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 15 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 | 88,294 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,354 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4,904 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 94,552 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC (SOUTHERN CA) | 93,004 | $32.4M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 180,374 | $31.4M |
| Short-term disability(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 80,831 | $27.5M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 80,831 | $24.6M |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC (SOUTHERN CA) | 1,677 | $18.5M |
| Other(2 contracts, 2 carriers) | ARAG INSURANCE COMPANY | 54,612 | $8.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180,374 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Hartford Life and Accident | |
Carrier: Metropolitan Life Insurance Company | |
Carrier: Metropolitan Life Insurance Company | |
Carrier: Four Ever Life Ins. Co. |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHY ALLLIANCE LIFE INS CO EIN 86-0257201 CLAIMS PROCESSOR | Other services; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $48.1M |
| EYEMED EIN 47-3094984 CLAIMS PROCESSOR | Claims processing; Contract Administrator; Other insurance fees and expenses Service code 12 | — | $9.0M |
| CVS PHARMACY, INC EIN 05-0340626 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Other insurance fees and expenses Service code 12 | — | $5.1M |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 CLAIMS PROCESSOR | Contract Administrator; Claims processing; Other insurance fees and expenses Service code 12 | — | $1.7M |
| MARATHON HEALTH EIN 84-3269071 CONTRACT ADMINISTRATOR | Other insurance fees and expenses; Contract Administrator Service code 13 | — | $1.5M |
| HAWAII-WESTERN MANAGEMENT GROUP EIN 94-3193724 CONTRACT ADMINISTRATOR | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $348K |
| VISION SERVICE PLAN EIN 99-0247673 CONTRACT ADMINISTRATOR | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $167K |
| HAWAII DENTAL SERVICE EIN 99-0107971 CLAIMS PROCESSOR | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | — | $111K |
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.
3 contacts
11 filings · 2015 to 2025