Insurance carriers
15 carriers · 37 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract H0755*
$2.2M
24.9%
609
0.0%
-
2
EIN 066033492 · 5 contracts
$1.8M
20.0%
663
0.2%
-
2
Contract AE466355
Filed as: AETNA LIFE INSURANCE CO.
2015-01-01 → 2015-12-31
$1.5M
16.6%
663
0.0%
-
11
Contract 6203790012
Filed as: COVENTRY HEALTH CARE OF MISSOURI
2015-01-01 → 2015-12-31
$160K
1.8%
45
0.0%
-
19
Contract AE466350
Filed as: AETNA LIFE INSURANCE CO.
2015-01-01 → 2015-12-31
$82K
0.9%
35
0.0%
-
22
Contract *SEE BELOW
Filed as: AETNA LIFE INSURANCE CO.
2015-01-01 → 2015-12-31
$51K
0.6%
3
5.3%
-
33
Contract 7000620000
Filed as: COVENTRY HEALTH CARE OF IOWA
2015-01-01 → 2015-12-31
$9K
0.1%
4
0.0%
-
3
EIN 391263473 · 5 contracts
$1.1M
12.0%
277
0.0%
-
3
Contract *SEE BELOW
2015-01-01 → 2015-12-31
$863K
9.8%
277
0.0%
-
18
Contract 259652 & 259702
Filed as: HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.
2015-01-01 → 2015-12-31
$94K
1.1%
27
0.0%
-
23
Contract 292405 & 292424
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2015-01-01 → 2015-12-31
$47K
0.5%
15
0.0%
-
27
Contract *SEE BELOW
Filed as: HUMANA MEDICAL PLAN, INC.
2015-01-01 → 2015-12-31
$29K
0.3%
33
0.0%
-
29
Contract 76217
Filed as: HUMANA HEALTH PLAN. INC.
2015-01-01 → 2015-12-31
$23K
0.3%
6
0.0%
-
4
EIN 954402957 · Contract SEE BELOW*
$860K
9.8%
61
0.0%
-
5
EIN 941340523 · 6 contracts
$816K
9.3%
148
0.0%
-
6
Contract 8777
Filed as: KAISER FOUNDATION HEALTH PLAN INC (CALIFORNIA)
2015-01-01 → 2015-12-31
$352K
4.0%
137
0.0%
-
7
Contract 1562
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2015-01-01 → 2015-12-31
$207K
2.4%
72
0.0%
-
14
Contract 4106
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ALTANTIC
2015-01-01 → 2015-12-31
$132K
1.5%
49
0.0%
-
17
Contract 150
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2015-01-01 → 2015-12-31
$101K
1.2%
27
0.0%
-
28
Contract 996
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-01-01 → 2015-12-31
$24K
0.3%
7
0.0%
-
37
Contract 106231
Filed as: KAISER FOUNDATION HEALTH PLAN INC (CALIFORNIA)
2015-01-01 → 2015-12-31
$0
0.0%
148
-
-
6
Filed as: EMBLEM HEALTH
EIN 131828429 · Contract 1009056 000
$725K
8.2%
235
0.0%
-
7
EIN 841004639 · 9 contracts
$494K
5.6%
39
0.0%
-
10
Contract 092016
Filed as: UNITEDHEALTHCARE OF COLORADO
2015-01-01 → 2015-12-31
$161K
1.8%
39
0.0%
-
12
Contract 141394
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2015-01-01 → 2015-12-31
$150K
1.7%
39
0.0%
-
20
Contract 10001585-R001
Filed as: HEALTH PLAN OF NEVADA
2015-01-01 → 2015-12-31
$76K
0.9%
29
0.0%
WILLIAM M. MERCER INC.
24
Contract 060469
Filed as: UNITEDHEALTHCARE OF ARIZONA
2015-01-01 → 2015-12-31
$43K
0.5%
13
0.0%
-
30
Contract 036562
Filed as: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
2015-01-01 → 2015-12-31
$21K
0.2%
7
0.0%
-
31
Contract 039984
Filed as: UNITEDHEALTHCARE OF OREGON, INC.
2015-01-01 → 2015-12-31
$21K
0.2%
5
0.0%
-
34
Contract 804253
Filed as: UNITEDHEALTHCARE OF WASHINGTON, INC
2015-01-01 → 2015-12-31
$9K
0.1%
2
0.0%
-
35
Contract 667071
Filed as: UNITEDHEALTHCARE OF NEVADA
2015-01-01 → 2015-12-31
$8K
0.1%
2
0.0%
-
36
Contract 808280
Filed as: UNITEDHEALTHCARE OF OKLAHOMA, INC.
2015-01-01 → 2015-12-31
$3K
0.0%
2
0.0%
-
8
EIN 141640868 · 2 contracts
$315K
3.6%
60
0.0%
-
8
Contract 700911
2015-01-01 → 2015-12-31
$207K
2.3%
60
0.0%
-
16
Contract 10001827
Filed as: CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC.
2015-01-01 → 2015-12-31
$109K
1.2%
29
0.0%
-
9
Filed as: TUFTS HEALTH PLAN MEDICARE PREFERRED
EIN 042674079 · Contract 1285
$176K
2.0%
55
0.0%
-
10
Filed as: TRIPLE S ADVANTAGE
EIN 660593034 · Contract 069
$141K
1.6%
75
0.0%
-
11
EIN 161483784 · Contract 14785N01
$112K
1.3%
39
0.0%
-
12
Filed as: HEALTHPARTNERS
EIN 410797853 · Contract 60738
$56K
0.6%
16
0.0%
-
13
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
EIN 860334392 · Contract 4173
$40K
0.5%
16
0.0%
-
14
EIN 943037165 · Contract GR001312
$37K
0.4%
15
0.0%
-
15
Filed as: BLUE CROSS AND BLUE SHIELD
EIN 850327237 · Contract 20000900
$20K
0.2%
8
0.0%
-
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
37 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 | 3 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12,345 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 184 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,532 | 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)(37 contracts, 34 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 663 | $8.8M |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 61 | $936K |
| Prescription drug | HEALTH PLAN OF NEVADA | 29 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 663 | — |
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."