| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP STREET 14TH FLOOR HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $21K | — | $21K | 3.87% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO EMPLOYEE BENEFITS CONSULTING | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $2K | — | $2K | 2.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST. SUITE 1400 HONOLULU, HI 96813 | USABLE LIFE | $3K | — | $3K | 10.00% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SVCS. | 700 BISHOP STREET, STE 1400 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE | $2K | — | $2K | 8.83% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES CORP | 700 BISHOP ST STE 1400 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 9.95% |
| CONSUMERS GROUP INS SVCS INC3 | 819 S BERETANIA STREET HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $319 | — | $319 | 1.23% |
| BENCHMARK INS GROUP LLC3 | PO BOX 470845 CHARLOTTE, NC 28247 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $275 | — | $275 | 1.06% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO EMPLOYEE BENEFITS CONSULTING | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | VISION SERVICE PLAN | $987 | — | $987 | 5.42% |
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 | 495 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 499 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 149 | $1.9M |
| Dental | HAWAII DENTAL SERVICE | 306 | $83K |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 230 | $564K |
| Life insurance | PACIFIC GUARDIAN LIFE | 305 | $26K |
| Long-term disability | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 90 | $26K |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 149 | $1.9M |
| Other(4 contracts, 4 carriers) | USABLE LIFE | 495 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 495 | — |
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.