Insurance carriers
3 carriers · 20 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 066033492 · 18 contracts
$3.8M
90.5%
280
0.0%
-
1
Contract AE429326-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$1.1M
25.4%
280
0.0%
-
2
Contract AE429288-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$928K
22.1%
134
0.0%
-
3
Contract AE429285-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$597K
14.2%
207
0.0%
-
4
Contract AE429633-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$426K
10.2%
105
0.0%
-
6
Contract AE429287-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$287K
6.8%
86
0.0%
-
7
Contract AE429671-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$263K
6.3%
35
0.0%
-
8
Contract 811531-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$107K
2.5%
144
0.0%
-
9
Contract 325990-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$33K
0.8%
1
0.0%
-
10
Contract AE464035-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$27K
0.6%
26
0.0%
-
11
Contract US429891-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$16K
0.4%
5
0.0%
-
12
Contract US394955-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$11K
0.3%
3
0.0%
-
13
Contract AE394946-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$10K
0.2%
5
0.0%
-
14
Contract AE394953-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$9K
0.2%
2
0.0%
-
16
Contract AE429286-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$7K
0.2%
7
0.0%
-
17
Contract AE464034-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$6K
0.2%
6
0.0%
-
18
Contract AE466672
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$5K
0.1%
8
0.0%
-
19
Contract AE464032-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$3K
0.1%
2
0.0%
-
20
Contract AE466675-RHA
Filed as: AETNA LIFE INSURANCE CO.
2017-01-01 → 2017-12-31
$562
0.0%
1
0.0%
-
2
EIN 382242827 · Contract 10002354
$391K
9.3%
42
0.0%
-
3
EIN 131828429 · Contract 10027W8 000
$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
1 benefit type
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✓Not declared:DentalVisionLifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
20 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 | 2 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,360 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,362 | 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) | EMBLEMHEALTH | 1 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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."