Insurance carriers
8 carriers · 25 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 941340523 · 6 contracts
$93.1M
64.4%
12,137
0.0%
-
1
Contract 310
2016-01-01 → 2016-12-31
$66.2M
45.8%
12,137
0.0%
-
3
Contract 100785
2016-01-01 → 2016-12-31
$22.2M
15.4%
4,706
0.0%
-
9
Contract 1878
Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2016-01-01 → 2016-12-31
$1.6M
1.1%
318
0.0%
-
12
Contract 265
Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO
2016-01-01 → 2016-12-31
$1.2M
0.8%
242
0.0%
-
13
Contract 190
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-01-01 → 2016-12-31
$1.1M
0.8%
123
0.0%
-
14
Contract 456700/458200
Filed as: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2016-01-01 → 2016-12-31
$732K
0.5%
220
0.0%
-
2
EIN 591031071 · 2 contracts
$24.3M
16.8%
1,453
0.0%
-
2
Contract 05721A
2016-01-01 → 2016-12-31
$23.7M
16.4%
1,453
0.0%
-
15
Contract 3216904
Filed as: CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES CIGNA
2016-01-01 → 2016-12-31
$625K
0.4%
841
0.0%
-
3
EIN 361236610 · 4 contracts
$8.1M
5.6%
588
0.0%
-
5
Contract 056249
Filed as: BLUE CROSS AND BLUE SHIELD OF TEXAS
2016-01-01 → 2016-12-31
$4.7M
3.3%
588
0.0%
-
8
Contract 35305
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2016-01-01 → 2016-12-31
$2.9M
2.0%
131
0.0%
-
17
Contract 80620
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2016-01-01 → 2016-12-31
$443K
0.3%
95
0.0%
-
21
Contract 22343
Filed as: HMSA BLUE CROSS BLUE SHIELD OF HAWAII
2016-01-01 → 2016-12-31
$15K
0.0%
2
0.0%
-
4
EIN 954402957 · Contract 50840
$7.3M
5.1%
1,468
0.0%
-
5
EIN 721279235 · 9 contracts
$5.2M
3.6%
461
0.0%
-
7
Contract 721412
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$3.1M
2.1%
142
0.0%
-
11
Contract 233145
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$1.4M
0.9%
461
0.0%
-
16
Contract 256790
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$449K
0.3%
153
0.0%
-
18
Contract 233148
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$253K
0.2%
83
0.0%
-
20
Contract 256789
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$35K
0.0%
12
0.0%
-
22
Contract 256809
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$9K
0.0%
3
0.0%
-
23
Contract 257379
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$6K
0.0%
3
0.0%
-
24
Contract 257378
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$6K
0.0%
2
0.0%
-
25
Contract 253204
Filed as: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC
2016-01-01 → 2016-12-31
$499
0.0%
1
0.0%
-
6
EIN 941632821 · Contract 30021085
$4.6M
3.2%
50,138
0.0%
-
7
Filed as: UNITED CONCORDIA DENTAL CORPORATION OF ALABAMA
EIN 631028262 · Contract 0086419
$1.6M
1.1%
8,676
17.2%
-
8
Filed as: HAWAII DENTAL SERVICE
EIN 990107971 · Contract 1912
$200K
0.1%
236
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 | 21,260 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34,386 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 314 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 55,960 | 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, 10 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 12,137 | $137.4M |
| Dental(3 contracts, 3 carriers) | UNITED CONCORDIA DENTAL CORPORATION OF ALABAMA | 8,676 | $2.4M |
| Vision(20 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 50,138 | $110.9M |
| Prescription drug(20 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 12,137 | $113.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 50,138 | — |
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."