Insurance carriers
18 carriers · 56 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 12 contracts
$16.1M
50.6%
649
0.0%
-
1
Contract 582-100;101
Filed as: KAISER - NORTHERN CA
2016-01-01 → 2016-12-31
$5.4M
17.1%
424
0.0%
-
3
Contract 101200;114302
Filed as: KAISER - SOUTHERN CA
2016-01-01 → 2016-12-31
$3.1M
9.6%
249
0.0%
-
4
Contract 2001-006;-008
Filed as: KAISER - CO
2016-01-01 → 2016-12-31
$3.0M
9.5%
271
0.0%
-
6
Contract 114302-65
Filed as: KAISER - SOUTHERN CA SR HMO
2016-01-01 → 2016-12-31
$1.7M
5.5%
649
0.0%
-
9
Contract 4822
Filed as: KAISER - GEORGIA SR HMO
2016-01-01 → 2016-12-31
$1.1M
3.5%
209
0.0%
-
10
Contract 582-165;4697
Filed as: KAISER - NORTHERN CA SR HMO
2016-01-01 → 2016-12-31
$1.1M
3.5%
417
0.0%
-
20
Contract 4822
Filed as: KAISER - GEORGIA
2016-01-01 → 2016-12-31
$275K
0.9%
16
0.0%
-
27
Contract 2001-006
Filed as: KAISER - CO SR HMO
2016-01-01 → 2016-12-31
$133K
0.4%
29
0.0%
-
30
Contract 8434-002
Filed as: KAISER - OR SR HMO
2016-01-01 → 2016-12-31
$112K
0.4%
22
0.0%
-
39
Contract 30980; 31934
Filed as: KAISER - HI SR HMO
2016-01-01 → 2016-12-31
$47K
0.1%
9
0.0%
-
52
Contract 3104-26; -31
Filed as: KAISER - MID-ATLANTIC SR HMO
2016-01-01 → 2016-12-31
$10K
0.0%
2
0.0%
-
54
Contract 4700-507;-508
Filed as: KAISER - OH SR HMO
2016-01-01 → 2016-12-31
$5K
0.0%
1
0.0%
-
2
EIN 581649568 · 12 contracts
$5.6M
17.7%
1,261
0.0%
-
7
Contract 172310;172312
Filed as: AETNA INC. - GA SR HMO
2016-01-01 → 2016-12-31
$1.6M
4.9%
344
0.0%
-
8
Contract 375891
Filed as: AETNA LIFE INSURANCE CO
2016-01-01 → 2016-12-31
$1.6M
4.9%
1,261
0.0%
-
11
Contract 172310;172312
Filed as: AETNA INC. - TX SR
2016-01-01 → 2016-12-31
$877K
2.8%
274
0.0%
-
12
Contract 0701220HNO
Filed as: AETNA INC. - NY POS GREAT NECK
2016-01-01 → 2016-12-31
$801K
2.5%
21
0.0%
-
19
Contract 019528
Filed as: AETNA INC. - SOUTHERN NJ SR HMO
2016-01-01 → 2016-12-31
$302K
0.9%
37
0.0%
-
21
Contract 019528
Filed as: AETNA INC. - SOUTHEAST PA SR HMO
2016-01-01 → 2016-12-31
$234K
0.7%
31
0.0%
-
25
Contract 0701220HNO
Filed as: AETNA INC. - FL
2016-01-01 → 2016-12-31
$160K
0.5%
9
0.0%
-
41
Contract 172310;172312
Filed as: AETNA INC. - AZ SR HMO
2016-01-01 → 2016-12-31
$46K
0.1%
12
0.0%
-
44
Contract 019528
Filed as: AETNA INC. - NORTHERN NJ SR HMO
2016-01-01 → 2016-12-31
$40K
0.1%
6
0.0%
-
47
Contract 19528
Filed as: AETNA INC. - MD SR HMO
2016-01-01 → 2016-12-31
$30K
0.1%
8
0.0%
-
50
Contract 19528
Filed as: AETNA INC. - VA SR HMO
2016-01-01 → 2016-12-31
$13K
0.0%
4
0.0%
-
56
Contract 172310;172312
Filed as: AETNA INC. - FL SR HMO
2016-01-01 → 2016-12-31
$202
0.0%
2
0.0%
-
3
EIN 330115163 · Contract 18021
$3.6M
11.5%
823
0.0%
-
4
EIN 943267522 · 9 contracts
$2.9M
9.3%
94
0.0%
-
5
Contract H1401 & SUBS
Filed as: PACIFICARE - AZ
2016-01-01 → 2016-12-31
$1.7M
5.5%
71
0.0%
-
15
Contract 142770; 144883
Filed as: PACIFICARE - SOUTHERN CA SR HMO
2016-01-01 → 2016-12-31
$444K
1.4%
94
0.0%
-
17
Contract H1400
Filed as: PACIFICARE - AZ SR HMO
2016-01-01 → 2016-12-31
$367K
1.2%
83
0.0%
-
26
Contract CO-601-606&SUBS
Filed as: PACIFICARE - CO
2016-01-01 → 2016-12-31
$144K
0.5%
12
0.0%
-
29
Contract 29300
Filed as: PACIFICARE - DENVER CO SR HMO
2016-01-01 → 2016-12-31
$130K
0.4%
25
0.0%
-
40
Contract 33502
Filed as: PACIFICARE - NV SR HMO
2016-01-01 → 2016-12-31
$47K
0.1%
15
0.0%
-
43
Contract 6000-00 & SUBS
Filed as: PACIFICARE - TX
2016-01-01 → 2016-12-31
$45K
0.1%
1
0.0%
-
49
Contract 29300
Filed as: PACIFICARE SECURE HORIZONS - NORTHERN CO SR HMO
2016-01-01 → 2016-12-31
$15K
0.0%
3
0.0%
-
53
Contract 29300
Filed as: PACIFICARE - CO SPRINGS SR HMO
2016-01-01 → 2016-12-31
$8K
0.0%
1
0.0%
-
5
EIN 954402957 · 3 contracts
$1.4M
4.5%
219
0.0%
-
13
Contract 57534
Filed as: HEALTHNET - NORTHERN CA SR HMO
2016-01-01 → 2016-12-31
$675K
2.1%
109
0.0%
-
14
Contract 57534
Filed as: HEALTHNET - SOUTHERN CA SR HMO
2016-01-01 → 2016-12-31
$546K
1.7%
219
0.0%
-
22
Contract 5030 & SUBS
Filed as: HEALTHNET - SOUTHERN CA
2016-01-01 → 2016-12-31
$227K
0.7%
14
0.0%
-
6
EIN 352145715 · 2 contracts
$504K
1.6%
26
0.0%
-
18
Contract 173039
Filed as: ANTHEM BLUE CROSS CA HMO
2016-01-01 → 2016-12-31
$338K
1.1%
18
0.0%
-
24
Contract 173039
Filed as: ANTHEM BLUE CROSS - CA SR HMO
2016-01-01 → 2016-12-31
$166K
0.5%
26
0.0%
-
7
Filed as: BLUE CROSS BLUE SHIELD - GEORGIA
EIN 581638390 · Contract 174524
$440K
1.4%
15
0.0%
-
8
EIN 221211670 · 4 contracts
$372K
1.2%
617
5.2%
-
23
Contract 23747-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2016-01-01 → 2016-12-31
$214K
0.7%
431
6.9%
-
33
Contract 23748-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2016-01-01 → 2016-12-31
$88K
0.3%
358
4.9%
MERCER HEALTH & BENEFITS LLC
37
Contract 43406-2
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2016-01-01 → 2016-12-31
$57K
0.2%
617
0.0%
MERCER HEALTH & BENEFITS LLC
51
Contract 23749-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2016-01-01 → 2016-12-31
$13K
0.0%
45
0.0%
MERCER HEALTH & BENEFITS LLC
9
EIN 860334392 · 2 contracts
$131K
0.4%
32
0.0%
-
28
Contract 4225
Filed as: CIGNA HEALTHCARE - AZ SR HMO
2016-01-01 → 2016-12-31
$130K
0.4%
32
0.0%
-
55
Contract 408779
Filed as: CIGNA MANAGED DENTAL
2016-01-01 → 2016-12-31
$242
0.0%
1
0.0%
-
10
EIN 411693838 · Contract 2181
$108K
0.3%
22
0.0%
-
11
Filed as: HAWAII MEDICAL SERVICES
EIN 990040115 · Contract 41635
$106K
0.3%
11
0.0%
-
12
EIN 910511770 · 2 contracts
$104K
0.3%
21
0.0%
-
34
Contract 1069000/4069000
Filed as: GROUP HEALTH COOPERATIVE MEDICARE HMO
2016-01-01 → 2016-12-31
$73K
0.2%
21
0.0%
-
46
Contract 973000
Filed as: GROUP HEALTH COOPERATIVE
2016-01-01 → 2016-12-31
$31K
0.1%
2
0.0%
-
13
Filed as: MONUMENTAL LIFE INSURANCE COMPANY
EIN 520419790 · Contract C3802-B
$73K
0.2%
60
0.0%
-
14
EIN 631036817 · Contract 65089
$67K
0.2%
4
0.0%
-
15
Filed as: KEYSTONE HEALTH PLAN PA SR HMO
EIN 232405376 · Contract 837872
$51K
0.2%
5
0.0%
-
16
EIN 430949844 · Contract 9660556 & SUBS
$45K
0.1%
430
0.0%
-
17
Filed as: SUMMACARE - OH SR HMO
EIN 341726655 · Contract HO 1011 MG
$39K
0.1%
9
0.0%
-
18
Filed as: GEISINGER HEALTH PLAN - NE PA SR HMO
EIN 232311553 · Contract 105141
$18K
0.1%
5
0.0%
-
Coverage breadth
4 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✓Dental✓Vision✓Life✓Not declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
56 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 46,040 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 46,040 | 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)(2 contracts, 2 carriers) | AETNA INC. - NY POS GREAT NECK | 60 | $874K |
| Dental | CIGNA MANAGED DENTAL | 1 | $242 |
| Vision | EYEMED VISION CARE | 430 | $45K |
| Life insurance(4 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 1,261 | $1.9M |
| Other | PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA | 617 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,261 | — |
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."