| 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 | $200K | $5K | $204K | 2.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN, INC. | $115K | $0 | $115K | 3.65% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN, INC. | $19K | $5 | $19K | 0.60% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $41K | $0 | $41K | 2.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 5TH FLOOR ROLLING MEADOWS, IL 60008 | STANDARD INSURANCE COMPANY | $38K | $34K | $72K | 8.67% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 14012 WINDSOR PLACE SANTA ANA, CA 92705 | PROVIDENCE HEALTH PLAN | $19K | $0 | $19K | 3.00% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET, SUITE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $3K | $0 | $3K | 2.55% |
| RICHARD FONSECA JR3 Filed as: RICHARD FONSECA, JR. & OTHER AGENTS | 1450 YOUNG STREET, APARTMENT 2306 HONOLULU, HI 98614 | AFLAC | $3 | $0 | $3 | 2.73% |
| PIONEER PACIFIC FINANCIAL SVCS. INC3 | 1132 BISHOP STREET, SUITE 2101 HONOLULU, HI 96813 | AFLAC | $2 | $0 | $2 | 1.82% |
| TESHIMA INSURANCE GROUP3 | 2499 KAPIOLANI BOULEVARD APARTMENT 2101 HONOLULU, HI 96826 | AFLAC | $2 | $0 | $2 | 1.82% |
| GALEN MIZUGUCHI3 | 1767 HALE O KEA STREET HILO, HI 96720 | AFLAC | $2 | $0 | $2 | 1.82% |
| BUSINESS INSURANCE SERVICE, INC.3 | 615 PIIKOI STREET, SUITE 1901 HONOLULU, HI 96814 | AFLAC | $1 | $0 | $1 | 0.91% |
| TRACY LYNN WONG3 | 615 PIIKOI STREET, SUITE 1711 HONOLULU, HI 96814 | AFLAC | $1 | $0 | $1 | 0.91% |
| RUSSELL A. HAYASHI3 | PO BOX 831096 PEPEEKEO, HI 96783 | AFLAC | $1 | $0 | $1 | 0.91% |
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 | 3,382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,390 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | BLUE CROSS OF CALIFORNIA | 1,517 | $12.5M |
| Dental(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,517 | $7.5M |
| Vision(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,517 | $8.8M |
| Life insurance | STANDARD INSURANCE COMPANY | 3,446 | $827K |
| Short-term disability | STANDARD INSURANCE COMPANY | 3,446 | $827K |
| Long-term disability | STANDARD INSURANCE COMPANY | 3,446 | $827K |
| Prescription drug(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 1,517 | $12.0M |
| Other(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 3,446 | $7.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,446 | — |
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.