See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 6 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 4 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS CO EIN 59-1031071 THIRD-PARTY ADMINISTRATO | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Other services; Non-monetary compensation; Direct payment from the plan; Contract Administrator; Participant communication Service code 12 | — | $234K |
| STANDISH MELLON ASSET MGMT CO, LLC EIN 25-1890416 INVESTMENT MANAGER | Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $126K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE, INV ADV & MGMT | Investment advisory (plan); Direct payment from the plan; Trustee (directed); Trustee (bank, trust company, or similar financial institution); Other investment fees and expenses; Other fees; Float revenue; Account maintenance fees; Investment management; Investment management fees paid directly by plan Service code 21 | — | $122K |
| WILLIS TOWERS WATSON EIN 26-0775680 HRA ADMINISTRATION | Other fees; Other services; Direct payment from the plan Service code 49 | — | $117K |
| KAISER FOUNDATION HEALTH PLAN OF HI EIN 94-1340523 THIRD-PARTY ADMINISTRATO | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other services; Participant communication; Claims processing; Recordkeeping fees Service code 12 | — | $99K |
| KPMG LLP EIN 13-5565207 PLAN AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $81K |
| ANTHEM HEALTH PLANS OF VIRGINIA, IN EIN 54-0357120 THIRD-PARTY ADMINISTRATO | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $53K |
| CROWE LLP EIN 35-0921680 FINANCIAL STATEMENT PREP | Consulting (general); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| EY EIN 34-6565596 TAX FORM PREPARER | Direct payment from the plan; Consulting (general) Service code 16 | — | $21K |
| PRIME THERAPEUTICS LLC EIN 26-0076803 PHARMACY BENEFIT MANAGER | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Participant communication; Direct payment from the plan; Contract Administrator; Recordkeeping fees Service code 12 | — | $17K |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 THIRD-PARTY ADMINISTRATO | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Participant communication; Direct payment from the plan; Contract Administrator; Recordkeeping fees Service code 12 | — | $7K |
| AON CONSULTING, INC. EIN 22-2232264 FORM 5500 PREPARER | Consulting (general); Direct payment from the plan Service code 16 | — | $5K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 THIRD PARTY ADMINISTRATO | Other services; Float revenue Service code 49 | — | $0 |
| NORTHERN TRUST CORPORATION EIN 36-2723087 TRUSTEE | Other services; Soft dollars commissions; Investment management fees paid indirectly by plan Service code 49 | — | $0 |
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).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,496 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 87 | $467K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 87 | $467K |
| Life insurance(5 contracts) | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 1,561 | $558K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 87 | $467K |
| Other | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 2 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,561 | — |
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."
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultant sales target.