| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BSC AGENCY LLC3 | 1025 ASHWORTH RD STE 101 WEST DES MOINES, IA 50265 | METROPOLITAN LIFE INSURANCE COMPANY | — | $127K | $127K | 3.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 5909 PEACHTREE DUNWOODY RD STE 800 ATLANTA, GA 30328 | METROPOLITAN LIFE INSURANCE COMPANY | — | $50 | $50 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 1 WORLD FINANCIAL CTR FL 621 NEW YORK, NY 10281 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $80K | — | $80K | 4.63% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT ROAD STE 1400 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 0.37% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 1 WORLD FINANCIAL CTR FL 621 NEW YORK, NY 10281 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $84K | — | $84K | 5.33% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT ROAD STE 1400 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | — | $7K | 0.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | PO BOX 4557 NEW YORK, NY 10249 | VISION SERVICE PLAN | $31K | — | $31K | 3.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 5909 PEACHTREE DUNWOODY RD STE ATLANTA, GA 30328 | VISION SERVICE PLAN | $178 | — | $178 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 200 NORTH WARNER ROAD SUITE 300 KING OF PRUSSIA, PA 19406 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $9K | — | $9K | 3.02% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | — | $9K | $9K | 20.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON | BROOKFIELD PLACE 200 LIBERTY STREET NEW YORK, NY 10281 | ZURICH AMERICAN INSURANCE COMPANY | $7K | — | $7K | 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 | 17,840 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 59 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,178 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,077 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $284K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 13,115 | $4.2M |
| Vision | VISION SERVICE PLAN | 6,097 | $1.0M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 19,190 | $1.7M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 8,652 | $1.6M |
| Prescription drug | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $284K |
| Other(3 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 19,200 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,200 | — |
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.