See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 21 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 4 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEWITT ASSOCIATES EIN 36-2235791 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $3.3M |
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | — | $3.1M |
| UHC MANAGEMENT COMPANY EIN 41-1289245 NONE | Claims processing; Contract Administrator; Other insurance fees and expenses Service code 12 | — | $2.3M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Other insurance fees and expenses; Insurance agents and brokers Service code 13 | — | $2.1M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Other insurance fees and expenses; Contract Administrator; Claims processing Service code 12 | — | $429K |
| TELADOC EIN 04-3705970 NONE | Other insurance fees and expenses; Participant communication; Insurance services Service code 23 | — | $176K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $139K |
| BELL LITHO INC. EIN 36-2550923 NONE | Copying and duplicating; Other fees Service code 36 | — | $77K |
| CROWE HORWATH LLP EIN 35-0921680 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| NORTHERN TRUST COMPANY EIN 36-1561860 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $41K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing; Other insurance fees and expenses Service code 12 | — | $31K |
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 | 24,064 | 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) | 24,064 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(15 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 674 | $8.5M |
| Dental(4 contracts) | HAWAII DENTAL SERVICE | 229 | $202K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 35,110 | $4.0M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 35,110 | $4.0M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 35,110 | $4.0M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 32,311 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 35,110 | — |
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."
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.