Insurance carriers
7 carriers · 23 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 362739571 · Contract 701648
HealthRxDentalPPOIndemnity
$2.5B
87.6%
398,515
4.6%
-
2
EIN 941340523 · 5 contracts
$150.5M
5.4%
14,227
0.0%
-
2
Contract 227134
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2023-01-01 → 2023-12-31
$80.5M
2.9%
14,227
0.0%
-
3
Contract 48181
Filed as: KAISER FOUNDATION HEALTH PLAN, INC.
2023-01-01 → 2023-12-31
$67.4M
2.4%
10,235
0.0%
-
20
Contract 5447
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2023-01-01 → 2023-12-31
$1.6M
0.1%
285
0.0%
-
21
Contract 23684
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2023-01-01 → 2023-12-31
$704K
0.0%
133
0.0%
-
23
Contract 2138100
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2023-01-01 → 2023-12-31
$273K
0.0%
45
0.0%
-
3
EIN 043319729 · 8 contracts
$66.8M
2.4%
1,541
0.0%
-
9
Contract 43265
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$15.7M
0.6%
1,541
0.0%
-
10
Contract 43253
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$13.3M
0.5%
1,101
0.0%
-
11
Contract 48379
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$11.3M
0.4%
1,337
0.0%
-
13
Contract 43398
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$8.5M
0.3%
1,051
0.0%
-
15
Contract 43344
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$5.5M
0.2%
694
0.0%
-
16
Contract 46280
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$5.0M
0.2%
708
0.0%
-
17
Contract 46279
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$4.0M
0.1%
455
0.0%
-
18
Contract 43278
Filed as: TUFTS INSURANCE COMPANY
2023-01-01 → 2023-12-31
$3.5M
0.1%
386
0.0%
-
4
EIN 042674079 · 5 contracts
$54.3M
1.9%
2,175
0.0%
-
6
Contract 98327
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2023-01-01 → 2023-12-31
$21.0M
0.7%
2,175
0.0%
-
7
Contract 68812
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2023-01-01 → 2023-12-31
$16.2M
0.6%
2,058
0.0%
-
12
Contract 53493
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2023-01-01 → 2023-12-31
$10.6M
0.4%
1,489
0.0%
-
14
Contract 51379
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2023-01-01 → 2023-12-31
$5.9M
0.2%
1,051
0.0%
-
22
Contract 51382
Filed as: TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC.
2023-01-01 → 2023-12-31
$606K
0.0%
66
0.0%
-
5
EIN 940360524 · 2 contracts
$30.5M
1.1%
3,534
0.0%
MERCER HEALTH & BENEFITS LLC
4
Contract W0002398
Filed as: BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE
2023-01-01 → 2023-12-31
$28.6M
1.0%
3,534
0.0%
MERCER HEALTH & BENEFITS LLC
19
Contract 98644
Filed as: BLUE CROSS BLUE SHIELD OF HAWAII INC
2023-01-01 → 2023-12-31
$1.9M
0.1%
248
0.0%
-
6
Filed as: UNITEDHEALTHCARE OF CALIFORNIA
EIN 952931460 · Contract 146694
$28.2M
1.0%
1,943
0.0%
-
7
EIN 061227840 · Contract 01114343
$15.9M
0.6%
197,986
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 | 207,449 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,084 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 211,533 | 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 | 398,515 | $2.8B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 398,515 | $2.5B |
| Vision | VISION SERVICE PLAN | 197,986 | $15.9M |
| Prescription drug(22 contracts, 10 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 398,515 | $2.8B |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 398,515 | — |
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."