| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE MILLIMAN AGENCY INC3 Filed as: MILLIMAN AGENCY, INC. | 1 PENNSYLVANIA PLAZA FL 38 NEW YORK, NY 10119 | HUMANA INSURANCE COMPANY | $56K | — | $56K | 9.72% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 0.82% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC | 110 MAIN ST POUGHKEEPSIE, NY 12601 | HUMANA INSURANCE COMPANY | $672 | — | $672 | 0.12% |
| BPAS ACTUARIAL AND PENSION SERVICES3 | 706 N CLINTON ST SYRACUSE, NY 13204 | HUMANA INSURANCE COMPANY | $21 | — | $21 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Custodial (other than securities); Investment management fees paid indirectly by plan; Direct payment from the plan; Custodial (securities) Service code 18 | — | $164K |
| HAWAII BENEFIT ADMINISTRATORS INC EIN 99-0329747 NONE | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 14 | — | $128K |
| RAYMOND JAMES & ASSOCIATES, INC EIN 59-1237041 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $120K |
| FOCUS INVESTMENT ADVISORS INC EIN 81-1193503 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $61K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $41K |
| MILLIMAN EIN 91-1962982 NONE | Investment management fees paid indirectly by plan; Direct payment from the plan; Actuarial Service code 11 | — | $25K |
| SMART SOURCE OF CALIFORNIA LLC NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 26001 PALA MISSION VIEJO, CA 92691 | $17K |
| HONOLULU ACTUARIAL CONSULTANTS EIN 20-5644068 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $16K |
| CARDINAL MAILING SERVICES EIN 99-0066443 NONE | Direct payment from the plan; Participant communication; Copying and duplicating Service code 36 | — | $8K |
| SHANLEY, A PROFESSIONAL CORPORATION NONE | Legal; Direct payment from the plan Service code 29 | 533 S FREEMONT AVE 9TH FL LOS ANGELES, CA 90071 | $8K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 444 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 203 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 647 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HMSA BLUE CROSS/BLUE SHIELD | 74 | $958K |
| Dental | HAWAII DENTAL SERVICE | 723 | $281K |
| Prescription drug | HMSA BLUE CROSS/BLUE SHIELD | 43 | $485K |
| Other | HUMANA INSURANCE COMPANY | 531 | $575K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 723 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.