Kaiser Foundation Health Plan, Inc.
Overview
Kaiser Foundation Health Plan, Inc. sponsors a self-funded health plan that covered 34,951 participants in plan year 2025, up 7% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 34,951 · prior year 32,671
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Kaiser Foundation Health Plan, Inc. Health Care Spending Account Plan, plan 590 (34,951 participants); Kaiser Foundation Health Plan, Inc. Retiree Medical Health Reimbursement Account Plan, plan 585 (8,225 participants)
- Broker compensation
- $3.1M across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | Medical, HMO | 127,718 | $2.2B | — |
| Kaiser Foundation Health Plan of the Northwest | Medical, HMO | 11,556 | $336.0M | — |
| Kaiser Foundation Health Inc. | Medical, HMO | 22,496 | $169.1M | — |
| Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | Medical, HMO | 18,357 | $167.2M | — |
| Delta Dental of California | Dental | 214,991 | $113.9M | — |
| Kaiser Foundation Health Plan of Colorado | Medical, HMO | 7,437 | $91.5M | — |
| Metropolitan Life Insurance Company | Life, Short-term disability, Long-term disability, BTA | 175,955 | $86.1M | — |
| Kaiser Foundation Health Plan of Colorado,inc. | Medical, HMO | 4,049 | $38.3M | — |
| Kaiser Foundation Health Plan of Colorado,inc | Medical, HMO | 2,338 | $20.5M | — |
| Kaiser Foundation Health Plan Inc. | Medical, HMO | 105 | $10.0M | $48K |
| Transamerica Life Insurance Company | Long Term Care | 2,139 | $10.0M | $693K |
| Kaiser Foundation Health Plan of Washington | Medical, HMO | 397 | $7.3M | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 34,951 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Kaiser Foundation Health Plan, Inc.
- Sponsor EIN
- 94-1340523
- Plan numbers
- 590, 585
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 94-1340523 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Kaiser Permanente Retirement Plan
- Type
- Pension plan
- Participants
- 209,460
About this data
Source: Kaiser Foundation Health Plan, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Kaiser Foundation Health Plan, Inc..