Insurance carriers
18 carriers · 26 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362154936 · Contract SEE BELOW*
$44.4M
37.4%
3,930
0.0%
-
2
Filed as: CIGNA BEHAVIORAL HEALTH
EIN 411648670 · Contract 2999
$20.0M
16.8%
23,296
0.0%
-
3
EIN 232184623 · 2 contracts
$16.7M
14.1%
3,470
0.0%
-
3
Contract ARC
Filed as: INDEPENDENCE BLUE CROSS
2018-01-01 → 2018-06-30
$16.7M
14.1%
3,470
0.0%
-
26
Contract 74961
Filed as: BLUECROSS BLUE SHIELD PLAN OF HAWAII
2017-01-01 → 2017-12-31
$57K
0.0%
9
0.0%
-
4
EIN 520955563 · 8 contracts
$13.0M
10.9%
376
0.0%
-
7
Contract 11249
Filed as: KAISER HEALTH PLAN OF MID-ATLANTIC
2017-01-01 → 2017-12-31
$3.3M
2.8%
335
0.0%
-
8
Contract 04399-36314
Filed as: KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA
2017-01-01 → 2017-12-31
$3.2M
2.7%
25
0.0%
-
10
Contract ARC
Filed as: KAISER OF SOUTHERN CALIFORNIA
2018-01-01 → 2018-06-30
$1.8M
1.5%
376
0.0%
-
11
Contract 9427
Filed as: KAISER HEALTH PLAN OF THE NORTHWEST
2017-01-01 → 2017-12-31
$1.7M
1.4%
353
0.0%
-
12
Contract 9789
Filed as: KAISER HEALTH PLAN OF GEORGIA
2017-01-01 → 2017-12-31
$1.3M
1.1%
255
0.0%
-
13
Contract ARC
Filed as: KAISER OF NORTHERN CALIFORNIA
2018-01-01 → 2018-06-30
$1.3M
1.1%
242
0.0%
-
20
Contract 3364
Filed as: KAISER HEALTH PLAN OF COLORADO
2017-01-01 → 2017-12-31
$258K
0.2%
46
0.0%
-
23
Contract 1247/11
Filed as: KAISER HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$98K
0.1%
19
0.0%
-
5
EIN 046076039 · Contract 65315
$7.5M
6.3%
49,120
0.0%
-
6
Filed as: UNITED HEALTHCARE INSURANCE CO., INC.
EIN 470854646 · Contract 710016
$6.7M
5.7%
10,161
0.0%
-
7
Filed as: AETNA LIFE INSURANCE CO., INC.
EIN 066033492 · Contract 654028
$4.1M
3.4%
734
0.0%
-
8
Filed as: BLUECARE NETWORK OF MICHIGAN
EIN 382359234 · Contract 100036
$1.9M
1.6%
114
0.0%
-
9
EIN 462824626 · Contract ARC
$780K
0.7%
181
0.0%
-
10
Filed as: PHYSICIANS HEALTH PLAN OF THE MID-MICHIGAN
EIN 382356288 · Contract 20663
$752K
0.6%
39
0.0%
-
11
Filed as: DELTA DENTAL INSURANCE COMPANY
EIN 942761537 · Contract 78603
$726K
0.6%
1,729
0.0%
-
12
Filed as: DEAN HEALTH PLAN INC.
EIN 391535024 · Contract ARC
$701K
0.6%
148
0.0%
-
13
Filed as: ALLSTATE HOSPITAL INDEMNITY PLAN
EIN 590781901 · Contract 91740
$678K
0.6%
2,406
0.0%
-
14
EIN 660484031 · Contract 79-790847
$291K
0.2%
58
0.0%
-
15
EIN 363097810 · Contract ARC
$251K
0.2%
56
0.0%
-
16
Filed as: GEISINGER
EIN 204275139 · Contract ARC
$106K
0.1%
17
0.0%
-
17
Filed as: GROUP HEALTH PLAN INC.
EIN 410797853 · Contract ARC
$79K
0.1%
19
0.0%
-
18
Filed as: HMSA
EIN 990040115 · Contract ARC
$72K
0.1%
10
0.0%
-
Brokers
No brokers reported on this filing.
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
6 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 disabilityLong-term disability✓Not declared:Prescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
26 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 | 19,109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,811 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 25,920 | 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)(11 contracts, 11 carriers) | TEAM CARE | 3,930 | $66.4M |
| Dental(3 contracts, 3 carriers) | TEAM CARE | 3,930 | $49.2M |
| Vision(2 contracts, 2 carriers) | TEAM CARE | 10,161 | $51.2M |
| Life insurance | LIBERTY MUTUAL ASSURANCE COMPANY OF BOSTON | 49,120 | $7.5M |
| Long-term disability | LIBERTY MUTUAL ASSURANCE COMPANY OF BOSTON | 49,120 | $7.5M |
| Other(2 contracts, 2 carriers) | CIGNA BEHAVIORAL HEALTH | 49,120 | $27.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 49,120 | — |
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."