH PLANS (CT), INC.
EIN 061181201 · Contract H0755
$47K
1.0%
10
0.0%
-
9
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1187
$32K
0.7%
9
0.0%
-
10
EIN 470676824 · Contract H2802
$8K
0.2%
1
0.0%
-
11
Filed as: PRESBYTERIAN HEALTH PLAN
EIN 850484337 · Contract GR002538
$2K
0.0%
5
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✓DentalVisionLifeNot declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
36 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 | 8,322 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 8,322 | 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. | 265 | $4.4M |
| Prescription drug(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC. | 66 | $317K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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."