Insurance carriers
12 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 370533090 · 3 contracts
$40.3M
28.8%
120,987
4.3%
-
1
Contract 2745632
2017-01-01 → 2017-12-31
$37.0M
26.5%
120,987
-0.3%
-
16
Contract HG00001
Filed as: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
2017-01-01 → 2017-12-31
$1.7M
1.2%
52,240
11.2%
-
17
Contract 7885204
2017-01-01 → 2017-12-31
$1.7M
1.2%
144
100.8%
-
2
EIN 581592076 · 8 contracts
$34.4M
24.6%
3,903
0.0%
-
2
Contract 256
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2017-01-01 → 2017-12-31
$18.3M
13.1%
3,903
0.0%
-
6
Contract 103896
2017-01-01 → 2017-12-31
$7.2M
5.1%
1,590
0.0%
-
13
Contract 8837
2017-01-01 → 2017-12-31
$2.6M
1.9%
471
0.0%
-
15
Contract 13488
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2017-01-01 → 2017-12-31
$2.3M
1.7%
401
0.0%
-
18
Contract 0479500
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2017-01-01 → 2017-12-31
$1.5M
1.1%
220
0.0%
-
19
Contract 34769
2017-01-01 → 2017-12-31
$1.5M
1.0%
287
0.0%
-
20
Contract 7471
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2017-01-01 → 2017-12-31
$947K
0.7%
194
0.0%
-
22
Contract 3329
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$141K
0.1%
22
0.0%
-
3
EIN 361236610 · 2 contracts
$20.3M
14.5%
1,857
0.0%
-
3
Contract 64939
Filed as: BLUE CROSS BLUE SHIELD OF TEXAS
2017-01-01 → 2017-12-31
$15.9M
11.4%
1,857
0.0%
-
10
Contract H73320
Filed as: BLUE CROSS BLUE SHIELD OF ILLINOIS
2017-01-01 → 2017-12-31
$4.4M
3.1%
825
0.0%
-
4
EIN 200891619 · Contract 12244792
$12.1M
8.7%
46,784
0.0%
HEARTLAND HEALTHCARE COALITION
5
Filed as: AETNA HEALTH, INC.
EIN 760189680 · Contract 0849876HNO
$7.3M
5.2%
1,237
0.0%
-
6
EIN 954402957 · Contract *57248
$5.9M
4.2%
329
0.0%
-
7
Filed as: CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC.
EIN 141641028 · Contract 10007796
$5.2M
3.7%
851
0.0%
-
8
Filed as: KEYSTONE
EIN 232405376 · Contract 358551
$4.6M
3.3%
548
9.4%
-
9
EIN 231503749 · Contract LK6900
$3.7M
2.6%
49,876
20.5%
-
10
Filed as: SCOTT AND WHITE HEALTH PLAN
EIN 742052197 · Contract *000730
$3.4M
2.5%
613
0.0%
-
11
EIN 382359234 · 2 contracts
$2.4M
1.7%
390
0.0%
-
14
Contract 00123418/0001
2017-01-01 → 2017-12-31
$2.4M
1.7%
390
0.0%
-
23
Contract 00123418/0002
2017-01-01 → 2017-12-31
$11K
0.0%
5
0.0%
-
12
EIN 990040115 · Contract 27957-1
$191K
0.1%
26
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 | 64,419 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 25,402 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,946 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 91,767 | 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)(18 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 3,903 | $83.8M |
| Vision | VISION SERVICE PLAN | 46,784 | $12.1M |
| Life insurance(2 contracts) | STATE FARM LIFE INSURANCE COMPANY | 120,987 | $38.7M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 49,876 | $3.7M |
| Prescription drug(11 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 3,903 | $45.6M |
| Other(2 contracts, 2 carriers) | STATE FARM LIFE INSURANCE COMPANY | 120,987 | $38.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120,987 | — |
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."