No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACIFIC ADMINISTRATORS, INC. EIN 99-0351671 NONE | Plan Administrator; Accounting (including auditing) Service code 10 | 1440 KAPIOLANI BLVD, STE 800 HONOLULU, HI 96814 | $125K |
| BENEFIT PLAN SOLUTIONS, INC. EIN 99-0114097 NONE | Consulting (general) Service code 16 | 681 IWILEI ROAD, STE 528 HONOLULU, HI 96817 | $58K |
| HAWAII DENTAL SERVICE EIN 99-0107971 NONE | Claims processing Service code 12 | 700 BISHOP STREET, SUITE 700 HONOLULU, HI 968134196 | $46K |
| FUJIKAWA & YASUNAGA EIN 99-0219097 NONE | Legal Service code 29 | 615 PIIKOI ST. PH-1 HONOLULU, HI 96814 | $27K |
| LEMKE, CHINEN & TANAKA, C.P.A., INC EIN 99-0155373 NONE | Accounting (including auditing) Service code 10 | 500 ALA MOANA BLVD. BLDG. 2 STE 302 HONOLULU, HI 96814 | $20K |
| BUSINESS INSURANCE SERVICES EIN 99-0280987 NONE | Insurance agents and brokers Service code 22 | 615 PIIKOI ST., SUITE 1901 HONOLULU, HI 96814 | $6K |
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 | 1,362 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,367 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 1,535 | $15.2M |
| Vision | VISION SERVICE PLAN | 1,346 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,535 | — |
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 >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.