Insurance carriers
17 carriers · 24 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
Filed as: INDEPENDENCE BLUE CROSS
EIN 232184623 · Contract 773850
$39.2M
33.5%
2,817
0.0%
-
2
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
EIN 591031071 · Contract 3334660
$24.7M
21.1%
19,464
0.0%
-
3
Filed as: UNITED HEALTHCARE INSURANCE CO., INC.
EIN 362739571 · Contract 911858
$17.3M
14.8%
9,912
0.0%
-
4
EIN 941340523 · 8 contracts
$12.1M
10.3%
312
0.0%
-
6
Contract 233679
Filed as: KAISER OF SOUTHERN CALIFORNIA
2020-07-01 → 2021-06-30
$3.4M
2.9%
312
0.0%
-
7
Contract 605692
Filed as: KAISER OF NORTHERN CALIFORNIA
2020-07-01 → 2021-06-30
$3.0M
2.6%
226
0.0%
-
8
Contract 24789
Filed as: KAISER HEALTH PLAN OF MID-ATLANTIC
2020-01-01 → 2020-12-31
$2.5M
2.1%
236
0.0%
-
10
Contract 21264
Filed as: KAISER HEALTH PLAN OF THE NORTHWEST
2020-01-01 → 2020-12-31
$1.4M
1.2%
123
0.0%
-
11
Contract 10311
Filed as: KAISER HEALTH PLAN OF GEORGIA
2020-01-01 → 2020-12-31
$1.3M
1.1%
114
0.0%
-
19
Contract 35885
Filed as: KAISER HEALTH PLAN OF COLORADO
2020-01-01 → 2020-12-31
$389K
0.3%
30
0.0%
-
23
Contract 50044
Filed as: KAISER HEALTH PLAN OF HAWAII
2020-01-01 → 2020-12-31
$93K
0.1%
7
0.0%
-
24
Contract 04399-36314
Filed as: KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA
2020-01-01 → 2020-12-31
$56K
0.0%
5
0.0%
-
5
Filed as: AETNA LIFE INSURANCE CO., INC.
EIN 066033492 · Contract 868541
$9.2M
7.9%
841
0.0%
-
6
Filed as: LINCOLN LIFE ASSURANCE COMPANY OF BOSTON
EIN 046076039 · Contract SA3830510511*
$7.3M
6.3%
41,554
0.0%
-
7
EIN 462824626 · Contract 21736
$2.2M
1.9%
229
0.0%
-
8
EIN 201529553 · Contract 793261
$830K
0.7%
92
0.0%
-
9
Filed as: DEAN HEALTH PLAN INC.
EIN 391535024 · Contract 175X8L1*
$702K
0.6%
52
0.0%
-
10
EIN 590781901 · Contract 91740
$616K
0.5%
2,499
0.0%
-
11
Filed as: DELTA DENTAL INSURANCE COMPANY
EIN 942761537 · Contract 78603
$567K
0.5%
1,399
0.0%
-
12
EIN 363097810 · Contract SEE BELOW*
$539K
0.5%
47
0.0%
-
13
Filed as: GEISINGER QUALITY OPTIONS, INC.
EIN 204275139 · Contract 10118017
$531K
0.5%
52
0.0%
-
14
Filed as: MED MUTUAL
EIN 340648820 · Contract 0089102-01
$499K
0.4%
41
0.0%
-
15
Filed as: GROUP HEALTH PLAN INC.
EIN 410797853 · Contract ARC
$305K
0.3%
25
0.0%
-
16
EIN 660520918 · Contract 79-790847
$278K
0.2%
53
0.0%
-
17
Filed as: HMSA
EIN 990040115 · Contract 28309
$128K
0.1%
9
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
24 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 | 17,153 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,387 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 23,540 | 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) | INDEPENDENCE BLUE CROSS | 19,464 | $102.9M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,399 | $567K |
| Vision | UNITED HEALTHCARE INSURANCE CO., INC. | 9,912 | $17.3M |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 41,554 | $7.3M |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 41,554 | $7.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 41,554 | — |
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."