| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CARRIE KATO3 | 95-1009 MELEKOMO STREET MILILANI, HI 96789 | USABLE LIFE | $68 | $0 | $68 | 0.04% |
| LOCKTON COMPANIES, LLC3 | 16633 VENTURA BOULEVARD, SUITE 1300 ENCINO, CA 91436 | STANDARD INSURANCE COMPANY | $15K | $0 | $15K | 12.00% |
| EMC NATIONAL LIFE3 | 699 WALNUT STREET DES MOINES, IA 50306 | EMC NATIONAL LIFE COMPANY | $610 | $0 | $610 | 7.76% |
| KENNETH ONISHI3 | 46-319 KUMOO LOOP KANEOHE, HI 96744 | EMC NATIONAL LIFE COMPANY | $36 | $0 | $36 | 0.46% |
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 | 369 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 371 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 635 | $4.2M |
| Dental(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 635 | $4.2M |
| Vision(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 635 | $4.2M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 369 | $133K |
| Long-term disability | STANDARD INSURANCE COMPANY | 369 | $125K |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 635 | $4.2M |
| Other(3 contracts, 3 carriers) | USABLE LIFE | 1,569 | $307K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,569 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.