| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 323 WEST LAKESIDE AVENUE, SUITE 410 CLEVELAND, OH 44113 | BLUE CROSS OF CALIFORNIA | $190K | $2K | $191K | 2.88% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN, INC. | $104K | $0 | $104K | 3.28% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN, INC. | $21K | $4 | $21K | 0.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 323 WEST LAKESIDE AVENUE, SUITE 410 CLEVELAND, OH 44113 | STANDARD INSURANCE COMPANY | $40K | $28K | $68K | 7.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | PROVIDENCE HEALTH PLAN | $28K | $0 | $28K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 323 WEST LAKESIDE AVENUE, SUITE 410 CLEVELAND, OH 44113 | ANTHEM LIFE INSURANCE COMPANY | $63K | $0 | $63K | 25.41% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $3K | $0 | $3K | 3.12% |
| PIONEER PACIFIC FINANCIAL3 Filed as: PIONEER PACIFIC FIN. SERVICES, INC. | 1132 BISHOP STREET, SUITE 2101 HONOLULU, HI 96813 | AFLAC | $39 | $0 | $39 | 2.39% |
| RICHARD KERSTEN3 Filed as: RICHARD FONSECA, JR. & OTHER AGENTS | 1450 YOUNG STREET APARTMENT 2306 HONOLULU, HI 96813 | AFLAC | $38 | $0 | $38 | 2.33% |
| BUSINESS INSURANCE AGENCY3 Filed as: BUSINESS INSURANCE SERVICES, INC. | 615 PIIKOI STREET, SUITE 1901 HONOLULU, HI 96814 | AFLAC | $25 | $0 | $25 | 1.53% |
| GALEN MIZUGUCHI3 | 1767 HALE O KEA STREET HILO, HI 96720 | AFLAC | $23 | $0 | $23 | 1.41% |
| TRACY LYNN WONG3 | 615 PIIKOI STREET, SUITE 1711 HONOLULU, HI 96814 | AFLAC | $21 | $0 | $21 | 1.29% |
| TESHIMA INSURANCE GROUP3 | 2499 KAPIOLANI BOULEVARD SUITE 2101 HONOLULU, HI 96826 | AFLAC | $20 | $0 | $20 | 1.23% |
| RUSSELL A. HAYASHI3 | PO BOX 831096 PEPEEKEO, HI 96783 | AFLAC | $17 | $0 | $17 | 1.04% |
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 | 3,510 | 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) | 3,510 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 1,407 | $11.2M |
| Dental(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,407 | $7.2M |
| Vision(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 1,407 | $7.1M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 3,714 | $1.2M |
| Short-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 3,714 | $1.2M |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 3,714 | $1.2M |
| Prescription drug(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,407 | $10.7M |
| Other(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 3,714 | $7.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,714 | — |
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.