Insurance carriers
8 carriers · 22 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract 701648
HealthRxDentalPPOIndemnity
$891.3M
84.2%
184,400
9.3%
-
2
EIN 941340523 · 3 contracts
$65.1M
6.1%
8,837
0.0%
-
2
Contract 48181
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$34.3M
3.2%
7,113
0.0%
-
4
Contract 227134
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2015-01-01 → 2015-12-31
$30.3M
2.9%
8,837
0.0%
-
18
Contract 5447
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-01-01 → 2015-12-31
$450K
0.0%
96
0.0%
-
3
EIN 952931460 · 2 contracts
$32.1M
3.0%
158,615
0.0%
-
3
Contract 149765
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2015-01-01 → 2015-12-31
$31.1M
2.9%
2,587
0.0%
-
13
Contract 701648
Filed as: UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24
2015-01-01 → 2015-12-31
$1.1M
0.1%
158,615
0.0%
-
4
EIN 042674079 · 4 contracts
$21.2M
2.0%
3,047
0.0%
-
6
Contract 98327
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2015-01-01 → 2015-12-31
$16.4M
1.5%
3,047
0.0%
-
9
Contract 68812
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2015-01-01 → 2015-12-31
$4.3M
0.4%
1,074
0.0%
-
19
Contract 51379
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2015-01-01 → 2015-12-31
$292K
0.0%
112
0.0%
-
22
Contract 51382
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2015-01-01 → 2015-12-31
$192K
0.0%
46
0.0%
-
5
EIN 940360524 · 2 contracts
$20.7M
2.0%
3,126
0.0%
-
5
Contract H11350
Filed as: BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE
2015-01-01 → 2015-12-31
$20.0M
1.9%
3,126
0.0%
-
16
Contract 98644
Filed as: BLUE CROSS BLUE SHIELD OF HAWAII INC
2015-01-01 → 2015-12-31
$729K
0.1%
172
0.0%
-
6
EIN 043319729 · 8 contracts
$18.1M
1.7%
1,359
0.0%
-
7
Contract 43253
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$9.7M
0.9%
1,359
0.0%
-
10
Contract 43265
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$4.3M
0.4%
790
0.0%
-
12
Contract 46279
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$1.4M
0.1%
253
0.0%
-
14
Contract 43398
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$975K
0.1%
199
0.0%
-
15
Contract 43278
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$874K
0.1%
164
0.0%
-
17
Contract 43344
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$479K
0.0%
97
0.0%
-
20
Contract 48379
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$236K
0.0%
80
0.0%
-
21
Contract 46280
Filed as: TUFTS INSURANCE COMPANY
2015-01-01 → 2015-12-31
$192K
0.0%
64
0.0%
-
7
EIN 061227840 · Contract 01114343
$8.3M
0.8%
106,729
15.0%
-
8
EIN 391450766 · Contract 900812
$2.3M
0.2%
473
0.0%
-
Brokers
No brokers reported on this filing.
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
3 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✓Not declared:LifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
22 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 | 105,489 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,235 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 107,724 | 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)(20 contracts, 9 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 184,400 | $1.0B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 184,400 | $891.3M |
| Vision | VISION SERVICE PLAN | 106,729 | $8.3M |
| Prescription drug(20 contracts, 9 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 184,400 | $1.0B |
| Other | UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24 | 158,615 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184,400 | — |
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."