| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SULLIVANCURTISMONROE INS. SVCS.3 | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | BLUE CROSS OF CALIFORNIA | $94K | $6K | $100K | 2.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 323 WEST LAKESIDE AVENUE SUITE 410 CLEVELAND, OH 44113 | BLUE CROSS OF CALIFORNIA | $50K | $0 | $50K | 1.23% |
| SULLIVANCURTISMONROE INS. SVCS.3 | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC | $68K | $0 | $68K | 2.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN INC | $33K | $0 | $33K | 1.02% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN INC | $24K | $0 | $24K | 0.75% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & WORD INSURANCE ADMINS. INC | 721 SOUTH PARKER STREET, SUITE 300 ORANGE, CA 92868 | KAISER FOUNDATION HEALTH PLAN INC | $4K | $0 | $4K | 0.12% |
| SULLIVANCURTISMONROE INS. SVCS.3 | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $16K | $11K | $27K | 0.86% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 323 WEST LAKESIDE AVENUE SUITE 410 CLEVELAND, OH 44113 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $19K | $0 | $19K | 0.59% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $41K | $0 | $41K | 2.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE, SUITE 200 BELLEVUE, WA 98004 | PROVIDENCE HEALTH PLAN | $28K | $0 | $28K | 3.00% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $3K | $0 | $3K | 3.07% |
| RICHARD KERSTEN3 Filed as: RICHARD FONSECA JR. & OTHER AGENTS | 1450 YOUNG STREET, APARTMENT 2306 HONOLULU, HI 96814 | AFLAC | $44 | $0 | $44 | 2.57% |
| PIONEER PACIFIC FINANCIAL3 Filed as: PIONEER PACIFIC FIN. SERVICES, INC. | 1132 BISHOP STREET, SUITE 2101 HONOLULU, HI 96813 | AFLAC | $32 | $0 | $32 | 1.87% |
| TESHIMA INSURANCE GROUP3 | 2499 KAPIOLANI BOULEVARD APARTMENT 2101 HONOLULU, HI 96826 | AFLAC | $24 | $0 | $24 | 1.40% |
| BUSINESS INSURANCE AGENCY3 Filed as: BUSINESS INSURANCE SERVICES, INC. | 615 PIIKOI STREET, SUITE 1901 HONOLULU, HI 96814 | AFLAC | $24 | $0 | $24 | 1.40% |
| GALEN MIZUGUCHI3 | 1767 HALE O KEA STREET HILO, HI 96720 | AFLAC | $22 | $0 | $22 | 1.28% |
| TRACY LYNN WONG3 | 615 PIIKOI STREET, SUITE 1711 HONOLULU, HI 96814 | AFLAC | $19 | $0 | $19 | 1.11% |
| RUSSELL A. HAYASHI3 | PO BOX 831096 PEPEEKEO, HI 96783 | AFLAC | $16 | $0 | $16 | 0.93% |
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 | 3,838 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,838 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 6 carriers) | BLUE CROSS OF CALIFORNIA | 3,838 | $13.4M |
| Dental(3 contracts, 3 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,838 | $3.9M |
| Vision(3 contracts, 3 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,838 | $5.2M |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,838 | $3.2M |
| Short-term disability | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,838 | $3.2M |
| Long-term disability | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,838 | $3.2M |
| Prescription drug(5 contracts, 5 carriers) | BLUE CROSS OF CALIFORNIA | 3,838 | $12.8M |
| Other(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 3,838 | $7.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,838 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.