Insurance carriers
12 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 370533090 · 3 contracts
$37.3M
22.4%
71,684
8.0%
-
1
Contract 2745632
2016-01-01 → 2016-12-31
$34.1M
20.5%
71,684
3.7%
-
19
Contract HG00001
Filed as: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
2016-01-01 → 2016-12-31
$1.7M
1.0%
53,156
11.3%
-
20
Contract 7885204
2016-01-01 → 2016-12-31
$1.5M
0.9%
165
101.4%
-
2
EIN 581592076 · 8 contracts
$32.2M
19.3%
3,269
0.0%
-
4
Contract 256
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2016-01-01 → 2016-12-31
$14.0M
8.4%
3,269
0.0%
-
6
Contract 103896
2016-01-01 → 2016-12-31
$9.1M
5.5%
1,740
0.0%
-
16
Contract 13488
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2016-01-01 → 2016-12-31
$2.5M
1.5%
469
0.0%
-
17
Contract 8837
2016-01-01 → 2016-12-31
$2.4M
1.4%
494
0.0%
-
18
Contract 0479500
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2016-01-01 → 2016-12-31
$1.7M
1.0%
294
0.0%
-
21
Contract 34769
2016-01-01 → 2016-12-31
$1.3M
0.8%
296
0.0%
-
22
Contract 7471
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2016-01-01 → 2016-12-31
$1.0M
0.6%
233
0.0%
-
23
Contract 3329
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-01-01 → 2016-12-31
$173K
0.1%
35
0.0%
-
3
EIN 361236610 · 2 contracts
$25.4M
15.3%
2,737
0.0%
-
3
Contract 64939
Filed as: BLUE CROSS BLUE SHIELD OF TEXAS
2016-01-01 → 2016-12-31
$20.1M
12.1%
2,737
0.0%
-
9
Contract H73320
Filed as: BLUE CROSS BLUE SHIELD OF ILLINOIS
2016-01-01 → 2016-12-31
$5.3M
3.2%
1,022
0.0%
-
4
EIN 010233346 · Contract *27281/28862
$24.1M
14.4%
25,471
0.0%
-
5
EIN 200891619 · Contract 12244792
$10.7M
6.4%
47,302
0.0%
HEARTLAND HEALTHCARE COALITION
6
EIN 760189680 · 2 contracts
$8.3M
5.0%
782
0.0%
-
11
Contract 0849876HNO
Filed as: AETNA HEALTH, INC.
2016-01-01 → 2016-12-31
$4.3M
2.6%
782
0.0%
-
12
Contract 6304500000
Filed as: COVENTRY HEALTH CARE OF MISSOURI
2016-01-01 → 2016-12-31
$4.1M
2.4%
751
0.0%
-
7
EIN 954402957 · Contract *57248
$7.6M
4.6%
445
0.0%
-
8
Filed as: CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC.
EIN 141641028 · Contract 10007796
$5.8M
3.5%
1,069
0.0%
-
9
Filed as: KEYSTONE
EIN 232405376 · Contract 358551
$5.1M
3.0%
794
13.2%
-
10
Filed as: SCOTT AND WHITE HEALTH PLAN
EIN 742052197 · Contract *000730
$3.6M
2.2%
692
0.0%
-
11
EIN 231503749 · Contract LK 6900
$3.3M
2.0%
50,344
0.0%
-
12
EIN 382359234 · Contract 00123418/0001
$3.1M
1.9%
538
0.0%
-
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
6 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✓Long-term disability✓Prescription drug✓Not declared:Short-term disabilityDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
23 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 | 66,082 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24,396 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,992 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 92,470 | 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)(17 contracts, 15 carriers) | BLUE CROSS BLUE SHIELD OF TEXAS | 3,269 | $91.2M |
| Vision | VISION SERVICE PLAN | 47,302 | $10.7M |
| Life insurance(2 contracts) | STATE FARM LIFE INSURANCE COMPANY | 71,684 | $35.6M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 50,344 | $3.3M |
| Prescription drug(10 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 3,269 | $46.5M |
| Other(3 contracts, 3 carriers) | STATE FARM LIFE INSURANCE COMPANY | 71,684 | $59.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 71,684 | — |
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."