| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 320 WEST 57TH ST NEW YORK, NY 10019 | HARTFORD LIFE AND ACCIDENT | $227K | $100K | $327K | 2.88% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 320 WEST 57TH ST NEW YORK, NY 10019 | HARTFORD LIFE AND ACCIDENT | $17K | $8K | $25K | 2.92% |
| AON CONSULTING INC3 Filed as: HEWITT INSURANCE, INC. | 268 MUNOZ RIVERA AVE HATO REY TOWER 1800 SAN JUAN, PR 00919 | TRIPLE-S SALUD, INC. | $23K | — | $23K | 5.00% |
| AON CONSULTING INC3 Filed as: HEWITT INSURANCE, INC. | HATO REY TOWER, SUITE 1800 268 MUNOZ RIVERA SAN JUAN, PR 00919 | TRIPLE-S VIDA, INC. | $2K | — | $2K | 15.00% |
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 | 132,511 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 905 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3,117 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 136,533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION BLUE CROSS BLUE SHIELD OF HAWAII | 388 | $1.6M |
| Dental | TRIPLE-S SALUD, INC. | 110 | $454K |
| Vision | VISION SERVICE PLAN | 31,174 | $3.4M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 53,226 | $11.4M |
| Short-term disability | TRIPLE-S VIDA, INC. | 129 | $14K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 53,226 | $11.4M |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION BLUE CROSS BLUE SHIELD OF HAWAII | 388 | $1.5M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 62,945 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 62,945 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.