Insurance carriers
10 carriers · 25 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 5 contracts
$90.9M
57.6%
12,597
0.0%
-
1
Contract 310
2015-01-01 → 2015-12-31
$63.5M
40.2%
12,597
0.0%
-
3
Contract 100785
2015-01-01 → 2015-12-31
$23.3M
14.8%
4,787
0.0%
-
10
Contract 1878
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2015-01-01 → 2015-12-31
$1.7M
1.1%
329
0.0%
-
12
Contract 265
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2015-01-01 → 2015-12-31
$1.3M
0.8%
260
0.0%
-
13
Contract 190
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-01-01 → 2015-12-31
$1.1M
0.7%
242
0.0%
-
2
EIN 591031071 · 2 contracts
$35.4M
22.5%
2,277
0.0%
-
2
Contract 05721A
2015-01-01 → 2015-12-31
$34.8M
22.1%
2,277
0.0%
-
15
Contract 3216904
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES CIGNA
2015-01-01 → 2015-12-31
$625K
0.4%
883
0.0%
-
3
EIN 361236610 · 4 contracts
$9.2M
5.9%
829
0.0%
-
5
Contract 56249
Filed as: BLUE CROSS AND BLUE SHIELD OF TEXAS
2015-01-01 → 2015-12-31
$6.0M
3.8%
829
0.0%
-
8
Contract 35305
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2015-01-01 → 2015-12-31
$2.9M
1.8%
213
0.0%
-
18
Contract 80620
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2015-01-01 → 2015-12-31
$372K
0.2%
68
0.0%
-
23
Contract 22343
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2015-01-01 → 2015-12-31
$7K
0.0%
1
0.0%
-
4
EIN 954402957 · Contract 50840
$8.4M
5.3%
1,620
0.0%
-
5
EIN 721279235 · 8 contracts
$5.9M
3.7%
483
0.0%
-
7
Contract 721412
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$3.8M
2.4%
194
0.0%
-
11
Contract P3145
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$1.3M
0.8%
483
0.0%
-
17
Contract R6790
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$435K
0.3%
159
0.0%
-
19
Contract P3148
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$257K
0.2%
94
0.0%
-
21
Contract R6789
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$38K
0.0%
13
0.0%
-
22
Contract R6809
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$10K
0.0%
4
0.0%
-
24
Contract R7379
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$6K
0.0%
2
0.0%
-
25
Contract R7378
Filed as: HUMANA BENEFIT PLAN OF LOUISIANA
2015-01-01 → 2015-12-31
$5K
0.0%
2
0.0%
-
6
EIN 941632821 · Contract 30021085
$4.5M
2.8%
53,042
7.1%
-
7
Filed as: UNITED CONCORDIA DENTAL CORPORATION OF ALABAMA
EIN 631028262 · Contract 0086419
$1.8M
1.1%
4,353
17.2%
-
8
Filed as: GROUP HEALTH COOPERATIVE
EIN 910511770 · Contract 456700/458200
$803K
0.5%
147
0.0%
-
9
EIN 870345631 · Contract 6800790000
$625K
0.4%
85
0.0%
-
10
Filed as: HAWAII DENTAL SERVICE
EIN 990107971 · Contract 1912
$212K
0.1%
225
0.0%
-
Brokers
No brokers reported on this filing.
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
25 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 | 24,483 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 35,020 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 467 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 59,970 | 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)(21 contracts, 11 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 12,597 | $150.6M |
| Dental(3 contracts, 3 carriers) | UNITED CONCORDIA DENTAL CORPORATION OF ALABAMA | 4,353 | $2.6M |
| Vision(19 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 53,042 | $111.3M |
| Prescription drug(19 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 12,597 | $115.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 53,042 | — |
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."