| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SELECT CHOICE BENEFITS3 | 1640 POWERS FERRY RD BLD 21 STE 300 MARIETTA, GA 30067 | ALLSTATE BENEFITS | $4K | — | $4K | 5.76% |
| FIRST HAWAIIAN BANK3 | 999 BISHOP ST, STE 1850 HONOLULU, HI 96813 | ALLSTATE BENEFITS | $2K | — | $2K | 2.92% |
| WANEE KIMBERLY AN MCCABE3 | 74-5070 TOMI TOMI DRIVE KAILUAKONA, HI 96740 | ALLSTATE BENEFITS | $953 | — | $953 | 1.36% |
| ALEX CARDONA3 | 3359 NORFOLK CHASE DRIVE NORCROSS, GA 30092 | ALLSTATE BENEFITS | $862 | — | $862 | 1.23% |
| KRIS SPEEGLE3 | 1289-D KILAUEA AVENUE HILO, HI 96720 | ALLSTATE BENEFITS | $697 | — | $697 | 1.00% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES CORP | 700 BISHOP ST, STE 1400 HONOLULU, HI 96813 | ALLSTATE BENEFITS | $357 | — | $357 | 0.51% |
| BENCHMARK INS GROUP LLC3 | P.O. BOX 470845 CHARLOTTE, NC 28247 | ALLSTATE BENEFITS | $215 | — | $215 | 0.31% |
| CONSUMERS GROUP INS SVCS INC3 | 819 S BERETANIA STREET HONOLULU, HI 96813 | ALLSTATE BENEFITS | $56 | — | $56 | 0.08% |
| TONYA LANCASTER3 | 1820 THE EXCHANGE, SUITE 750 ATLANTA, GA 30339 | ALLSTATE BENEFITS | $45 | — | $45 | 0.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BNFT SVCS INC | 2056 VISTA PARKWAY, STE 300 WEST PALM BEACH, FL 33411 | ALLSTATE BENEFITS | $3 | — | $3 | 0.00% |
| SELECT CHOICE BENEFITS3 | 1640 POWERS FERRY RD BLD 21 STE 300 MARIETTA, GA 30067 | ALLSTATE BENEFITS | $3K | — | $3K | 7.59% |
| FIRST HAWAIIAN BANK3 Filed as: FIRST HAWAIIAN BANK AGENT | 999 BISHOP ST, SUITE 1850 HONOLULU, HI 96813 | ALLSTATE BENEFITS | $2K | — | $2K | 4.65% |
| KRIS SPEEGLE3 | 1289-D KILAUEA AVENUE HILO, HI 96720 | ALLSTATE BENEFITS | $891 | — | $891 | 2.00% |
| ALEX CARDONA3 | 3359 NORFOLK CHASE DRIVE NORCROSS, GA 30092 | ALLSTATE BENEFITS | $464 | — | $464 | 1.04% |
| WANEE KIMBERLY AN MCCABE3 | 74-5070 TOMI TOMI DRIVE KAILUAKONA, HI 96740 | ALLSTATE BENEFITS | $334 | — | $334 | 0.75% |
| INSGROUP INC3 Filed as: BENCHMARK INS GROUP LLC AGENT | P.O. BOX 470845 CHARLOTTE, NC 28247 | ALLSTATE BENEFITS | $179 | — | $179 | 0.40% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES CORP | 700 BISHOP STREET, STE 1400 HONOLULU, HI 96813 | ALLSTATE BENEFITS | $127 | — | $127 | 0.28% |
| TONYA LANCASTER3 | 1820 THE EXCHANGE, SUITE 750 ATLANTA, GA 30339 | ALLSTATE BENEFITS | $25 | — | $25 | 0.06% |
| CONSUMERS GROUP INS SVCS INC3 Filed as: CONSUMERS GROUP INS SVCS INC AGENT | 819 S BERETANIA STREET HONOLULU, HI 96813 | ALLSTATE BENEFITS | $19 | — | $19 | 0.04% |
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 | 112 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WAGE WORKS | 77 | $704K |
| Life insurance(2 contracts) | ALLSTATE BENEFITS | 65 | $114K |
| Other(3 contracts, 2 carriers) | WAGE WORKS | 77 | $819K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 77 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.