Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingNo prospect flags tripped on this filing.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 17 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 90,908 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 90,908 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 39,231 | $134.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 599 | $8.5M |
| Vision(2 contracts) | VISION SERVICE PLAN | 35,701 | $16.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 144,358 | $66.1M |
| Long-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 88,094 | $27.5M |
| Prescription drug | HAWAII MEDICAL SERVICE ASSOCIATION | 10 | $162K |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 144,358 | $70.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144,358 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 ADMIN SERVICES | Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $32.3M |
| QUANTUM HEALTH INC EIN 33-0934298 ADMIN SERVICES | Other services; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Direct payment from the plan Service code 12 | — | $16.3M |
| FIDELITY INVESTMENTS INSTITUTIONAL EIN 04-2647786 RECORDKEEPER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $6.2M |
| VIDA HEALTH INC EIN 90-0914836 ADMIN SERVICES | Direct payment from the plan; Claims processing Service code 12 | — | $3.1M |
| COMPSYCH CORPORATION EIN 36-3739783 ADMIN SERVICES | Direct payment from the plan; Claims processing Service code 12 | — | $2.6M |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 ADMIN SERVICES | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $2.5M |
| AMERICAN FAMILY LIFE ASSURANCE CO EIN 58-1167100 ADMIN SERVICES | Claims processing; Direct payment from the plan Service code 12 | — | $2.2M |
| RX SAVINGS SOLUTIONS EIN 26-3642434 OTHER SERVICES | Direct payment from the plan; Other services Service code 49 | — | $1.4M |
| PROGYNY INC. EIN 27-2220139 CONSULTANT | Other services; Direct payment from the plan Service code 49 | — | $835K |
| ERNST & YOUNG EIN 66-0526565 CONSULTANT | Direct payment from the plan; Other fees Service code 50 | — | $745K |
| QUEST DIAGNOSTICS HEALTH AND WELLNE EIN 20-1908041 SCREENINGS & VACCINATIONS | Direct payment from the plan; Other services Service code 49 | — | $624K |
| MERATIVE US LP EIN 88-1430661 CONSULTANT | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $554K |
| HARTER SECREST AND EMERY LLP EIN 16-0766172 LEGAL COUNSEL | Legal; Direct payment from the plan Service code 29 | — | $233K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $160K |
| KES MAIL INC EIN 74-3075854 COMM SERVICE | Other services; Direct payment from the plan Service code 49 | — | $107K |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 RECORDKEEPER | Direct payment from the plan; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $85K |
| HEALTH FAIRS DIRECT EIN 61-1648386 HEALTH FAIR COORDINATOR | Other services; Direct payment from the plan Service code 49 | — | $59K |
| CHIPTON-ROSS INC. EIN 39-1341435 CONTRACT LABOR | Other services; Consulting (general); Direct payment from the plan Service code 16 | — | $58K |
| OPEN TEXT INC EIN 36-3811517 COMPUTER SERVICE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $17K |
| CARAHSOFT TECHNOLOGY CORPORATION EIN 52-2189693 IT HARDWARE | Direct payment from the plan; Other services Service code 49 | — | $16K |
| BENEFIT OUTSOURCING SOLUTIONS INC EIN 38-3370067 BENEFIT ELIG ADMIN | Contract Administrator; Direct payment from the plan Service code 13 | — | $8K |
| NAT'L COUNCIL FOR MENTAL WELLBEING EIN 23-7092671 WELLNESS SERVICES | Other services; Direct payment from the plan Service code 49 | — | $8K |
| CITRIN COOPERMAN ADVISORS LLC EIN 87-2525370 FORM 5500 PREP | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $7K |
| ALMADEN PRESS EIN 77-0584791 COMM SERVICE | Other services; Direct payment from the plan Service code 49 | — | $7K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
9 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025