Insurance carriers
11 carriers · 35 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 860334392 · 2 contracts
$1.2M
29.2%
215
1.2%
-
1
Contract 4100
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
2022-01-01 → 2022-12-31
$1.1M
26.3%
215
0.0%
-
11
Contract 2462150
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
2022-01-01 → 2022-12-31
$116K
2.9%
15
12.5%
-
2
EIN 952931460 · 7 contracts
$972K
24.3%
131
0.0%
-
2
Contract 103009, 143510
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2022-01-01 → 2022-12-31
$537K
13.4%
131
0.0%
-
4
Contract 060416
Filed as: UNITEDHEALTHCARE OF ARIZONA
2022-01-01 → 2022-12-31
$236K
5.9%
49
0.0%
-
13
Contract H5253
Filed as: UNITEDHEALTHCARE OF WISCONSIN, INC
2022-01-01 → 2022-12-31
$88K
2.2%
16
0.0%
-
17
Contract H1944
Filed as: UNITEDHEALTHCARE OF NEW ENGLAND, INC
2022-01-01 → 2022-12-31
$49K
1.2%
9
0.0%
-
19
Contract H2001
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2022-01-01 → 2022-12-31
$39K
1.0%
8
0.0%
-
26
Contract 667096
Filed as: UNITEDHEALTHCARE OF NEVADA
2022-01-01 → 2022-12-31
$13K
0.3%
3
0.0%
-
28
Contract 092121
Filed as: UNITEDHEALTHCARE OF COLORADO
2022-01-01 → 2022-12-31
$10K
0.3%
2
0.0%
-
3
EIN 611279717 · 15 contracts
$871K
21.8%
163
0.0%
-
3
Contract 311508
Filed as: CHA HMO, INC.
2022-01-01 → 2022-12-31
$340K
8.5%
163
0.0%
-
8
Contract 253068
Filed as: HUMANA HEALTH PLAN, INC.
2022-01-01 → 2022-12-31
$158K
3.9%
5
0.0%
-
9
Contract 311272
Filed as: CHA HMO, INC.
2022-01-01 → 2022-12-31
$135K
3.4%
52
0.0%
-
12
Contract 232558
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2022-01-01 → 2022-12-31
$109K
2.7%
37
0.0%
-
18
Contract 311301
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$40K
1.0%
10
0.0%
-
22
Contract 253027
Filed as: HUMANA HEALTH PLAN, INC.
2022-01-01 → 2022-12-31
$26K
0.7%
0
0.0%
-
23
Contract 304726
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2022-01-01 → 2022-12-31
$21K
0.5%
5
0.0%
-
25
Contract 312929
Filed as: HUMANA MEDICAL PLAN, INC
2022-01-01 → 2022-12-31
$13K
0.3%
6
0.0%
-
27
Contract 311303
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$11K
0.3%
3
0.0%
-
29
Contract 311252
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$7K
0.2%
4
0.0%
-
31
Contract 311299
Filed as: CHA HMO, INC.
2022-01-01 → 2022-12-31
$6K
0.1%
4
0.0%
-
32
Contract 311384
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$3K
0.1%
2
0.0%
-
33
Contract 311335
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$3K
0.1%
1
0.0%
-
34
Contract 311376
Filed as: HUMANA MEDICAL PLAN, INC.
2022-01-01 → 2022-12-31
$1K
0.0%
1
0.0%
-
35
Contract 253117
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.
2022-01-01 → 2022-12-31
$0
0.0%
0
-
-
4
EIN 231294723 · 2 contracts
$293K
7.3%
34
0.0%
-
7
Contract 035393
Filed as: HIGHMARK INC.
2022-01-01 → 2022-12-31
$171K
4.3%
34
0.0%
-
10
Contract 00500179
Filed as: UNIVERA HEALTHCARE
2022-01-01 → 2022-12-31
$122K
3.0%
25
0.0%
-
5
EIN 941340523 · 3 contracts
$291K
7.3%
75
0.0%
-
6
Contract 125745
2022-01-01 → 2022-12-31
$187K
4.7%
75
0.0%
-
14
Contract 35903
2022-01-01 → 2022-12-31
$76K
1.9%
19
0.0%
-
21
Contract 0097400
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2022-01-01 → 2022-12-31
$28K
0.7%
7
0.0%
-
6
EIN 222651245 · Contract 67-75811
$211K
5.3%
55
0.0%
-
7
Filed as: AETNA HEALTH, INC.
EIN 521270921 · Contract 0868374HNO
$75K
1.9%
2
0.0%
-
8
Filed as: OXFORD HEALTH PLANS (CT), INC.
EIN 061181201 · Contract H0755
$52K
1.3%
10
0.0%
-
9
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1187
$39K
1.0%
10
0.0%
-
10
EIN 850484337 · Contract GR002538
$19K
0.5%
6
0.0%
-
11
EIN 470676824 · Contract H2802
$7K
0.2%
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✓DentalVisionLifeNot declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
35 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 | 5,820 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,820 | 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)(34 contracts, 23 carriers) | CIGNA HEALTHCARE OF ARIZONA, INC. | 215 | $3.9M |
| Prescription drug(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC. | 55 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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."