# ISLAND PALM COMMUNITIES, LLC EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **ISLAND PALM COMMUNITIES, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ISLAND PALM COMMUNITIES, LLC |
| EIN | 201108750 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | SCHOFIELD BARRACKS, HI |
| Industry | real estate |
| Funding | fully insured |
| Total premiums | $4.3M |
| Participants | 349 |
| Persons covered | 516 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx, Vision, PPO, Other |
| KAISER PERMANENTE | Health, Rx, Vision, HMO |
| HAWAII DENTAL SERVICE | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| METLIFE LEGAL PLANS | Other |
| EMPLOYEE ASSISTANCE OF THE PACIFIC, LLC | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | HAWAII MEDICAL ASSURANCE ASSOCIATION |
| MERCER HEALTH AND BENEFITS, LLC | KAISER FOUNDATION HEALTH PLAN, INC |
| MERCER HEALTH AND BENEFITS, LLC | HAWAII DENTAL SERVICE |
| MERCER HEALTH AND BENEFITS, LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | UNUM INSURANCE COMPANY |
| GIS NATIONAL | METLIFE LEGAL PLANS |
| MERCER HEALTH AND BENEFITS, LLC | METLIFE LEGAL PLANS |
| BOON CHAPMAN BENEFIT ADMINISTRATORS | METLIFE LEGAL PLANS |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/201108750-502
- Cite as: PlanOptica, https://planoptica.com/welfare/201108750-502
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