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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 | 88,806 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,633 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,372 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 91,811 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,557 | $23.6M |
| Dental | TRIPLE S SALUD, INC. | 108 | $746K |
| Vision | VISION SERVICE PLAN | 22,046 | $2.8M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 39,973 | $12.6M |
| Short-term disability | TRIPLE-S VIDA, INC. | 126 | $20K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 39,973 | $12.6M |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 284 | $1.8M |
| Other(6 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 44,889 | $4.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,889 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.