| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $31K | $5K | $36K | 8.84% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS- SEE ATTACHED | — | AFLAC | $15K | $270 | $16K | 15.35% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20K | — | $20K | 24.55% |
| TYLER K PANG3 | 2510 RAINBOW DRIVE HONOLULU, HI 96822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 8.87% |
| MARCUS GRIEGO3 | PO BOX 8937 HONOLULU, HI 96830 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 6.05% |
| PERFECTO R INCIONG JR3 Filed as: PERFECTO R. INCIONG JR | 99-516 HALAWA HTS ROAD ALEA, HI 96701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 4.58% |
| JASON C CRANE3 | 921219 HOOKEHA STREET KAPOLEI, HI 967071533 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.12% |
| DWAYNE R MARTINEZ3 Filed as: DWAYNE ROBERT MARTINEZ | 597 W 4175 N CLEARFIELD, UT 84015 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.99% |
| KIRA M KIM-CHARLES3 | 1695 EAMES STREET WAHIAWA, HI 96786 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.78% |
| LISA ANN CHING3 Filed as: LISA AN KH CHING | 1009 KAPIOLANI BLVD. SUITE 3901 HONOLULU, HI 96814 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.45% |
| GREGORY JAMES KM JUAN3 | 68 KUMULAAU OHIA LP WAILUKU, HI 96793 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.42% |
| ANNASTACEYA ARCANGEL-PANG3 | 324 KOMO MAI STREET LAHAINA, HI 96761 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.41% |
| THOMAS SHO KHORANA3 | 462 LAUKINI STREET HONOLULU, HI 96817 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.41% |
| GLENN KAZUTO TADA3 | 116 HUALALAI STREET SUITE 100 HILO, HI 96720 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.35% |
| STEPHEN H ARANIO3 Filed as: STEPHEN CHEN LONG FUNG | 1100 ALAKEA STREET SUITE 2600 HONOLULU, HI 968132848 | CONTINENTAL AMERICAN INSURANCE COMPANY | $991 | — | $991 | 1.19% |
| LISA ANN KUROSAKA3 | 3483 ALA HAPUU STREET HONOLULU, HI 96818 | CONTINENTAL AMERICAN INSURANCE COMPANY | $959 | — | $959 | 1.16% |
| MARJORIE C ROBINSON3 Filed as: MARJORIE ROBINSON AND ASSOC. LLC | 91-1095 KAIKO DRIVE EWA BEACH, HI 96706 | CONTINENTAL AMERICAN INSURANCE COMPANY | $517 | — | $517 | 0.62% |
| SHERRIE L CRONKITE3 | 101 AUPUNI STREET SUITE 159 HILO, HI 96720 | CONTINENTAL AMERICAN INSURANCE COMPANY | $320 | — | $320 | 0.39% |
| DEWAYNE D SPRINKEL3 | 91-917 OPEAPEA STREET EWA BEACH, HI 96706 | CONTINENTAL AMERICAN INSURANCE COMPANY | $293 | — | $293 | 0.35% |
| CLINK ERIC WEIGHT3 | 706 S 320 E SALEM, UT 846539552 | CONTINENTAL AMERICAN INSURANCE COMPANY | $210 | — | $210 | 0.25% |
| MICHAEL E JONES3 | 15 MALIHINI PLACE WAILUKU, HI 96793 | CONTINENTAL AMERICAN INSURANCE COMPANY | $183 | — | $183 | 0.22% |
| BERNADETA ANTOS3 | 95-988 WIKAO STREET APT M201 MILILANI, HI 967895056 | CONTINENTAL AMERICAN INSURANCE COMPANY | $139 | — | $139 | 0.17% |
| STRATEGIC EMPLOYEE BENEFIT SERVICES3 Filed as: STRATEGIC NON-MEDICAL SOLUTIONS | ONE BEACON STREET SUITE 17100 BOSTON, MA 02108 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 11.55% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 4.95% |
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 | 1,681 | 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) | 1,681 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HMSA | 1,192 | $10.3M |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 585 | $3.3M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,413 | $402K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,413 | $402K |
| Prescription drug(3 contracts, 3 carriers) | HMSA | 1,192 | $10.3M |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,413 | $609K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,413 | — |
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.