Insurance carriers
10 carriers · 32 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 11 contracts
$171.7M
69.6%
8,585
0.0%
-
1
Contract 104981
Filed as: KAISER FOUNDATION HEALTH PLAN INC. S CA
2020-01-01 → 2020-12-31
$43.8M
17.7%
8,585
0.0%
-
2
Contract 4827
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC
2020-01-01 → 2020-12-31
$34.3M
13.9%
6,414
0.0%
-
3
Contract 1991
Filed as: KAISER PERMANENTE SIGNATURE
2019-11-01 → 2020-10-31
$27.9M
11.3%
729
0.0%
-
6
Contract 17211
Filed as: KAISER FOUNDATION HEALTH PLAN INC. 100PCT
2020-01-01 → 2020-12-31
$14.7M
5.9%
1,890
0.0%
-
7
Contract 603
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2020-01-01 → 2020-12-31
$14.3M
5.8%
2,382
0.0%
-
8
Contract 17211-2001
Filed as: KAISER FOUNDATION HEALTH PLAN INC N CA
2020-01-01 → 2020-12-31
$13.6M
5.5%
1,863
0.0%
-
9
Contract 210
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-01-01 → 2020-12-31
$9.5M
3.9%
2,341
0.0%
-
11
Contract 1855
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2020-01-01 → 2020-12-31
$7.4M
3.0%
1,148
0.0%
-
14
Contract 1206000
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2020-01-01 → 2020-12-31
$4.2M
1.7%
774
0.0%
-
23
Contract 1525
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2020-01-01 → 2020-12-31
$1.5M
0.6%
246
0.0%
-
28
Contract 17211-100
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2020-01-01 → 2020-12-31
$556K
0.2%
53
0.0%
-
2
Filed as: AVMED HEALTH PLANS
EIN 592742907 · Contract 132194
$18.1M
7.3%
2,788
0.0%
-
3
EIN 990040115 · 2 contracts
$16.3M
6.6%
4,703
0.0%
-
5
Contract 98888
Filed as: HMSA HEALTH PLAN
2020-01-01 → 2020-12-31
$14.9M
6.0%
2,430
0.0%
-
24
Contract 2137
Filed as: HAWAII DENTAL SERVICE
2020-01-01 → 2020-12-31
$1.4M
0.6%
4,703
0.0%
WILLIS TOWERS WATSON
4
EIN 060838648 · 6 contracts
$16.2M
6.6%
108,228
0.0%
-
10
Contract 804871G
2020-06-01 → 2020-12-31
$7.8M
3.1%
33,755
0.0%
-
16
Contract 804871G
2020-06-01 → 2020-12-31
$3.0M
1.2%
15,931
0.0%
-
18
Contract 804871G
2020-06-01 → 2020-12-31
$1.9M
0.8%
10,982
0.0%
-
19
Contract 804871G
2020-06-01 → 2020-12-31
$1.8M
0.7%
24,021
0.0%
-
21
Contract 804871G
2020-06-01 → 2020-12-31
$1.6M
0.6%
108,228
0.0%
-
29
Contract 804871G
2020-06-01 → 2020-12-31
$201K
0.1%
1,045
0.0%
-
5
EIN 066033492 · 6 contracts
$12.9M
5.2%
98,264
0.0%
-
12
Contract 698443-45
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$6.1M
2.5%
34,464
0.0%
-
17
Contract 698443-40
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$2.5M
1.0%
16,052
0.0%
CAMMACK HEALTH LLC
22
Contract 698443-41
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$1.6M
0.6%
10,982
0.0%
CAMMACK HEALTH LLC
25
Contract 698443-42
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$1.4M
0.6%
24,021
0.0%
-
26
Contract 698443-44
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$1.3M
0.5%
98,264
0.0%
CAMMACK HEALTH LLC
30
Contract 698443-43
Filed as: AETNA LIFE INSURANCE CO.
2020-01-01 → 2020-05-31
$156K
0.1%
818
0.0%
-
6
EIN 362136262 · Contract 9681321
$5.6M
2.3%
78,750
0.0%
-
7
Filed as: MEDICAL MUTUAL (SUPERMED)
EIN 341442712 · Contract 525572
$3.1M
1.3%
311
13.9%
-
8
EIN 980197925 · Contract 674
$1.6M
0.6%
552
0.0%
-
9
EIN 250687550 · 2 contracts
$1.2M
0.5%
21,955
0.0%
-
27
Contract PAI0009043756-B
2020-01-01 → 2020-12-31
$1.2M
0.5%
21,955
0.0%
-
32
Contract GTP0009043755-B
2020-01-01 → 2020-12-31
$13K
0.0%
17,911
0.0%
-
10
Filed as: EMPIRE HEALTHCHOICE ASSURANCE, INC
EIN 237391136 · Contract 374244
$84K
0.0%
361
0.0%
-
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
7 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✓Short-term disability✓Long-term disability✓Not declared:Prescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
32 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 | 97,521 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9,233 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 106,754 | 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)(15 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN INC. S CA | 8,585 | $209.5M |
| Dental(2 contracts, 2 carriers) | HAWAII DENTAL SERVICE | 4,703 | $1.5M |
| Vision | EYEMED VISION CARE | 78,750 | $5.6M |
| Life insurance(5 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 108,228 | $17.9M |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 16,052 | $5.5M |
| Long-term disability(6 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 24,021 | $7.0M |
| Prescription drug(15 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN INC. S CA | 8,585 | $209.5M |
| Other(2 contracts) | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | 21,955 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108,228 | — |
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."