Insurance carriers
16 carriers · 57 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 066033492 · 20 contracts
$8.4M
38.8%
1,083
0.1%
-
2
Contract AE466350
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$2.9M
13.3%
1,083
0.0%
-
3
Contract AE467064
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$1.7M
7.9%
1,082
0.0%
-
5
Contract AE467063
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$942K
4.3%
707
0.0%
-
6
Contract AE467060
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$790K
3.6%
504
0.0%
-
13
Contract AE467057
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$346K
1.6%
280
0.0%
-
15
Contract AE467065
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$304K
1.4%
244
0.0%
-
16
Contract AE466355
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$302K
1.4%
110
0.0%
-
18
Contract AE467051
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$256K
1.2%
204
0.0%
-
19
Contract AE467053
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$238K
1.1%
193
0.0%
-
26
Contract 6203800009
Filed as: COVENTRY HEALTH CARE OF MISSOURI
2018-01-01 → 2018-12-31
$130K
0.6%
35
0.0%
-
29
Contract AE467058
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$106K
0.5%
68
0.0%
-
30
Contract AE467059
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$85K
0.4%
44
0.0%
-
32
Contract AE467052
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$62K
0.3%
40
0.0%
-
35
Contract AE467055
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$52K
0.2%
41
0.0%
-
39
Contract 0725120-0836411
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$45K
0.2%
3
9.7%
-
40
Contract AE467054
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$39K
0.2%
24
0.0%
-
44
Contract AE467061
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$37K
0.2%
18
0.0%
-
46
Contract AE467066
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$34K
0.2%
22
0.0%
-
49
Contract AE467056
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$25K
0.1%
15
0.0%
-
56
Contract AE467062
Filed as: AETNA LIFE INSURANCE CO.
2018-01-01 → 2018-12-31
$3K
0.0%
10
0.0%
-
2
EIN 940734860 · 9 contracts
$7.0M
32.1%
6,166
0.0%
-
1
Contract H2001*
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2018-01-01 → 2018-12-31
$6.5M
30.1%
6,166
0.0%
-
24
Contract 142611*
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2018-01-01 → 2018-12-31
$156K
0.7%
35
0.0%
-
25
Contract 092016
Filed as: UNITEDHEALTHCARE OF COLORADO
2018-01-01 → 2018-12-31
$136K
0.6%
28
0.0%
-
38
Contract 060469
Filed as: UNITEDHEALTHCARE OF ARIZONA
2018-01-01 → 2018-12-31
$46K
0.2%
11
0.0%
-
47
Contract H2001*
Filed as: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC
2018-01-01 → 2018-12-31
$28K
0.1%
234
0.0%
-
48
Contract 039984
Filed as: UNITEDHEALTHCARE OF OREGON, INC.
2018-01-01 → 2018-12-31
$26K
0.1%
4
0.0%
-
51
Contract 036562
Filed as: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
2018-01-01 → 2018-12-31
$24K
0.1%
6
0.0%
-
53
Contract 667071
Filed as: UNITEDHEALTHCARE OF NEVADA
2018-01-01 → 2018-12-31
$9K
0.0%
2
0.0%
-
55
Contract 808280
Filed as: UNITEDHEALTHCARE OF OKLAHOMA, INC.
2018-01-01 → 2018-12-31
$3K
0.0%
1
0.0%
-
3
EIN 061181200 · 2 contracts
$1.8M
8.4%
296
0.0%
-
4
Contract H3307
Filed as: OXFORD HEALTH PLANS (NY), INC.
2018-01-01 → 2018-12-31
$1.4M
6.5%
296
0.0%
-
11
Contract H0755
Filed as: OXFORD HEALTH PLANS (CT), INC.
2018-01-01 → 2018-12-31
$406K
1.9%
86
0.0%
-
4
EIN 391263473 · 8 contracts
$1.1M
5.3%
152
0.0%
-
9
Contract 304985
2018-01-01 → 2018-12-31
$498K
2.3%
152
0.0%
-
10
Contract 304961
2018-01-01 → 2018-12-31
$446K
2.1%
116
0.0%
-
34
Contract 305929
2018-01-01 → 2018-12-31
$53K
0.2%
14
0.0%
-
36
Contract 305210
2018-01-01 → 2018-12-31
$51K
0.2%
15
0.0%
-
42
Contract 233268*
Filed as: HUMANA MEDICAL PLAN, INC.
2018-01-01 → 2018-12-31
$39K
0.2%
25
0.0%
-
45
Contract 292405 & 292424
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2018-01-01 → 2018-12-31
$34K
0.2%
11
0.0%
-
50
Contract 305005
Filed as: HUMANA BENEFIT PLAN OF ILLINOIS, INC.
2018-01-01 → 2018-12-31
$24K
0.1%
6
0.0%
-
54
Contract 292399
Filed as: HUMANA INSURANCE COMPANY OF NEW YORK
2018-01-01 → 2018-12-31
$4K
0.0%
1
0.0%
-
5
EIN 941340523 · 6 contracts
$1.1M
5.0%
129
0.0%
-
12
Contract 8777*
2018-01-01 → 2018-12-31
$365K
1.7%
129
0.0%
-
14
Contract 106231*
2018-01-01 → 2018-12-31
$324K
1.5%
114
0.0%
-
21
Contract 1562
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2018-01-01 → 2018-12-31
$194K
0.9%
58
0.0%
-
28
Contract 4106*
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ALTANTIC
2018-01-01 → 2018-12-31
$117K
0.5%
38
0.0%
-
31
Contract 150*
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2018-01-01 → 2018-12-31
$83K
0.4%
19
0.0%
-
57
Contract 996
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2018-01-01 → 2018-12-31
$2K
0.0%
1
0.0%
-
6
Filed as: EMBLEM HEALTH
EIN 131828429 · Contract 1123073000
$571K
2.6%
145
0.0%
-
7
EIN 362739571 · Contract H0755-H5253
$526K
2.4%
112
0.0%
-
8
EIN 141640868 · 2 contracts
$346K
1.6%
43
0.0%
-
20
Contract 700911
2018-01-01 → 2018-12-31
$218K
1.0%
43
0.0%
-
27
Contract 10001827
Filed as: CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC.
2018-01-01 → 2018-12-31
$128K
0.6%
30
0.0%
-
9
EIN 954402957 · Contract 5542BS & 55422S
$270K
1.2%
50
0.0%
-
10
Filed as: TRIPLE S ADVANTAGE
EIN 660593034 · Contract 69
$169K
0.8%
101
0.0%
-
11
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.
EIN 042674079 · Contract 1285
$167K
0.8%
40
0.0%
-
12
Filed as: HEALTHPARTNERS
EIN 410797853 · Contract 60738
$61K
0.3%
15
0.0%
-
13
EIN 161080163 · Contract 16389*
$48K
0.2%
8
0.0%
-
14
Filed as: CIGNA HEALTHCARE OF ARIZONA, INC.
EIN 860334392 · Contract 4173
$39K
0.2%
14
0.0%
-
15
Filed as: PRESBYTERIAN HEALTH PLAN INC
EIN 943037165 · Contract GR001312
$37K
0.2%
10
0.0%
-
16
Filed as: BLUE CROSS AND BLUE SHIELD (LOVELACE)
EIN 361236610 · Contract 20000900
$20K
0.1%
8
0.0%
-
Brokers
No brokers 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
57 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 | 4 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9,979 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,990 | 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)(39 contracts, 33 carriers) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC | 6,166 | $13.4M |
| Dental | TRIPLE S ADVANTAGE | 101 | $169K |
| Vision | HEALTH NET | 50 | $270K |
| Life insurance | TRIPLE S ADVANTAGE | 101 | $169K |
| Prescription drug | TRIPLE S ADVANTAGE | 101 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,166 | — |
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."