Insurance carriers
13 carriers · 49 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 15 contracts
$16.6M
61.4%
536
0.0%
-
1
Contract 582-100;101
2021-01-01 → 2021-12-31
$4.8M
17.9%
338
0.0%
-
2
Contract 2001-006;-008
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2021-01-01 → 2021-12-31
$4.1M
15.0%
312
0.0%
-
3
Contract 101200;114302
2021-01-01 → 2021-12-31
$2.4M
9.0%
172
0.0%
-
6
Contract 114302-65
2021-01-01 → 2021-12-31
$1.5M
5.7%
536
0.0%
-
7
Contract 4822
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2021-01-01 → 2021-12-31
$1.1M
4.1%
81
0.0%
-
9
Contract 582-165;4697
2021-01-01 → 2021-12-31
$970K
3.6%
339
0.0%
-
11
Contract 4822
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2021-01-01 → 2021-12-31
$881K
3.3%
156
0.0%
-
17
Contract 3104
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2021-01-01 → 2021-12-31
$258K
1.0%
28
0.0%
-
21
Contract 1069000
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2021-01-01 → 2021-12-31
$220K
0.8%
28
0.0%
-
26
Contract 2001-006
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2021-01-01 → 2021-12-31
$112K
0.4%
26
0.0%
-
27
Contract 8434-002
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2021-01-01 → 2021-12-31
$96K
0.4%
17
0.0%
-
36
Contract 21201
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2021-01-01 → 2021-12-31
$47K
0.2%
3
0.0%
-
40
Contract 14934
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2021-01-01 → 2021-12-31
$34K
0.1%
6
0.0%
-
45
Contract 6778600
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2021-01-01 → 2021-12-31
$15K
0.1%
1
0.0%
-
49
Contract 3104-26; -31
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2021-01-01 → 2021-12-31
$6K
0.0%
1
0.0%
-
2
EIN 581649568 · 10 contracts
$4.3M
15.9%
278
0.0%
-
5
Contract 172310;172312
Filed as: AETNA HEALTH INC. - GA SR HMO
2021-01-01 → 2021-12-31
$1.7M
6.2%
278
0.0%
-
8
Contract 172310;172312
Filed as: AETNA HEALTH INC. - TX SR
2021-01-01 → 2021-12-31
$1.1M
4.0%
249
0.0%
-
12
Contract 0701220
Filed as: AETNA LIFE INSURANCE CO.
2021-01-01 → 2021-12-31
$797K
2.9%
46
0.0%
-
16
Contract 019528
Filed as: AETNA HEALTH INC. - SOUTHERN NJ SR HMO
2021-01-01 → 2021-12-31
$287K
1.1%
31
0.0%
-
19
Contract 019528
Filed as: AETNA HEALTH INC. - SOUTHEAST PA SR HMO
2021-01-01 → 2021-12-31
$255K
0.9%
29
0.0%
-
28
Contract 0701220HNO
Filed as: AETNA HEALTH INC. - FL
2021-01-01 → 2021-12-31
$93K
0.3%
4
0.0%
-
38
Contract 172310;172312
Filed as: AETNA HEALTH INC. - AZ SR HMO
2021-01-01 → 2021-12-31
$40K
0.1%
7
0.0%
-
39
Contract 19528
Filed as: AETNA HEALTH INC. - MD SR HMO
2021-01-01 → 2021-12-31
$39K
0.1%
6
0.0%
-
46
Contract 019528
Filed as: AETNA INC. - NORTHERN NJ SR HMO
2021-01-01 → 2021-12-31
$14K
0.1%
2
0.0%
-
47
Contract 19528
Filed as: AETNA HEALTH INC. - VA SR HMO
2021-01-01 → 2021-12-31
$9K
0.0%
1
0.0%
-
3
EIN 330115163 · Contract 18021
$2.3M
8.5%
540
0.0%
-
4
EIN 943267522 · 8 contracts
$1.8M
6.6%
74
0.0%
-
10
Contract H1401-1404&SUBS
Filed as: PACIFICARE OF ARIZONA, INC.
2021-01-01 → 2021-12-31
$940K
3.5%
44
0.0%
-
15
Contract 142770; 144883
Filed as: PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
2021-01-01 → 2021-12-31
$357K
1.3%
74
0.0%
-
18
Contract H1400
Filed as: PACIFICARE OF ARIZONA, INC.
2021-01-01 → 2021-12-31
$256K
0.9%
62
0.0%
-
25
Contract 29300
Filed as: PACIFICARE OF COLORADO INC (DENVER CO SR HMO)
2021-01-01 → 2021-12-31
$126K
0.5%
23
0.0%
-
34
Contract CO-601-606&SUBS
Filed as: PACIFICARE OF COLORADO INC
2021-01-01 → 2021-12-31
$52K
0.2%
2
0.0%
-
41
Contract 29300
Filed as: PACIFICARE OF COLORADO INC (NORTHERN CO SR HMO)
2021-01-01 → 2021-12-31
$26K
0.1%
6
0.0%
-
42
Contract 33502
Filed as: PACIFICARE OF NV INC
2021-01-01 → 2021-12-31
$18K
0.1%
6
0.0%
-
48
Contract 29300
Filed as: PACIFICARE OF COLORADO INC (PUEBLO SR HMO)
2021-01-01 → 2021-12-31
$7K
0.0%
2
0.0%
-
5
EIN 954402957 · 3 contracts
$971K
3.6%
132
0.0%
-
13
Contract 57534
Filed as: HEALTH NET - NORTHERN CA SR HMO
2021-01-01 → 2021-12-31
$473K
1.7%
60
0.0%
-
14
Contract 57534
Filed as: HEALTH NET - SOUTHERN CA SR HMO
2021-01-01 → 2021-12-31
$446K
1.6%
132
0.0%
-
33
Contract 5030 & SUBS
Filed as: HEALTH NET - SOUTHERN CA
2021-01-01 → 2021-12-31
$53K
0.2%
3
0.0%
-
6
EIN 221211670 · 4 contracts
$307K
1.1%
700
-0.2%
MERCER HEALTH & BENEFITS LLC
23
Contract 23747-1
2021-01-01 → 2021-12-31
$164K
0.6%
514
-3.1%
MERCER HEALTH & BENEFITS LLC
30
Contract 23748-1
2021-01-01 → 2021-12-31
$74K
0.3%
289
6.0%
MERCER HEALTH & BENEFITS LLC
32
Contract 43406-2
2021-01-01 → 2021-12-31
$53K
0.2%
700
0.0%
MERCER HEALTH & BENEFITS LLC
44
Contract 23749-1
2021-01-01 → 2021-12-31
$15K
0.1%
48
0.0%
MERCER HEALTH & BENEFITS LLC
7
Filed as: BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC
EIN 581638390 · Contract 174524
$232K
0.9%
5
0.0%
-
8
EIN 352145715 · 2 contracts
$178K
0.7%
15
0.0%
-
24
Contract 173039H043
Filed as: ANTHEM, INC - CA SR HMO
2021-01-01 → 2021-12-31
$129K
0.5%
15
0.0%
-
35
Contract 173039
Filed as: ANTHEM, INC - CA HMO
2021-01-01 → 2021-12-31
$49K
0.2%
2
0.0%
-
9
EIN 990040115 · Contract C952
$165K
0.6%
13
0.0%
-
10
Filed as: CIGNA HEALTHCARE OF AZ
EIN 860334392 · Contract 4225
$86K
0.3%
24
0.0%
-
11
Filed as: HEALTHPARTNERS INC
EIN 411693838 · Contract 2181
$74K
0.3%
16
0.0%
-
12
Filed as: SUMMACARE, INC.
EIN 341726655 · Contract HO 1011 MG
$41K
0.2%
9
0.0%
-
13
EIN 430949844 · Contract 9660556 & SUBS
$18K
0.1%
209
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
49 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 | 46,656 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 46,656 | 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) | AETNA LIFE INSURANCE CO. | 46 | $797K |
| Vision | EYEMED VISION CARE | 209 | $18K |
| Life insurance(4 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 700 | $307K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 700 | — |
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."