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
$43.8M
31.7%
3,175
0.0%
-
2
EIN 362739571 · Contract 911858
$32.2M
23.3%
10,513
0.0%
-
3
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
EIN 591031071 · Contract 3334660
$19.2M
13.9%
19,117
0.0%
-
4
EIN 941340523 · 9 contracts
$13.9M
10.0%
303
0.0%
-
6
Contract 233679
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2023-01-01 → 2023-12-31
$3.9M
2.8%
303
0.0%
-
7
Contract 605692
Filed as: KAISER FOUNDATION HEALTH PLAN INC.
2023-01-01 → 2023-12-31
$3.4M
2.4%
209
0.0%
-
8
Contract 24789
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
2023-01-01 → 2023-12-31
$3.2M
2.3%
245
0.0%
-
11
Contract 21264
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2023-01-01 → 2023-12-31
$1.5M
1.1%
119
0.0%
-
13
Contract 10311
Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
2023-01-01 → 2023-12-31
$933K
0.7%
78
0.0%
-
19
Contract 35885
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2023-01-01 → 2023-12-31
$367K
0.3%
32
0.0%
-
22
Contract 8190100
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.
2023-01-01 → 2023-12-31
$284K
0.2%
26
0.0%
-
23
Contract 50044
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2023-01-01 → 2023-12-31
$270K
0.2%
32
0.0%
-
24
Contract 04399-36314
Filed as: KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA
2023-01-01 → 2023-12-31
$37K
0.0%
4
0.0%
-
5
Filed as: AETNA LIFE INSURANCE CO.
EIN 066033492 · Contract 868541
$11.8M
8.5%
660
0.0%
-
6
Filed as: LINCOLN NATIONAL LIFE INSURANCE COMPANY
EIN 350472300 · Contract SA383051051101*
$7.8M
5.6%
62,630
0.0%
-
7
EIN 462824626 · Contract 21736*
$3.1M
2.2%
264
0.0%
-
8
Filed as: PRIORITY HEALTH INSURANCE COMPANY
EIN 201529553 · Contract 793261
$1.9M
1.4%
145
0.0%
-
9
Filed as: DEAN HEALTH PLAN INC/PREVEA360 HEALTH PLAN
EIN 391535024 · Contract SEE BELOW*
$992K
0.7%
57
0.0%
-
10
EIN 954402957 · Contract SEE BELOW*
$772K
0.6%
47
0.0%
-
11
EIN 990040115 · Contract 028309
$637K
0.5%
32
0.0%
-
12
Filed as: GEISINGER QUALITY OPTIONS, INC.
EIN 204275139 · Contract 10118017
$605K
0.4%
32
0.0%
-
13
EIN 590781901 · Contract 91740
$588K
0.4%
2,841
0.0%
-
14
Filed as: DELTA DENTAL INSURANCE COMPANY
EIN 942761537 · Contract 78603
$537K
0.4%
1,477
0.0%
-
15
EIN 340648820 · Contract 0122858-01
$339K
0.2%
14
0.0%
-
16
EIN 660520918 · Contract 79-790847
$307K
0.2%
57
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 | 17,778 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,916 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 23,694 | 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, 19 carriers) | INDEPENDENCE BLUE CROSS | 19,117 | $129.5M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,477 | $537K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 62,630 | $7.8M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 62,630 | $7.8M |
| Prescription drug | MEDICAL MUTUAL | 14 | $339K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 62,630 | — |
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."