| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $4K | — | $4K | 1.86% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $3K | — | $3K | 1.67% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES, INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $747 | — | $747 | 1.15% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $548 | — | $548 | 0.84% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 8.39% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES, INC. OF HAWAII | PO BOX 201 HONOLULU, HI 96810 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.61% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | PO BOX 201 HONOLULU, HI 96810 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $669 | — | $669 | 5.62% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $520 | — | $520 | 4.37% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - HONOLULU | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $779 | — | $779 | 9.49% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY INC | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $452 | — | $452 | 5.51% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 606750001 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $585 | — | $585 | 9.16% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $372 | — | $372 | 5.83% |
No Schedule C service providers reported on this filing.
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 | 92 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 150 | $1.1M |
| Dental | HAWAII DENTAL SERVICE | 177 | $65K |
| Vision(3 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 150 | $1.1M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 96 | $23K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 96 | $12K |
| Prescription drug(3 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 150 | $1.1M |
| Other(5 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 112 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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."
No prospect flags tripped on this filing.