Insurance carriers
7 carriers · 22 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract 701648
HealthRxDentalPPOIndemnity
$1.6B
86.3%
318,014
6.6%
-
2
EIN 941340523 · 3 contracts
$113.0M
6.1%
13,471
0.0%
-
2
Contract 227134
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2020-01-01 → 2020-12-31
$61.7M
3.3%
13,471
0.0%
-
3
Contract 48181
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2020-01-01 → 2020-12-31
$50.5M
2.7%
8,985
0.0%
-
21
Contract 5447
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-01-01 → 2020-12-31
$835K
0.0%
149
0.0%
-
3
EIN 042674079 · 5 contracts
$39.6M
2.1%
2,592
0.0%
-
6
Contract 98327
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2020-01-01 → 2020-12-31
$19.2M
1.0%
2,592
0.0%
-
8
Contract 68812
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2020-01-01 → 2020-12-31
$12.0M
0.6%
1,978
0.0%
-
11
Contract 53493
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2020-01-01 → 2020-12-31
$5.5M
0.3%
1,042
0.0%
-
14
Contract 51379
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2020-01-01 → 2020-12-31
$2.6M
0.1%
639
0.0%
-
22
Contract 51382
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2020-01-01 → 2020-12-31
$311K
0.0%
44
0.0%
-
4
EIN 043319729 · 8 contracts
$33.6M
1.8%
1,172
0.0%
-
9
Contract 43253
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$9.2M
0.5%
972
0.0%
-
10
Contract 43265
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$8.7M
0.5%
1,172
0.0%
-
12
Contract 48379
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$4.9M
0.3%
833
0.0%
-
13
Contract 43398
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$3.2M
0.2%
523
0.0%
-
15
Contract 43344
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$2.2M
0.1%
401
0.0%
-
16
Contract 46279
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$2.2M
0.1%
287
0.0%
-
18
Contract 43278
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$1.6M
0.1%
234
0.0%
-
19
Contract 46280
Filed as: TUFTS INSURANCE COMPANY
2020-01-01 → 2020-12-31
$1.6M
0.1%
360
0.0%
-
5
EIN 952931460 · 2 contracts
$28.0M
1.5%
247,500
0.0%
-
4
Contract 146694
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2020-01-01 → 2020-12-31
$26.1M
1.4%
1,790
0.0%
-
17
Contract 701648
Filed as: UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24
2020-01-01 → 2020-12-31
$2.0M
0.1%
247,500
0.0%
-
6
EIN 940360524 · 2 contracts
$25.0M
1.4%
3,111
0.0%
-
5
Contract W0002398
Filed as: BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE
2020-01-01 → 2020-12-31
$23.9M
1.3%
3,111
0.0%
-
20
Contract 98644
Filed as: BLUE CROSS BLUE SHIELD OF HAWAII INC
2020-01-01 → 2020-12-31
$1.0M
0.1%
157
0.0%
-
7
EIN 061227840 · Contract 01114343
$12.8M
0.7%
146,726
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 | 164,074 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,289 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 168,363 | 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, 8 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 318,014 | $1.8B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 318,014 | $1.6B |
| Vision | VISION SERVICE PLAN | 146,726 | $12.8M |
| Prescription drug(20 contracts, 8 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 318,014 | $1.8B |
| Other | UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24 | 247,500 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 318,014 | — |
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."