Insurance carriers
16 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
$35.0M
28.4%
3,054
0.0%
-
2
EIN 362739571 · Contract 911858
$25.6M
20.7%
9,930
0.0%
-
3
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
EIN 591031071 · Contract 3334660
$20.7M
16.8%
18,652
0.0%
-
4
Filed as: AETNA LIFE INSURANCE CO.
EIN 066033492 · Contract 868541
$13.9M
11.3%
1,030
0.0%
-
5
EIN 941340523 · 9 contracts
$12.5M
10.1%
264
0.0%
-
6
Contract 233679
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2022-01-01 → 2022-12-31
$3.5M
2.8%
264
0.0%
-
7
Contract 605692
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2022-01-01 → 2022-12-31
$3.2M
2.6%
225
0.0%
-
8
Contract 24789
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC
2022-01-01 → 2022-12-31
$2.7M
2.2%
233
0.0%
-
11
Contract 21264
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2022-01-01 → 2022-12-31
$1.3M
1.1%
118
0.0%
-
12
Contract 10311
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA
2022-01-01 → 2022-12-31
$1.1M
0.9%
89
0.0%
-
20
Contract 35885
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2022-01-01 → 2022-12-31
$302K
0.2%
26
0.0%
-
21
Contract 8190100
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2022-01-01 → 2022-12-31
$286K
0.2%
23
0.0%
-
23
Contract 50044
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2022-01-01 → 2022-12-31
$111K
0.1%
9
0.0%
-
24
Contract 04399-36314
Filed as: KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA
2022-01-01 → 2022-12-31
$37K
0.0%
22
0.0%
-
6
Filed as: LINCOLN NATIONAL LIFE INSURANCE COMPANY
EIN 350472300 · Contract SA383051051101*
$7.6M
6.1%
60,987
0.0%
-
7
EIN 462824626 · Contract 21736
$2.6M
2.1%
236
0.0%
-
8
Filed as: PRIORITY HEALTH INSURANCE COMPANY
EIN 201529553 · Contract 793261
$1.4M
1.1%
120
0.0%
-
9
Filed as: DEAN/PREVEA 360 HEALTH PLAN
EIN 391535024 · Contract SEE BELOW*
$912K
0.7%
57
0.0%
-
10
EIN 363097810 · Contract SEE BELOW*
$682K
0.6%
49
0.0%
-
11
Filed as: GEISINGER QUALITY OPTIONS, INC.
EIN 204275139 · Contract 10118017
$633K
0.5%
53
0.0%
-
12
EIN 590781901 · Contract 91740
$563K
0.5%
2,721
0.0%
-
13
Filed as: DELTA DENTAL INSURANCE COMPANY
EIN 942761537 · Contract 78603
$514K
0.4%
1,289
0.0%
-
14
EIN 340648820 · Contract 0110749-01
$357K
0.3%
27
0.0%
-
15
EIN 660520918 · Contract 79-790847
$303K
0.2%
55
0.0%
-
16
EIN 990040115 · Contract 28309
$174K
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✓VisionLife✓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 | 17,317 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,073 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 23,390 | 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)(21 contracts, 20 carriers) | INDEPENDENCE BLUE CROSS | 18,652 | $114.7M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,289 | $514K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 60,987 | $7.6M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 60,987 | $7.6M |
| Prescription drug | MEDICAL MUTUAL | 27 | $357K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 60,987 | — |
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."