Insurance carriers
7 carriers · 24 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract 701648
HealthRxDentalPPOIndemnity
$1.8B
86.9%
351,791
6.1%
-
2
EIN 941340523 · 5 contracts
$128.4M
6.0%
14,799
0.0%
-
2
Contract 227134
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$64.0M
3.0%
14,799
0.0%
-
3
Contract 48181
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2021-01-01 → 2021-12-31
$63.1M
3.0%
9,854
0.0%
-
21
Contract 5447
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2021-01-01 → 2021-12-31
$869K
0.0%
192
0.0%
-
23
Contract 2138100
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2021-01-01 → 2021-12-31
$276K
0.0%
54
0.0%
-
24
Contract 23684
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2021-01-01 → 2021-12-31
$165K
0.0%
75
0.0%
-
3
EIN 042674079 · 5 contracts
$41.4M
1.9%
2,489
0.0%
-
6
Contract 98327
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2021-01-01 → 2021-12-31
$18.7M
0.9%
2,489
0.0%
-
8
Contract 68812
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2021-01-01 → 2021-12-31
$12.3M
0.6%
1,989
0.0%
-
12
Contract 53493
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2021-01-01 → 2021-12-31
$6.4M
0.3%
1,149
0.0%
-
14
Contract 51379
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2021-01-01 → 2021-12-31
$3.5M
0.2%
835
0.0%
-
22
Contract 51382
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2021-01-01 → 2021-12-31
$459K
0.0%
74
0.0%
-
4
EIN 043319729 · 8 contracts
$40.8M
1.9%
1,359
0.0%
-
9
Contract 43265
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$10.6M
0.5%
1,359
0.0%
-
10
Contract 43253
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$9.8M
0.5%
1,079
0.0%
-
11
Contract 48379
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$6.4M
0.3%
1,024
0.0%
-
13
Contract 43398
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$5.2M
0.2%
1,020
0.0%
-
15
Contract 43344
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$3.0M
0.1%
503
0.0%
-
16
Contract 46279
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$2.2M
0.1%
363
0.0%
-
17
Contract 46280
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$2.1M
0.1%
445
0.0%
-
19
Contract 43278
Filed as: TUFTS INSURANCE COMPANY
2021-01-01 → 2021-12-31
$1.5M
0.1%
255
0.0%
-
5
EIN 952931460 · 2 contracts
$27.6M
1.3%
278,402
0.0%
-
5
Contract 146694
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
2021-01-01 → 2021-12-31
$25.5M
1.2%
1,773
0.0%
-
18
Contract 701648
Filed as: UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24
2021-01-01 → 2021-12-31
$2.1M
0.1%
278,402
0.0%
-
6
EIN 940360524 · 2 contracts
$27.3M
1.3%
3,408
0.0%
-
4
Contract W0002398
Filed as: BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE
2021-01-01 → 2021-12-31
$26.2M
1.2%
3,408
0.0%
-
20
Contract 98644
Filed as: BLUE CROSS BLUE SHIELD OF HAWAII INC
2021-01-01 → 2021-12-31
$1.1M
0.1%
187
0.0%
-
7
EIN 061227840 · Contract 01114343
$13.1M
0.6%
172,262
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
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 | 185,181 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,498 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 188,679 | 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)(22 contracts, 10 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 351,791 | $2.1B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 351,791 | $1.8B |
| Vision | VISION SERVICE PLAN | 172,262 | $13.1M |
| Prescription drug(22 contracts, 10 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 351,791 | $2.1B |
| Other | UNITED HEALTHCARE INSURANCE COMPANY, OPTUM CARE 24 | 278,402 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351,791 | — |
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."