Form 5500 · Employee benefit plan · WASHINGTON, DC
NCQA
The filing calls this plan NCQA HEALTH & WELFARE PLAN.
NCQA of WASHINGTON, DC insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HODGE HART & SCHLEIFER INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-1191985 · plan 502 · plan year 2025, filed Apr 21, 2026
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11 other employer plans in District of Columbia have policy years ending in January. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 4 insured contracts covering health, dental and vision; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 364 people.
Reported premium across the insured contracts is $8,571,001, with $20,685 in disclosed broker commissions — about 0.2% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
HODGE HART & SCHLEIFER INC is the broker of record on all 4 contracts.
4 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC, KAISER FOUNDATION HEALTH PLAN, INC. and FIDELITY SECURITY LIFE INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 364 | Jan 2, 2025 | $7,216,859 | $9,530 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 25 | Jan 1, 2026 | $236,278 | $5,832 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 287 | Jan 1, 2026 | $48,134 | $5,323 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | Health | 165 | Jan 1, 2026 | $1,069,730 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
11 other employer plans in District of Columbia are February 1 renewals (policy year ends January).
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