Insurance carriers
7 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract 701648
HealthRxDentalPPOIndemnity
$2.2B
87.8%
386,075
5.7%
-
2
EIN 941340523 · 5 contracts
$134.7M
5.4%
14,980
0.0%
-
2
Contract 227134
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2022-01-01 → 2022-12-31
$70.9M
2.8%
14,980
0.0%
-
3
Contract 48181
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2022-01-01 → 2022-12-31
$61.7M
2.5%
10,778
0.0%
-
20
Contract 5447
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2022-01-01 → 2022-12-31
$1.2M
0.0%
210
0.0%
-
21
Contract 23684
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2022-01-01 → 2022-12-31
$589K
0.0%
108
0.0%
-
23
Contract 2138100
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2022-01-01 → 2022-12-31
$346K
0.0%
60
0.0%
-
3
EIN 043319729 · 8 contracts
$51.7M
2.1%
1,545
0.0%
-
9
Contract 43265
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$11.6M
0.5%
1,545
0.0%
-
10
Contract 43253
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$10.6M
0.4%
1,090
0.0%
-
11
Contract 48379
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$8.3M
0.3%
1,246
0.0%
-
12
Contract 43398
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$7.7M
0.3%
1,191
0.0%
-
15
Contract 43344
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$4.2M
0.2%
633
0.0%
-
16
Contract 46280
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$3.6M
0.1%
725
0.0%
-
17
Contract 46279
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$3.0M
0.1%
460
0.0%
-
18
Contract 43278
Filed as: TUFTS INSURANCE COMPANY
2022-01-01 → 2022-12-31
$2.5M
0.1%
369
0.0%
-
4
EIN 042674079 · 5 contracts
$43.3M
1.7%
2,481
0.0%
-
6
Contract 98327
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2022-01-01 → 2022-12-31
$18.4M
0.7%
2,481
0.0%
-
8
Contract 68812
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2022-01-01 → 2022-12-31
$13.0M
0.5%
1,996
0.0%
-
13
Contract 53493
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2022-01-01 → 2022-12-31
$7.1M
0.3%
1,336
0.0%
-
14
Contract 51379
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2022-01-01 → 2022-12-31
$4.3M
0.2%
986
0.0%
-
22
Contract 51382
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2022-01-01 → 2022-12-31
$469K
0.0%
82
0.0%
-
5
EIN 940360524 · 2 contracts
$30.4M
1.2%
3,535
0.0%
MERCER HEALTH & BENEFITS LLC
5
Contract W0002398
Filed as: BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE
2022-01-01 → 2022-12-31
$29.1M
1.2%
3,535
0.0%
MERCER HEALTH & BENEFITS LLC
19
Contract 98644
Filed as: BLUE CROSS BLUE SHIELD OF HAWAII INC
2022-01-01 → 2022-12-31
$1.3M
0.1%
197
0.0%
-
6
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
EIN 952931460 · Contract 146694
$29.3M
1.2%
1,713
0.0%
-
7
EIN 061227840 · Contract 01114343
$14.9M
0.6%
187,789
0.0%
-
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
23 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 | 204,169 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,446 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 207,615 | 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 | 386,075 | $2.5B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 386,075 | $2.2B |
| Vision | VISION SERVICE PLAN | 187,789 | $14.9M |
| Prescription drug(22 contracts, 10 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 386,075 | $2.5B |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386,075 | — |
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."