| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $40K | — | $40K | 3.28% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICE | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN REGIONHI | $8K | $3 | $8K | 3.46% |
| ADVANTAGE GROUP INC.3 Filed as: ADVANTAGE INSURANCE | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $3K | — | $3K | 1.83% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $3K | — | $3K | 2.50% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICE | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 6.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & PACIFIC INSURANCE SERVICES | 700 BISHOP ST 14TH FL HONLULU, HI 96813 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $527 | $2K | 5.15% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONLULU, HI 96814 | VISION SERVICE PLAN | $1K | — | $1K | 5.43% |
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 | 220 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 220 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 254 | $1.6M |
| Dental | HAWAII DENTAL SERVICE | 160 | $129K |
| Vision | VISION SERVICE PLAN | 122 | $21K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 340 | $48K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 254 | $1.4M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 340 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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 presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.