| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PAC INS | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN INC | $45K | — | $45K | 3.20% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PAC INS | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | HAWAII MEDICAL SERVICE ASSOCIATION | — | — | $0 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVCS INC | 700 BISHOP STREET STE 1400 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $2K | — | $2K | 2.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PAC INS | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $1K | — | $1K | 2.65% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PAC INS | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY LTD. | $3K | — | $3K | 7.65% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN&BROWN PAC INSURANCE SVCS INC | 700 BISHOP STREET STE 1400 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.61% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS INC | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $736 | — | $736 | 3.55% |
| CONSUMER GROUP INS SVCS INC3 | 500 ALA MOANA BLVD STE 6-400 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $144 | — | $144 | 0.69% |
| BENCHMARK INS GROUP LLC3 | 2401 SARDIS ROAD NORTH STE 110 CHARLOTTE, NC 28227 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $135 | — | $135 | 0.65% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN&BROWN PAC INSURANCE SVCS INC | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | VISION SERVICE PLAN | $703 | — | $703 | 4.03% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN&BROWN INSURANCE SERVICES INC | 1585 KAPIOLANI BLVD SUITE 1215 HONOLULU, HI 96814 | VISION SERVICE PLAN | $677 | — | $677 | 3.88% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PAC INS | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | USABLE LIFE | $194 | — | $194 | 6.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS INC | 10151 DEERWOOD PARK BLVD B100 STE 500 JACKSONVILLE, FL 32256 | USABLE LIFE | $45 | — | $45 | 1.58% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN&BROWN PAC INSURANCE SVCS INC | 700 BISHOP STREET SUITE 1400 HONOLULU, HI 96813 | KAISER FOUNDATION OF THE NORTHWEST | $18 | — | $18 | — |
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 | 559 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 559 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 200 | $2.7M |
| Dental | HAWAII DENTAL SERVICE | 380 | $110K |
| Vision(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 245 | $1.5M |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY LTD. | 311 | $38K |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 200 | $2.7M |
| Other(4 contracts, 4 carriers) | PACIFIC GUARDIAN LIFE INSURANCE COMPANY LTD. | 559 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 559 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.