KAISER FOUNDATION HEALTH PLAN, INC. files 3 other welfare plans on this EIN. View the combined portfolio for an overview across plans.

Welfare / HealthFully insuredOpportunity flags

KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN

Name: KAISER FOUNDATION HEALTH PLAN, INC. - KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN (2015) Form 5500 welfare filing
Creator: KAISER FOUNDATION HEALTH PLAN, INC.
License: https://www.dol.gov/general/disclaim
Keywords: Form 5500, ERISA, welfare plan, group health, KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN, KAISER FOUNDATION HEALTH PLAN, INC.

KAISER FOUNDATION HEALTH PLAN, INC.EIN 94-1340523Plan #580PY 2015

ONE KAISER PLAZA, 20TH FLOOR - OAKLAND, CA 94612510-271-5940LinkedIn1-10 employeesmedical practice

Other plans on this EIN

3 filings

#560Mixed funding-$2.11B - 216,439 lives #585Self-funded--#590Self-funded--

How to read this page

Premium / charges paid

$192.5M

No prior year

Persons covered

11,769

No prior year

Plan participants

17,935

No prior year

Spend / covered life

$16K

No prior year

Broker comp

No prior year

History & trajectory

10 years

Premium / charges paid

Highest of premium received, premium earned, or total charges paid per Sch A contract — read as plan-paid carrier spend (includes retention where filer reported it that way).

Spend per covered life

Plan-paid carrier spend divided by persons covered.

Persons covered

EOY headcount summed across all contracts.

Broker compensation

Total commissions + fees paid to all brokers on the filing. Hover for % of premium (>5% may flag inefficient broker structure).

Premium by benefit type

Per-contract spend attributed to each declared benefit indicator (health, dental, vision, life, etc.).

Benefit-type mix (% of premium)

Year-over-year shift in coverage composition.

Coverage mix (latest year)

Premium by benefit bundle for 2015. Each Schedule A contract is counted once at its declared benefit combination (e.g. "Health + Rx" rather than splitting), so slices sum to total premium.

Health$187.5M 97.4%
Life$2.9M 1.5%
Dental$2.1M 1.1%

Participant mix history

Active, retired/separated (receiving + eligible), and beneficiaries — Form 5500 line 5/6 counts.

Carrier share over time

% of premium by carrier per year (top 5 + Other).

Broker share over time

% of broker comp by broker per year (top 5 + Other).

Not enough data

No multi-year breakdown available.

Insurance carriers

6 carriers · 42 contracts · ranked by premium

Carrier

Coverage

Premium

Covered

Retention

Renews

Primary broker

KAISER FOUNDATION HEALTH PLAN INC

EIN 941340523 · 32 contracts

HealthHMO

$184.9M

96.1%

11,769

0.0%

12/31/15Past

Contract 100200

2015-01-01 → 2015-12-31

HealthHMO

$60.1M

31.2%

11,769

0.0%

12/31/15Past

Contract 10

2015-01-01 → 2015-12-31

HealthHMO

$47.0M

24.4%

7,483

0.0%

12/31/15Past

Contract 8

2015-01-01 → 2015-12-31

HealthHMO

$24.6M

12.8%

4,104

0.0%

12/31/15Past

Contract 5005

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$20.1M

10.5%

2,816

0.0%

12/31/15Past

Contract 100199

2015-01-01 → 2015-12-31

HealthHMO

$5.7M

3.0%

1,143

0.0%

12/31/15Past

Contract 39300

2015-01-01 → 2015-12-31

HealthHMO

$5.6M

2.9%

1,052

0.0%

12/31/15Past

Contract 1919

Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO

2015-01-01 → 2015-12-31

HealthHMO

$4.3M

2.2%

663

0.0%

12/31/15Past

Contract 137

Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII

2015-01-01 → 2015-12-31

HealthHMO

$4.1M

2.1%

880

0.0%

12/31/15Past

Contract 226159

2015-01-01 → 2015-12-31

HealthHMO

$3.5M

1.8%

795

0.0%

12/31/15Past

Contract 9424

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$2.3M

1.2%

164

0.0%

12/31/15Past

Contract 8809

Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO, INC.

2015-01-01 → 2015-12-31

HealthHMO

$1.4M

0.7%

182

0.0%

12/31/15Past

Contract 39546

2015-01-01 → 2015-12-31

HealthHMO

$1.3M

0.7%

267

0.0%

12/31/15Past

Contract 833

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$1.1M

0.6%

159

0.0%

12/31/15Past

Contract 2693

Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA

2015-01-01 → 2015-12-31

HealthHMO

$695K

0.4%

0.0%

12/31/15Past

Contract 4666

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$434K

0.2%

0.0%

12/31/15Past

Contract 9000

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC

2015-01-01 → 2015-12-31

HealthHMO

$428K

0.2%

0.0%

12/31/15Past

Contract 35747

Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII

2015-01-01 → 2015-12-31

HealthHMO

$415K

0.2%

0.0%

12/31/15Past

Contract 15051

Filed as: KAISER FOUNDATION HEALTH PLAN OF COLORADO

2015-01-01 → 2015-12-31

HealthHMO

$406K

0.2%

0.0%

12/31/15Past

Contract 3003

Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII

2015-01-01 → 2015-12-31

HealthHMO

$271K

0.1%

0.0%

12/31/15Past

Contract 13046

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC

2015-01-01 → 2015-12-31

HealthHMO

$183K

0.1%

0.0%

12/31/15Past

Contract 32717

Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII

2015-01-01 → 2015-12-31

HealthHMO

$175K

0.1%

0.0%

12/31/15Past

Contract 3268

Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA

2015-01-01 → 2015-12-31

HealthHMO

$129K

0.1%

0.0%

12/31/15Past

Contract 2627

Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA

2015-01-01 → 2015-12-31

HealthHMO

$127K

0.1%

0.0%

12/31/15Past

Contract 13644

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC

2015-01-01 → 2015-12-31

HealthHMO

$100K

0.1%

0.0%

12/31/15Past

Contract 2694

Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA

2015-01-01 → 2015-12-31

HealthHMO

$91K

0.0%

12/31/15Past

Contract 2211

Filed as: KAISER FOUNDATION HEALTH PLAN OF GEORGIA

2015-01-01 → 2015-12-31

HealthHMO

$81K

0.0%

12/31/15Past

Contract 5004

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$79K

0.0%

12/31/15Past

Contract 13818

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC

2015-01-01 → 2015-12-31

HealthHMO

$55K

0.0%

12/31/15Past

Contract 13642

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC

2015-01-01 → 2015-12-31

HealthHMO

$52K

0.0%

12/31/15Past

Contract 19488

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

2015-01-01 → 2015-12-31

HealthHMO

$17K

0.0%

12/31/15Past

Contract 225709

Filed as: KAISER FOUNDATION HEALTH PLAN, INC.

2015-01-01 → 2015-12-31

HealthHMO

$9K

0.0%

12/31/15Past

Contract 11483*

Filed as: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.

2015-01-01 → 2015-12-31

Health

0.0%

163

12/31/15Past

METROPOLITAN LIFE INSURANCE COMPANY

EIN 135581829 · Contract 014310 LIFE

Life

$2.9M

1.5%

10,179

0.0%

12/31/15Past

DELTA DENTAL OF CALIFORNIA

EIN 941461312 · Contract 05454

Dental

$2.1M

1.1%

4,159

0.0%

12/31/15Past

HEALTHSPAN INTEGRATED CARE

EIN 340922268 · 3 contracts

HealthHMO

$1.5M

0.8%

369

0.0%

12/31/15Past

Contract 1301

2015-01-01 → 2015-12-31

HealthHMO

$1.2M

0.6%

369

0.0%

12/31/15Past

Contract 1306

2015-01-01 → 2015-12-31

HealthHMO

$347K

0.2%

0.0%

12/31/15Past

Contract 3024

2015-01-01 → 2015-12-31

HealthHMO

$15K

0.0%

12/31/15Past

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN

EIN 910511770 · 4 contracts

HealthHMO

$1.0M

0.5%

0.0%

12/31/15Past

Contract 0927000

Filed as: GROUP HEALTH COOPERATIVE

2015-01-01 → 2015-12-31

HealthHMO

$513K

0.3%

0.0%

12/31/15Past

Contract 0903900

Filed as: GROUP HEALTH COOPERATIVE

2015-01-01 → 2015-12-31

HealthHMO

$233K

0.1%

0.0%

12/31/15Past

Contract 1465100

Filed as: GROUP HEALTH COOPERATIVE

2015-01-01 → 2015-12-31

Health

$194K

0.1%

0.0%

12/31/15Past

Contract 1019900

Filed as: GROUP HEALTH COOPERATIVE

2015-01-01 → 2015-12-31

HealthHMO

$63K

0.0%

12/31/15Past

UNIMERICA INSURANCE COMPANY

Filed as: CONNECTICARE, INC.

EIN 061537522 · Contract 0702

HealthHMO

$90K

0.0%

12/31/15Past

Brokers

No brokers reported on this filing.

Service providers (Schedule C)

2 providers

Provider	Services	Address	Compensation
INVESCO EIN 98-0557567 NONE	Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28	—	$864K
SEYFARTH SHAW EIN 36-2152202 NONE	Legal; Direct payment from the plan Service code 29	—	$20K

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✓Life✓Not declared:VisionShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther

Population walkthrough

42 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	0	Currently employed and enrolled or eligible.
Retired/separated still receiving benefits	16,933	Continuation coverage (COBRA, retiree health).
Retired/separated still eligible	1,002	Vested but not currently using benefits.
Total participants (= "Plan participants" tile)	17,935	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)(40 contracts, 10 carriers)	KAISER FOUNDATION HEALTH PLAN INC	11,769	$187.5M
Dental	DELTA DENTAL OF CALIFORNIA	4,159	$2.1M
Life insurance	METROPOLITAN LIFE INSURANCE COMPANY	10,179	$2.9M
Persons covered (= "Persons covered" tile)	Max across the rows above	11,769	—

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."

Opportunity flags

4 of 12 tripped

Opportunity
Underbroker / direct-write
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Opportunity
Premium-per-life outlier
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Opportunity
No broker reported
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Info
Funding transition
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.

Funding & risk

Fully insured

The sponsor pays premiums to one or more insurance carriers; the carriers bear the underwriting risk. Carrier and broker compensation are visible on Schedule A.

Schedule A contracts: 42
Carriers: 12
Brokers: 0
Stop-loss attached: No
Welfare charges: $192.5M
Retention: —
Retention rate: 0.0%

Provider

Services

Address

Compensation

INVESCO

EIN 98-0557567

NONE

Direct payment from the plan; Investment management; Investment management fees paid directly by plan

Service code 28

—

$864K

SEYFARTH SHAW

EIN 36-2152202

NONE

Legal; Direct payment from the plan

Service code 29

—

$20K

Coverage

Top carrier

Persons covered EOY

Premium

Health (medical)(40 contracts, 10 carriers)

KAISER FOUNDATION HEALTH PLAN INC

11,769

$187.5M

Dental

DELTA DENTAL OF CALIFORNIA

4,159

$2.1M

Life insurance

METROPOLITAN LIFE INSURANCE COMPANY

10,179

$2.9M

Persons covered (= "Persons covered" tile)

Max across the rows above

11,769

—

KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN

Summary metrics

History & trajectory

Insurance carriers

Brokers

Service providers (Schedule C)

Coverage breadth

Population walkthrough

Opportunity flags

Funding & risk

KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN

Summary metrics

History & trajectory

Insurance carriers

Brokers

Service providers (Schedule C)

Coverage breadth

Population walkthrough

Opportunity flags

Funding & risk