| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $22K | $0 | $22K | 1.18% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | HAWAII MEDICAL SERVICE ASSOCIATION | $0 | $0 | $0 | 0.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | HAWAII MEDICAL SERVICE ASSOCIATION | $0 | $0 | $0 | 0.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $0 | $6K | 7.99% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 5.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 8.00% |
| PIOPAC FIDELITY3 | 1132 BISHOP STREET #2101 HONOLULU, HI 96813 | AFLAC | $891 | $0 | $891 | 2.90% |
| DONNE M SOGA3 | 951008 HOAKULA STREET MILILANI, HI 96789 | AFLAC | $627 | $7 | $634 | 2.06% |
| PIONEER PACIFIC FINANCIAL3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $450 | $0 | $450 | 1.46% |
| PSH INSURANCE, INC.3 Filed as: PSH INSURANCE INC. | 737 BISHOP STREET, SUITE 2120 HONOLULU, HI 96813 | AFLAC | $447 | $0 | $447 | 1.45% |
| RICHARD FONSECA JR3 | 737 BISHOP STREET, SUITE 2120 HONOLULU, HI 96813 | AFLAC | $327 | $0 | $327 | 1.06% |
| TENNYSON K W LUM JR3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $277 | $6 | $283 | 0.92% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES CO | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | AFLAC | $267 | $0 | $267 | 0.87% |
| CALVIN L MALINA JR3 | 1888 KALAKAUA AVE, SUITE C312 334 HONOLULU, HI 96815 | AFLAC | $213 | $0 | $213 | 0.69% |
| CHRISTIAN FERMAHIN3 | 99-157 KEALAKAHA DR AIEA, HI 96701 | AFLAC | $201 | $0 | $201 | 0.65% |
| GALEN MIZUGUCHI3 | 101 AUPUNI STREET, SUITE 1001 A HILO, HI 96720 | AFLAC | $161 | $0 | $161 | 0.52% |
| PATTIE L ARANIO3 | 1136 UNION MALL STE 800 HONOLULU, HI 96813 | AFLAC | $120 | $4 | $124 | 0.40% |
| KRISTOPHER KEAHIOLALO3 | 725 KAPIOLANI BLVD, STE C302 HONOLULU, HI 96813 | AFLAC | $98 | $0 | $98 | 0.32% |
| STEPHEN H ARANIO3 | 1136 UNION MALL STE 800 HONOLULU, HI 96813 | AFLAC | $87 | $3 | $90 | 0.29% |
| GLEN M MIYAMOTO3 | PO BOX 62971 EWA BEACH, HI 96706 | AFLAC | $76 | $0 | $76 | 0.25% |
| KAREN C ST ONGE3 | PO BOX 31231 HONOLULU, HI 96820 | AFLAC | $61 | $0 | $61 | 0.20% |
| DERRICK A FUJIOKA3 | 91-1100 PUAHALA ST., APT S EWA BEACH, HI 96706 | AFLAC | $58 | $0 | $58 | 0.19% |
| JAMES J TAVARES SR3 | 303 PUEO DR KULA, HI 96790 | AFLAC | $44 | $0 | $44 | 0.14% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $43 | $0 | $43 | 0.14% |
| JAMES ARTHUR HARBOUR3 | 1100 ALAKEA STREET, SUITE 3200 HONOLULU, HI 96813 | AFLAC | $38 | $0 | $38 | 0.12% |
| MARIE BAYUDAN-DRURY3 | PO BOX 1195 HAIKU, HI 96708 | AFLAC | $37 | $0 | $37 | 0.12% |
| BRONSON K SISMAR3 | 740 AHUKINI ST. HONOLULU, HI 96825 | AFLAC | $37 | $0 | $37 | 0.12% |
| JOSEPH CRAIG PARK3 | 3904 PAHOA AVE HONOLULU, HI 96816 | AFLAC | $29 | $7 | $36 | 0.12% |
| PERFECTO R INCIONG JR3 | 1136 UNION MALL STE 705 HONOLULU, HI 96813 | AFLAC | $27 | $0 | $27 | 0.09% |
| KYLE C KWOCK3 | 1667 KAUMOLI ST PEARL CITY, HI 96782 | AFLAC | $26 | $0 | $26 | 0.08% |
| JOSEPH REYNON JR3 | 91-284 HANAPOULI CIRCLE, APT C-7 EWA BEACH, HI 96706 | AFLAC | $23 | $1 | $24 | 0.08% |
| ENROLLEASE3 Filed as: CLARKE T TERUYA | 1253 SOUTH BERETANIA ST., STE 2904 HONOLULU, HI 96814 | AFLAC | $20 | $0 | $20 | 0.07% |
| STEVEN W K SOONG3 Filed as: STEVEN SOONG | 1580 MAKALOA STREET, SUITE 1111 HONOLULU, HI 96814 | AFLAC | $17 | $0 | $17 | 0.06% |
| PATRICIA S SAKAI3 | 320 EAST HIND DR HONOLULU, HI 96821 | AFLAC | $11 | $0 | $11 | 0.04% |
| CAIN K A KAMANO3 | PO BOX 1509 KANEOHE, HI 96744 | AFLAC | $11 | $0 | $11 | 0.04% |
| DUSTIN DEAN DENIZ3 | 725 KAPIOLANI BLVD, STE C302 HONOLULU, HI 96813 | AFLAC | $11 | $0 | $11 | 0.04% |
| DOMINIC D PIAZZA3 | 1136 UNION MALL STE 705 HONOLULU, HI 96813 | AFLAC | $10 | $0 | $10 | 0.03% |
| MICHAEL I ING3 | 363 KIKOO PL HONOLULU, HI 96825 | AFLAC | $8 | $0 | $8 | 0.03% |
| WAYNE I ORIDE3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $8 | $0 | $8 | 0.03% |
| MARLA S TAKAMORI3 | 677 ALA MOANA BLVD, STE 720 HONOLULU, HI 96813 | AFLAC | $7 | $0 | $7 | 0.02% |
| LYNN A GOULD3 Filed as: LYNN GOULD | 210 LEXINGTON DR LITTLE EGG HARBOR, NJ 08087 | AFLAC | $7 | $0 | $7 | 0.02% |
| STEVEN KAISER3 | 9511 VIRA DR RALEIGH, NC 27617 | AFLAC | $6 | $0 | $6 | 0.02% |
| RYAN M GOO3 Filed as: RYAN GOO | 1132 BISHOP STREET, SUITE 2101 HONOLULU, HI 96813 | AFLAC | $6 | $0 | $6 | 0.02% |
| GALE KLY FENNA3 Filed as: GALE FENNA | 337 KALAMA STREET APT B1 KAILUA, HI 96734 | AFLAC | $5 | $0 | $5 | 0.02% |
| TINA GRAZIANO3 | 7461 OHANA NUI CIR, APT C HONOLULU, HI 96818 | AFLAC | $4 | $0 | $4 | 0.01% |
| APRIL MARIE ROBERTS3 | 62 N MARKET ST, STE 310 WAILUKU, HI 96793 | AFLAC | $4 | $0 | $4 | 0.01% |
| KAI TAKEKAWA3 | 1378 HONOKAHUA ST HONOLULU, HI 96825 | AFLAC | $4 | $0 | $4 | 0.01% |
| MICHAEL ELLIS3 | 532 GARRICK PL OFALLON, MO 63368 | AFLAC | $4 | $0 | $4 | 0.01% |
| CONSTANCE M SERONIO3 | 92-713 PAAKAI ST KAPOLEI, HI 96707 | AFLAC | $3 | $0 | $3 | 0.01% |
| TERUMITSU IKEDA3 | 1717 MOTT-SMITH DR, APT. 1110 HONOLULU, HI 96822 | AFLAC | $3 | $0 | $3 | 0.01% |
| WALTER F PETERS3 Filed as: WALTER PETERS | 1687 A KALAUOKALANI WAY #218 HONOLULU, HI 96814 | AFLAC | $2 | $0 | $2 | 0.01% |
| IRIS HARUE NAKAO3 Filed as: IRIS NAKAO | 95-1050 MAKAIKAI ST, APT 21C MILILANI, HI 96789 | AFLAC | $1 | $0 | $1 | 0.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $734 | $0 | $734 | 8.00% |
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 | 463 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 474 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 368 | $2.5M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 641 | $227K |
| Vision(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 368 | $2.5M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 450 | $69K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 584 | $38K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 451 | $34K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 368 | $2.5M |
| Other(2 contracts, 2 carriers) | AFLAC | 450 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 641 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.