Filings through .
History & trajectory Charts need 2 or more years. This plan has 4 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthRxVisionHMO | HealthRxVisionHMO | |
PPO | PPO | |
Broker: Mercer(slc) HealthVisionHMO | HealthVisionHMO | |
Dental | Dental | |
HealthRxVisionPPO | HealthRxVisionPPO | |
HealthRxOther | HealthRxOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 11 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 50,477 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 50,477 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,250 | $23.8M |
| Dental | DELTA DENTAL OF WASHINGTON | 1,195 | $237K |
| Vision(8 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,250 | $23.8M |
| Prescription drug(8 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,250 | $23.4M |
| Other | HARTFORD ACCIDENT AND LIFE INSURANCE COMPANY | 13 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 40,492 | - |
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: Select Health |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF IL EIN 36-1236610 SERVICE PROVIDER | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $7.2M |
| ALIGHT HOLDING COMPANY LLC EIN 82-1061233 SERVICE PROVIDER | Contract Administrator Service code 13 | — | $941K |
| PRIME THERAPEUTICS EIN 26-0076803 SERVICE PROVIDER | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $866K |
| SMARTLIGHT ANALYTICS EIN 81-0791458 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $401K |
| 98POINT6 EIN 81-5231430 SERVICE PROVIDER | Direct payment from the plan; Contract Administrator Service code 13 | — | $339K |
| EMSANA CARE INC EIN 86-2544683 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $238K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 SERVICE PROVIDER | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $164K |
| MERCER HUMAN RESOURCE CONSULTING EIN 13-2834414 SERVICE PROVIDER | Consulting (general); Direct payment from the plan Service code 16 | — | $151K |
| DELOITTE EIN 13-3891517 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $111K |
| ACCESSHOPE EIN 84-2818450 SERVICE PROVIDER | Direct payment from the plan; Other fees Service code 50 | — | $81K |
| 1LIFE HEALTHCARE INC EIN 76-0707204 SERVICE PROVIDER | Other fees; Direct payment from the plan Service code 50 | — | $53K |
| BLACKROCK INSTITUTIONAL TRUST CO EIN 94-3112180 INVESTMENT MANAGER | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Trustee (discretionary); Investment management Service code 21 | — | $46K |
| JPMORGAN CHASE BANK, N.A. EIN 13-4994650 TRUSTEE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $34K |
| DAVIS VISION EIN 11-3051991 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| ARTEMIS HEALTH INC EIN 46-4071925 SERVICE PROVIDER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $21K |
| ERNST & YOUNG EIN 34-6565596 SERVICE PROVIDER | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| CROSSOVER HEALTH MEDICAL GROUP APC EIN 27-2210284 SERVICE PROVIDER | Direct payment from the plan; Contract Administrator Service code 13 | — | $14K |
| NEW MEXICO DOH EIN 85-6000565 SERVICE PROVIDER | Direct payment from the plan Service code 50 | — | $7K |
| SSDC SERVICES EIN 38-3357459 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $6K |
| CIGNA EIN 59-1031071 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan; Non-monetary compensation; Participant communication; Named fiduciary; Claims processing; Float revenue; Other services Service code 12 | — | $4K |
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.
11 contacts
Phone and email for the actuary and top hat administrator are on Pro.
4 filings · 2022 to 2025