{
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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/benefit-carriers/532135821.jsonld",
  "@type": "schema:Dataset",
  "name": "CAREFIRST BLUECHOICE, INC. — employer benefit plan carrier profile (DOL Form 5500)",
  "description": "CAREFIRST BLUECHOICE, INC. (EIN 532135821) administers 1 employer welfare-benefit plans covering 1 employers and 146 persons (end-of-year count). Benefit types: health. Atlas Commons aggregation over DOL Form 5500 EFAST2. CC0.",
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  "isBasedOn": {
    "@type": "schema:Dataset",
    "name": "DOL Form 5500 employer welfare-plan filings (EFAST2)",
    "url": "https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500"
  },
  "about": {
    "@type": "schema:Organization",
    "name": "CAREFIRST BLUECHOICE, INC.",
    "identifier": "532135821",
    "schema:naics": "96202"
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    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/benefit-carriers/532135821/carrier-identity",
      "@type": "schema:Claim",
      "name": "CAREFIRST BLUECHOICE, INC. (EIN 532135821) administers 1 employer benefit plans per DOL Form 5500 EFAST2",
      "text": "DOL Form 5500 EFAST2 filings record CAREFIRST BLUECHOICE, INC. (EIN 532135821, NAIC code 96202) as the carrier on 1 employer welfare-benefit plan schedule A attachments, covering 1 distinct employer EINs. Benefit types: health. This is a verbatim count of DOL EFAST2 records linking this carrier to employer plans.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
        "adjudged": true,
        "operative": true
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      "grounding": {
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        "source": "DOL Form 5500 employer welfare-plan filings (EFAST2)",
        "sourceUrl": "https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500",
        "value": "1 plans, 1 employers (DOL Form 5500 EFAST2)",
        "adjudicator": {
          "name": "DOL Form 5500 employer welfare-plan filings (EFAST2)",
          "url": "https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500"
        }
      },
      "falsifier": "Verify at the DOL EFAST2 public filing portal (https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500). Falsified if a direct count of Schedule A records naming EIN 532135821 as carrier differs from 1."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/benefit-carriers/532135821/persons-covered",
      "@type": "schema:Claim",
      "name": "CAREFIRST BLUECHOICE, INC. covers approximately 146 persons across its employer benefit plans (end-of-year count, DOL Form 5500 employer welfare-plan filings (EFAST2))",
      "text": "Atlas Commons sums the persons_covered_eoy field across all 1 DOL Form 5500 Schedule A records naming CAREFIRST BLUECHOICE, INC. (EIN 532135821) as carrier: 146 persons covered at end of year. This is a faithful sum of DOL-published figures — no adjustment for overlap across multiple plans at the same employer.",
      "claimType": "aggregated_fact",
      "reviewStatus": "correction_open",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": true,
        "supported": true,
        "adjudged": false,
        "operative": false
      },
      "grounding": {
        "groundingType": "Aggregation",
        "source": "DOL Form 5500 employer welfare-plan filings (EFAST2) (Atlas Commons aggregation)",
        "sourceUrl": "https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500",
        "value": "146 persons covered (end-of-year, DOL Form 5500)",
        "adjudicator": null
      },
      "falsifier": "Sum persons_covered_eoy for all Schedule A records with carrier EIN 532135821 in the DOL EFAST2 data. Falsified if the total differs."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/benefit-carriers/532135821/boundary",
      "@type": "schema:Claim",
      "name": "What this benefit carrier profile is — and is NOT — for CAREFIRST BLUECHOICE, INC.",
      "text": "This profile aggregates DOL Form 5500 Schedule A filings at the carrier level. Plan counts and person totals are AGGREGATED (Atlas Commons sums of DOL-published Schedule A figures). Loss ratio is an Atlas Commons computation. This surface answers \"how many employer plans report this carrier on Form 5500?\" — it is NOT a carrier quality rating, a complaint study, a solvency indicator, or a recommendation. Form 5500 reflects what employers self-report; the DOL does not independently verify carrier quality or financial strength from this data.",
      "claimType": "interpretation",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
      },
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        "source": "Coverage Atlas framing (over the DOL Form 5500 sources cited above)",
        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/benefit-carriers/532135821",
        "value": "Plan counts, person counts (AGGREGATED); loss ratio (AGGREGATED); NOT a carrier rating",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE — the lowest-warrant claim in this dataset. Counts and dollar totals above are computable from DOL EFAST2."
    }
  ],
  "hasPart": [
    {
      "@type": "schema:ItemList",
      "name": "CAREFIRST BLUECHOICE, INC. — employer benefit plan summary (DOL Form 5500)",
      "numberOfItems": 9,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "Metric": "Plans on DOL Form 5500 Schedule A",
            "Value": "1",
            "Warrant": "AGGREGATED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "Metric": "Distinct employer EINs",
            "Value": "1",
            "Warrant": "AGGREGATED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "Metric": "Persons covered (end-of-year total)",
            "Value": "146",
            "Warrant": "AGGREGATED"
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        },
        {
          "@type": "schema:ListItem",
          "position": 4,
          "item": {
            "Metric": "Welfare premiums received",
            "Value": "—",
            "Warrant": "AGGREGATED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 5,
          "item": {
            "Metric": "Welfare claims paid",
            "Value": "—",
            "Warrant": "AGGREGATED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 6,
          "item": {
            "Metric": "Loss ratio (claims / premium)",
            "Value": "—",
            "Warrant": "AGGREGATED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 7,
          "item": {
            "Metric": "Carrier EIN",
            "Value": "532135821",
            "Warrant": "RECORDED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 8,
          "item": {
            "Metric": "NAIC code",
            "Value": "96202",
            "Warrant": "RECORDED"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 9,
          "item": {
            "Metric": "Benefit types",
            "Value": "health",
            "Warrant": "AGGREGATED"
          }
        }
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    }
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}