| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BTP HEALTH LLC3 Filed as: BTP HEALTH, LLC | 87-1127 OHEOHE ST. WAIANAE, HI 96792 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $2K | — | $2K | 1.21% |
| GAVIN TOMA3 | 737 BISHOP ST STE 1200 HONOLULU, HI 968133205 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $647 | — | $647 | 0.41% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 9655 GRANITE RIDGE DR. STE 500 SAN DIEGO, CA 92123 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $379 | — | $379 | 0.24% |
| JAMIE REICH3 | 737 BISHOP ST STE 1200 HONOLULU, HI 968133205 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $348 | — | $348 | 0.22% |
| GRACE BEYMER3 | 737 BISHOP ST STE 1200 HONOLULU, HI 968133205 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $195 | — | $195 | 0.12% |
| JIM FRENCH3 | 737 BISHOP ST STE 1200 HONOLULU, HI 968133205 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $190 | — | $190 | 0.12% |
| JOHN YANAGIHARA3 | 4728 KAHALA AVE. HONOLULU, HI 968133205 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $188 | — | $188 | 0.12% |
| HI INSURANCE & FIN SERVICES, INC.3 Filed as: HI INSURANCE & FIN. SERVICES, INC. | 1009 KAPIOLANI BLVD #2804 HONOLULU, HI 96814 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $70 | — | $70 | 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 | 59 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 59 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $159K |
| Dental | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $159K |
| Vision | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $159K |
| Life insurance | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $159K |
| Prescription drug | HAWAII MEDICAL ASSURANCE ASSOCIATION | 59 | $159K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 59 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.