| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PACIFIC INSURANCE SER | 700 BISHOP ST., 14TH FLOOR HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $23K | $0 | $23K | 0.92% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PACIFIC INSURANCE SER | 700 BISHOP ST., 14TH FLOOR HONOLULU, HI 96813 | HAWAII MEDICAL SERVICE ASSOCIATION | $0 | $13K | $13K | 2.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PACIFIC INSURANCE SER | 700 BISHOP ST., 14TH FLOOR HONOLULU, HI 96813 | HAWAII MEDICAL SERVICE ASSOCIATION | $0 | $5K | $5K | 2.76% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES CO | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 5.34% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES CO | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 5.33% |
| PIOPAC FIDELITY3 | 1132 BISHOP STREET #2101 HONOLULU, HI 96813 | AFLAC | $616 | $0 | $616 | 2.40% |
| RYAN M GOO3 Filed as: RYAN GOO | 1132 BISHOP STREET, SUITE 2101 HONOLULU, HI 96813 | AFLAC | $417 | $0 | $417 | 1.63% |
| PSH INSURANCE, INC.3 Filed as: PSH INSURANCE INC. | 737 BISHOP STREET, SUITE 2120 HONOLULU, HI 96813 | AFLAC | $405 | $0 | $405 | 1.58% |
| PIONEER PACIFIC FINANCIAL3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $347 | $0 | $347 | 1.35% |
| RICHARD FONSECA JR3 | 737 BISHOP STREET, SUITE 2120 HONOLULU, HI 96813 | AFLAC | $294 | $0 | $294 | 1.15% |
| CALVIN L MALINA JR3 | 41-702 KAAUMOANA PL WAIMANALO, HI 96795 | AFLAC | $232 | $0 | $232 | 0.91% |
| DONNE M SOGA3 | 951008 HOAKULA STREET MILILANI, HI 96789 | AFLAC | $148 | $8 | $156 | 0.61% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES CO | 700 BISHOP ST., SUITE 1400 HONOLULU, HI 96813 | AFLAC | $130 | $0 | $130 | 0.51% |
| GALEN MIZUGUCHI3 | 101 AUPUNI STREET, SUITE 1001 A HILO, HI 96720 | AFLAC | $118 | $0 | $118 | 0.46% |
| PATTIE L ARANIO3 | 1136 UNION MALL STE 800 HONOLULU, HI 96813 | AFLAC | $99 | $0 | $99 | 0.39% |
| STEPHEN H ARANIO3 | 1136 UNION MALL STE 800 HONOLULU, HI 96813 | AFLAC | $69 | $0 | $69 | 0.27% |
| TENNYSON K W LUM JR3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $61 | $3 | $64 | 0.25% |
| DERRICK A FUJIOKA3 | 94-1234 AWAIKI ST WAIPAHU, HI 96797 | AFLAC | $60 | $0 | $60 | 0.23% |
| CHRISTIAN FERMAHIN3 | 99-157 KEALAKAHA DR AIEA, HI 96701 | AFLAC | $57 | $0 | $57 | 0.22% |
| KAREN C ST ONGE3 | PO BOX 31231 HONOLULU, HI 96820 | AFLAC | $55 | $0 | $55 | 0.21% |
| GLEN M MIYAMOTO3 | PO BOX 62971 EWA BEACH, HI 96706 | AFLAC | $50 | $0 | $50 | 0.20% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $40 | $0 | $40 | 0.16% |
| JAMES J TAVARES SR3 | 303 PUEO DR KULA, HI 96790 | AFLAC | $29 | $0 | $29 | 0.11% |
| KYLE C KWOCK3 | 1667 KAUMOLI ST PEARL CITY, HI 96782 | AFLAC | $28 | $0 | $28 | 0.11% |
| PERFECTO R INCIONG JR3 | 1136 UNION MALL STE 800 HONOLULU, HI 96813 | AFLAC | $27 | $0 | $27 | 0.11% |
| MARIE BAYUDAN-DRURY3 | 94-974 LUMIHOAHU ST WAIPAHU, HI 96797 | AFLAC | $26 | $0 | $26 | 0.10% |
| ENROLLEASE3 Filed as: CLARKE T TERUYA | 1253 SOUTH BERETANIA ST., STE 2904 HONOLULU, HI 96814 | AFLAC | $22 | $0 | $22 | 0.09% |
| JAMES ARTHUR HARBOUR3 | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC | $19 | $0 | $19 | 0.07% |
| STEVEN W K SOONG3 Filed as: STEVEN SOONG | 1580 MAKALOA STREET, SUITE 1111 HONOLULU, HI 96814 | AFLAC | $15 | $0 | $15 | 0.06% |
| JOSEPH REYNON JR3 | 54 LAUONE PL WAHIAWA, HI 96786 | AFLAC | $14 | $0 | $14 | 0.05% |
| CAIN K A KAMANO3 | PO BOX 1509 KANEOHE, HI 96744 | AFLAC | $12 | $0 | $12 | 0.05% |
| PATRICIA S SAKAI3 | 320 EAST HIND DR HONOLULU, HI 96821 | AFLAC | $11 | $0 | $11 | 0.04% |
| KRISTOPHER KEAHIOLALO3 | 725 KAPIOLANI BLVD, STE C302 HONOLULU, HI 96813 | AFLAC | $10 | $0 | $10 | 0.04% |
| DE VITA B MCKENZIE3 | 300 E ESPLANADE DR STE 1220 OXNARD, CA 93036 | AFLAC | $8 | $2 | $10 | 0.04% |
| MICHAEL I ING3 | 363 KIKOO PL HONOLULU, HI 96825 | AFLAC | $9 | $0 | $9 | 0.04% |
| MARLA S TAKAMORI3 | 677 ALA MOANA BLVD, STE 720 HONOLULU, HI 96813 | AFLAC | $8 | $0 | $8 | 0.03% |
| GALE KLY FENNA3 Filed as: GALE FENNA | 337 KALAMA STREET APT B1 KAILUA, HI 96734 | AFLAC | $6 | $0 | $6 | 0.02% |
| WAYNE I ORIDE3 | 1132 BISHOP ST., SUITE 2101 HONOLULU, HI 96813 | AFLAC | $6 | $0 | $6 | 0.02% |
| STEVEN KAISER3 | 6447 IVY SPRINGS DR FLOWERY BRANCH, GA 30542 | AFLAC | $5 | $0 | $5 | 0.02% |
| DUSTIN DEAN DENIZ3 | 725 KAPIOLANI BLVD, STE C302 HONOLULU, HI 96813 | AFLAC | $4 | $0 | $4 | 0.02% |
| TINA GRAZIANO3 | 7461 OHANA NUI CIR, APT C HONOLULU, HI 96818 | AFLAC | $4 | $0 | $4 | 0.02% |
| LYNN A GOULD3 Filed as: LYNN GOULD | 210 LEXINGTON DR LITTLE EGG HARBOR, NJ 08087 | AFLAC | $4 | $0 | $4 | 0.02% |
| MICHAEL J ELLIS3 | 532 GARRICK PL OFALLON, MO 63368 | AFLAC | $4 | $0 | $4 | 0.02% |
| TERUMITSU IKEDA3 | 1717 MOTT-SMITH DR, APT. 1110 HONOLULU, HI 96822 | AFLAC | $3 | $0 | $3 | 0.01% |
| KAI TAKEKAWA3 | 1378 HONOKAHUA ST HONOLULU, HI 96825 | AFLAC | $3 | $0 | $3 | 0.01% |
| JAMES ARTHUR HARBOUR3 | 1100 ALAKEA STREET, SUITE 3200 HONOLULU, HI 96813 | AFLAC | $2 | $0 | $2 | 0.01% |
| APRIL MARIE ROBERTS3 | 3540 SPRINGFIELD DR FAIRFIELD, CA 94534 | AFLAC | $2 | $0 | $2 | 0.01% |
| PERFECTO R INCIONG JR3 | 1136 UNION MALL STE 705 HONOLULU, HI 96813 | AFLAC | $2 | $0 | $2 | 0.01% |
| JOSEPH REYNON JR3 | 91-284 HANAPOULI CIRCLE, APT C-7 EWA BEACH, HI 96706 | AFLAC | $1 | $0 | $1 | 0.00% |
| WALTER F PETERS3 Filed as: WALTER PETERS | 1687 A KALAUOKALANI WAY #218 HONOLULU, HI 96814 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOSEPH CRAIG PARK3 | 904 UWAO ST HONOLULU, HI 96825 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOSEPH CRAIG PARK3 | 3904 PAHOA AVE HONOLULU, HI 96816 | AFLAC | $0 | $0 | $0 | 0.00% |
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 | 432 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 434 | 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 | 350 | $3.0M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 580 | $199K |
| Vision(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 350 | $3.0M |
| Life insurance | STANDARD INSURANCE COMPANY | 415 | $73K |
| Long-term disability | STANDARD INSURANCE COMPANY | 416 | $31K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 350 | $3.0M |
| Other | AFLAC | 30 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 580 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.