Insurance carriers
18 carriers · 25 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362154936 · Contract SEE BELOW*
$49.6M
29.6%
4,459
0.0%
-
2
Filed as: INDEPENDENCE BLUE CROSS
EIN 232184623 · Contract ARC
$36.7M
21.9%
27
0.0%
-
3
Filed as: CIGNA BEHAVIORAL HEALTH
EIN 411648670 · Contract 2999
$35.0M
20.9%
22,014
0.0%
-
4
Filed as: UNITED HEALTHCARE INSURANCE CO., INC.
EIN 470854646 · Contract 710016
$12.1M
7.2%
9,619
0.0%
-
5
EIN 941340523 · 8 contracts
$12.0M
7.1%
366
0.0%
-
7
Contract ARC
Filed as: KAISER OF SOUTHERN CALIFORNIA
2018-07-01 → 2019-06-30
$3.5M
2.1%
162
0.0%
-
8
Contract ARC
Filed as: KAISER OF NORTHERN CALIFORNIA
2018-07-01 → 2019-06-30
$2.8M
1.6%
251
0.0%
-
9
Contract 11249
Filed as: KAISER HEALTH PLAN OF MID-ATLANTIC
2018-01-01 → 2018-12-31
$2.7M
1.6%
40
0.0%
-
11
Contract 9427
Filed as: KAISER HEALTH PLAN OF THE NORTHWEST
2018-01-01 → 2018-12-31
$1.5M
0.9%
366
0.0%
-
12
Contract 9789
Filed as: KAISER HEALTH PLAN OF GEORGIA
2018-01-01 → 2018-12-31
$1.0M
0.6%
7
0.0%
-
19
Contract 3364
Filed as: KAISER HEALTH PLAN OF COLORADO
2018-01-01 → 2018-12-31
$327K
0.2%
108
0.0%
-
24
Contract 1247/11
Filed as: KAISER HEALTH PLAN OF HAWAII
2018-01-01 → 2018-12-31
$85K
0.1%
275
0.0%
-
25
Contract 04399-36314
Filed as: KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA
2018-01-01 → 2018-12-31
$68K
0.0%
28
0.0%
-
6
Filed as: AETNA LIFE INSURANCE CO., INC.
EIN 066033492 · Contract 654028
$8.2M
4.9%
779
0.0%
-
7
Filed as: LINCOLN FINANCIAL GROUP
EIN 046076039 · Contract 65315
$7.5M
4.5%
44,056
0.0%
-
8
EIN 462824626 · Contract ARC
$1.8M
1.0%
218
0.0%
-
9
Filed as: DEAN HEALTH PLAN INC.
EIN 391535024 · Contract ARC
$994K
0.6%
54
0.0%
-
10
Filed as: BLUECARE NETWORK OF MICHIGAN
EIN 382359234 · Contract 100036
$828K
0.5%
76
0.0%
-
11
Filed as: ALLSTATE HOSPITAL INDEMNITY PLAN
EIN 590781901 · Contract 91740
$721K
0.4%
2,457
0.0%
-
12
Filed as: DELTA DENTAL INSURANCE COMPANY
EIN 942761537 · Contract 78603
$661K
0.4%
1,569
0.0%
-
13
EIN 363097810 · Contract ARC
$485K
0.3%
8
0.0%
-
14
Filed as: PHYSICIANS HEALTH PLAN OF THE MID-MICHIGAN
EIN 382356288 · Contract 20663
$355K
0.2%
35
0.0%
-
15
EIN 660484031 · Contract 79-790847
$320K
0.2%
58
0.0%
-
16
Filed as: GEISINGER
EIN 204275139 · Contract ARC
$231K
0.1%
25
0.0%
-
17
Filed as: GROUP HEALTH PLAN INC.
EIN 410797853 · Contract ARC
$211K
0.1%
39
0.0%
-
18
Filed as: HMSA
EIN 990040115 · Contract ARC
$133K
0.1%
3,807
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
25 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 | 18,882 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,696 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 25,578 | 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)(12 contracts, 12 carriers) | TEAM CARE | 22,014 | $131.7M |
| Dental(3 contracts, 3 carriers) | TEAM CARE | 4,459 | $58.4M |
| Vision(2 contracts, 2 carriers) | TEAM CARE | 9,619 | $61.6M |
| Life insurance | LINCOLN FINANCIAL GROUP | 44,056 | $7.5M |
| Long-term disability | LINCOLN FINANCIAL GROUP | 44,056 | $7.5M |
| Other(2 contracts, 2 carriers) | CIGNA BEHAVIORAL HEALTH | 44,056 | $42.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,056 | — |
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."