Insurance carriers
3 carriers · 25 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 066033492 · 23 contracts
$8.3M
95.2%
1,674
0.0%
-
1
Contract AE467071
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$3.9M
44.8%
1,674
0.0%
-
2
Contract AE429326-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$1.0M
12.0%
277
0.0%
-
3
Contract AE429288-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$798K
9.2%
129
0.0%
-
4
Contract AE429285-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$590K
6.8%
212
0.0%
-
5
Contract AE467072
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$529K
6.1%
301
0.0%
-
7
Contract AE429633-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$374K
4.3%
97
0.0%
-
8
Contract AE467070
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$338K
3.9%
186
0.0%
-
9
Contract AE429287-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$240K
2.8%
77
0.0%
-
10
Contract AE429671-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$232K
2.7%
37
0.0%
-
11
Contract 811531-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$105K
1.2%
113
0.0%
-
12
Contract AE464035-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$34K
0.4%
30
0.0%
-
13
Contract 325990-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$26K
0.3%
1
0.0%
-
14
Contract US429891-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$17K
0.2%
5
0.0%
-
15
Contract AE394953-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$13K
0.2%
3
0.0%
-
16
Contract AE394946-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$8K
0.1%
5
0.0%
-
17
Contract AE466672
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$8K
0.1%
10
0.0%
-
19
Contract US394955-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$7K
0.1%
2
0.0%
-
20
Contract AE464034-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$7K
0.1%
6
0.0%
-
21
Contract AE429286-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$5K
0.1%
5
0.0%
-
22
Contract AE464033-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$4K
0.0%
2
0.0%
-
23
Contract AE464032-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$4K
0.0%
2
0.0%
-
24
Contract AE466674-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$1K
0.0%
1
0.0%
-
25
Contract AE466675-RHA
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$736
0.0%
1
0.0%
-
2
EIN 382242827 · Contract 10002354
$413K
4.7%
34
0.0%
-
3
EIN 131828429 · Contract 1123092 000
$7K
0.1%
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
25 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 | 1,930 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,932 | 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 | 1,674 | — |
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."