Insurance carriers
16 carriers · 26 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
Filed as: INDEPENDENT BLUE CROSS
EIN 232184623 · Contract 0001082014
$17.2M
34.0%
1,568
0.0%
-
2
EIN 362739571 · Contract 755588
$15.4M
30.4%
3,475
0.0%
-
3
EIN 941340523 · 7 contracts
$4.3M
8.5%
382
0.0%
-
6
Contract 231704
Filed as: KAISER FOUNDATION HEALTH PLAN REGION CALIFORNIA
2017-01-01 → 2017-12-31
$2.0M
3.9%
382
0.0%
-
7
Contract 604180
Filed as: KAISER FOUNDATION HEALTH PLAN REGION CALIFORNIA
2017-01-01 → 2017-12-31
$1.6M
3.2%
367
0.0%
-
12
Contract 35602
Filed as: KAISER FOUNDATION HEALTH PLAN REGION COLORADO
2017-01-01 → 2017-12-31
$346K
0.7%
71
0.0%
-
14
Contract 10106
Filed as: KAISER FOUNDATION HEALTH PLAN REGION GEORGIA
2017-01-01 → 2017-12-31
$228K
0.4%
47
0.0%
-
20
Contract 19559
Filed as: KAISER FOUNDATION HEALTH PLAN REGION NORTHWEST
2017-01-01 → 2017-12-31
$122K
0.2%
29
0.0%
-
23
Contract 22602
Filed as: KAISER FOUNDATION HEALTH PLAN REGION MID-ATLANTIC
2017-01-01 → 2017-12-31
$8K
0.0%
1
0.0%
-
24
Contract 8102600
Filed as: KAISER FOUNDATION HEALTH PLAN REGION WASHINGTON
2017-01-01 → 2017-12-31
$7K
0.0%
1
0.0%
-
4
EIN 066033492 · 2 contracts
$3.8M
7.4%
3,537
0.0%
-
4
Contract 0700141-0868246
2017-01-01 → 2018-12-31
$2.7M
5.4%
536
0.0%
-
9
Contract 0700141-0100469
2017-01-01 → 2017-12-31
$1.0M
2.0%
3,537
0.0%
-
5
EIN 591031071 · Contract 3339122
$3.6M
7.0%
407
0.0%
-
6
EIN 135581829 · Contract 0154406
$2.3M
4.5%
16,701
0.0%
-
7
EIN 391565691 · Contract Q02616
$1.5M
2.9%
90
0.0%
-
8
EIN 231503749 · Contract FLK980222002
$723K
1.4%
5,709
0.0%
-
9
EIN 061227840 · Contract 12222129
$668K
1.3%
5,060
0.0%
-
10
EIN 362739571 · 2 contracts
$273K
0.5%
1,438
0.0%
-
13
Contract UHIC600598
Filed as: UNITED HEALTHCARE INSURANCE COMPANY HARTFORD CT
2017-01-01 → 2017-12-31
$269K
0.5%
1,438
0.0%
-
26
Contract AGP002622
Filed as: HARTFORD LIFE INSURANCE CO
2017-01-01 → 2017-12-31
$4K
0.0%
1
0.0%
-
11
EIN 250687550 · 3 contracts
$234K
0.5%
8,025
0.0%
-
17
Contract PAI0009140298B
Filed as: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
2017-01-01 → 2017-12-31
$159K
0.3%
4,078
0.0%
-
21
Contract BSC0009140297B
Filed as: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
2017-01-01 → 2017-12-31
$69K
0.1%
8,025
0.0%
-
25
Contract GTP0009140544A
Filed as: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
2017-01-01 → 2017-12-31
$6K
0.0%
8,025
0.0%
-
12
Filed as: DELTA DENTAL OF PENNSYLVANIA
EIN 231667011 · Contract 02835
$216K
0.4%
6,091
0.0%
-
13
EIN 954402957 · Contract 144849, 50, 51
$203K
0.4%
2
0.0%
-
14
EIN 391535024 · Contract 14RMB7T
$150K
0.3%
13
0.0%
-
15
Filed as: UNITED BEHAVIORAL HEALTH DBA OPTUM
EIN 942649097 · Contract 20070
$140K
0.3%
8,099
0.0%
-
16
EIN 391535024 · Contract 14RMB88
$69K
0.1%
5
0.0%
-
Brokers
No brokers reported on this filing.
Coverage breadth
7 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✓Life✓Long-term disability✓Prescription drug✓Not declared:Short-term disabilityDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
26 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 | 8,497 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 8,497 | 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)(15 contracts, 14 carriers) | INDEPENDENT BLUE CROSS | 3,475 | $45.2M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 6,091 | $216K |
| Vision | VISION SERVICE PLAN | 5,060 | $668K |
| Life insurance(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 16,701 | $2.5M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 3,537 | $1.0M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 5,709 | $723K |
| Prescription drug(14 contracts, 13 carriers) | INDEPENDENT BLUE CROSS | 3,475 | $41.6M |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY HARTFORD CT | 1,438 | $269K |
| Other(6 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 8,099 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,701 | — |
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."