| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | UNIVERSITY HEALTH ALLIANCE | $29K | — | $29K | 4.39% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $6K | — | $6K | 3.58% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $1K | — | $1K | 2.16% |
| BRANDON YOSHITSUGI MORITA3 | MAUKA TOWER 737 BISHOP ST, STE 1700 HONOLULU, HI 96813 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $2K | $548 | $3K | 18.78% |
| JAMESON PAUL DELGADILLO3 | MAUKA TOWER 737 BISHOP ST, STE 1700 HONOLULU, HI 96813 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $217 | $78 | $295 | 2.04% |
| TOM STEWART IN SOL INC3 | ONE AMERICA PLAZA 600 W BROADWAY, SUITE 600 SAN DIEGO, CA 92101 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $217 | $26 | $243 | 1.68% |
| BRANDON YOSHITSUGI MORITA3 | MAUKA TOWER 737 BISHOP ST, STE 1700 HONOLULU, HI 96813 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $1K | $341 | $2K | 11.91% |
| JAMESON PAUL DELGADILLO3 | MAUKA TOWER 737 BISHOP ST, STE 1700 HONOLULU, HI 96813 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $135 | $49 | $184 | 1.29% |
| TOM STEWART IN SOL INC3 | ONE AMERICA PLAZA 600 W BROADWAY, SUITE 600 SAN DIEGO, CA 92101 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $135 | $16 | $151 | 1.06% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET, SUITE 1100 HONOLULU, HI 96813 | VISION SERVICE PLAN | $403 | — | $403 | 10.08% |
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 | 115 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 73 | $822K |
| Dental | HAWAII DENTAL SERVICE | 128 | $48K |
| Vision(3 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 73 | $826K |
| Life insurance | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 74 | $14K |
| Long-term disability | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 37 | $14K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 73 | $822K |
| Other | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 74 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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.