Insurance carriers
16 carriers · 50 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 11 contracts
$16.0M
51.9%
635
0.0%
-
1
Contract 582-100;101
Filed as: KAISER - NORTHERN CA
2017-01-01 → 2017-12-31
$5.6M
18.0%
409
0.0%
-
3
Contract 101200;114302
Filed as: KAISER - SOUTHERN CA
2017-01-01 → 2017-12-31
$3.0M
9.8%
210
0.0%
-
4
Contract 2001-006;-008
Filed as: KAISER - CO
2017-01-01 → 2017-12-31
$3.0M
9.8%
253
0.0%
-
6
Contract 114302-65
Filed as: KAISER - SOUTHERN CA SR HMO
2017-01-01 → 2017-12-31
$1.7M
5.6%
635
0.0%
-
9
Contract 582-165;4697
Filed as: KAISER - NORTHERN CA SR HMO
2017-01-01 → 2017-12-31
$1.1M
3.5%
532
0.0%
-
10
Contract 4822
Filed as: KAISER - GEORGIA SR HMO
2017-01-01 → 2017-12-31
$1.1M
3.5%
189
0.0%
-
21
Contract 4822
Filed as: KAISER - GEORGIA
2017-01-01 → 2017-12-31
$196K
0.6%
12
0.0%
-
25
Contract 2001-006
Filed as: KAISER - CO SR HMO
2017-01-01 → 2017-12-31
$149K
0.5%
35
0.0%
-
29
Contract 8434-002
Filed as: KAISER - OR SR HMO
2017-01-01 → 2017-12-31
$124K
0.4%
25
0.0%
-
38
Contract 30980; 31934
Filed as: KAISER - HI SR HMO
2017-01-01 → 2017-12-31
$40K
0.1%
9
0.0%
-
49
Contract 3104-26; -31
Filed as: KAISER - MID-ATLANTIC SR HMO
2017-01-01 → 2017-12-31
$8K
0.0%
2
0.0%
-
2
EIN 581649568 · 11 contracts
$5.7M
18.5%
1,389
0.0%
-
5
Contract 172310;172312
Filed as: AETNA INC. - GA SR HMO
2017-01-01 → 2017-12-31
$1.8M
5.7%
366
0.0%
-
8
Contract 375891
Filed as: AETNA LIFE INSURANCE CO
2017-01-01 → 2017-12-31
$1.4M
4.4%
1,389
0.0%
-
11
Contract 172310;172312
Filed as: AETNA INC. - TX SR
2017-01-01 → 2017-12-31
$990K
3.2%
277
0.0%
-
12
Contract 0701220HNO
Filed as: AETNA INC. - NY POS GREAT NECK
2017-01-01 → 2017-12-31
$761K
2.5%
35
0.0%
-
19
Contract 019528
Filed as: AETNA INC. - SOUTHERN NJ SR HMO
2017-01-01 → 2017-12-31
$298K
1.0%
33
0.0%
-
20
Contract 019528
Filed as: AETNA INC. - SOUTHEAST PA SR HMO
2017-01-01 → 2017-12-31
$250K
0.8%
33
0.0%
-
24
Contract 0701220HNO
Filed as: AETNA INC. - FL
2017-01-01 → 2017-12-31
$157K
0.5%
8
0.0%
-
36
Contract 019528
Filed as: AETNA INC. - NORTHERN NJ SR HMO
2017-01-01 → 2017-12-31
$49K
0.2%
6
0.0%
-
39
Contract 172310;172312
Filed as: AETNA INC. - AZ SR HMO
2017-01-01 → 2017-12-31
$37K
0.1%
8
0.0%
-
44
Contract 19528
Filed as: AETNA INC. - VA SR HMO
2017-01-01 → 2017-12-31
$23K
0.1%
5
0.0%
-
46
Contract 19528
Filed as: AETNA INC. - MD SR HMO
2017-01-01 → 2017-12-31
$23K
0.1%
4
0.0%
-
3
EIN 330115163 · Contract 18021
$3.4M
11.0%
769
0.0%
-
4
EIN 943267522 · 8 contracts
$2.7M
8.9%
121
0.0%
-
7
Contract H1401 & SUBS
Filed as: PACIFICARE - AZ
2017-01-01 → 2017-12-31
$1.6M
5.1%
66
0.0%
-
15
Contract 142770; 144883
Filed as: PACIFICARE - SOUTHERN CA SR HMO
2017-01-01 → 2017-12-31
$452K
1.5%
121
0.0%
-
17
Contract H1400
Filed as: PACIFICARE - AZ SR HMO
2017-01-01 → 2017-12-31
$353K
1.1%
81
0.0%
-
26
Contract 29300
Filed as: PACIFICARE - DENVER CO SR HMO
2017-01-01 → 2017-12-31
$143K
0.5%
26
0.0%
-
27
Contract CO-601-606&SUBS
Filed as: PACIFICARE - CO
2017-01-01 → 2017-12-31
$139K
0.5%
5
0.0%
-
40
Contract 33502
Filed as: PACIFICARE - NV SR HMO
2017-01-01 → 2017-12-31
$36K
0.1%
13
0.0%
-
45
Contract 6000-00 & SUBS
Filed as: PACIFICARE - TX
2017-01-01 → 2017-12-31
$23K
0.1%
1
0.0%
-
47
Contract 29300
Filed as: PACIFICARE SECURE HORIZONS - NORTHERN CO SR HMO
2017-01-01 → 2017-12-31
$20K
0.1%
5
0.0%
-
5
EIN 954402957 · 3 contracts
$1.3M
4.3%
202
0.0%
-
13
Contract 57534
Filed as: HEALTHNET - NORTHERN CA SR HMO
2017-01-01 → 2017-12-31
$613K
2.0%
99
0.0%
-
14
Contract 57534
Filed as: HEALTHNET - SOUTHERN CA SR HMO
2017-01-01 → 2017-12-31
$535K
1.7%
202
0.0%
-
23
Contract 5030 & SUBS
Filed as: HEALTHNET - SOUTHERN CA
2017-01-01 → 2017-12-31
$174K
0.6%
11
0.0%
-
6
EIN 352145715 · 2 contracts
$498K
1.6%
23
0.0%
-
18
Contract 173039
Filed as: ANTHEM BLUE CROSS CA HMO
2017-01-01 → 2017-12-31
$316K
1.0%
15
0.0%
-
22
Contract 173039
Filed as: ANTHEM BLUE CROSS - CA SR HMO
2017-01-01 → 2017-12-31
$182K
0.6%
23
0.0%
-
7
Filed as: BLUE CROSS BLUE SHIELD - GEORGIA
EIN 581638390 · Contract 174524
$402K
1.3%
13
0.0%
-
8
EIN 910511770 · 2 contracts
$149K
0.5%
15
0.0%
-
32
Contract 1069000/4069000
Filed as: GROUP HEALTH COOPERATIVE MEDICARE HMO
2017-01-01 → 2017-12-31
$98K
0.3%
15
0.0%
-
35
Contract 973000
Filed as: GROUP HEALTH COOPERATIVE
2017-01-01 → 2017-12-31
$51K
0.2%
3
0.0%
-
9
Filed as: CIGNA HEALTHCARE - AZ SR HMO
EIN 860334392 · Contract 4225
$128K
0.4%
32
0.0%
-
10
EIN 221211670 · 4 contracts
$114K
0.4%
199
5.8%
MERCER HEALTH & BENEFITS LLC
33
Contract 23747-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$69K
0.2%
149
7.6%
MERCER HEALTH & BENEFITS LLC
43
Contract 23748-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$25K
0.1%
103
5.6%
MERCER HEALTH & BENEFITS LLC
48
Contract 43406-2
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$16K
0.1%
199
0.0%
MERCER HEALTH & BENEFITS LLC
50
Contract 23749-1
Filed as: PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA
2017-01-01 → 2017-12-31
$4K
0.0%
14
0.0%
MERCER HEALTH & BENEFITS LLC
11
EIN 411693838 · Contract 2181
$111K
0.4%
22
0.0%
-
12
Filed as: HAWAII MEDICAL SERVICES
EIN 990040115 · Contract 41635
$110K
0.4%
10
0.0%
-
13
Filed as: MONUMENTAL LIFE INSURANCE COMPANY
EIN 520419790 · Contract C3802-B
$66K
0.2%
46
0.0%
-
14
Filed as: SUMMACARE - OH SR HMO
EIN 341726655 · Contract HO 1011 MG
$44K
0.1%
10
0.0%
-
15
EIN 631036817 · Contract 65089
$33K
0.1%
2
0.0%
-
16
EIN 430949844 · Contract 9660556 & SUBS
$32K
0.1%
335
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✓DentalVision✓Life✓Not declared:Short-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
50 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 | 14,003 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,003 | 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 | 46 | $826K |
| Vision | EYEMED VISION CARE | 335 | $32K |
| Life insurance(4 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 1,389 | $1.5M |
| Other | PRUDENTIAL LIFE INSURANCE COMPANY OF AMERICA | 199 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,389 | — |
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."