No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP PLAN ADMINSTRATORS INC. EIN 99-0187572 NONE | Accounting (including auditing); Plan Administrator Service code 10 | 222 SOUTH VINEYARD ST.PH4 HONOLULU, HI 96813 | $13K |
| MC GROUP HAWAII, INC. EIN 27-3701730 NONE | Accounting (including auditing) Service code 10 | P.O. BOX 62030 HONOLULU, HI 96839 | $11K |
| ZENITH AMERICAN SOLUTIONS EIN 99-0187572 NONE | Plan Administrator; Accounting (including auditing) Service code 10 | 1141 HARBOR BAY PARKWAY, ALAMEDA, CA 94502 | $6K |
| YOSHIDA & ASSOCIATES NONE | Legal Service code 29 | 3254 PINAO STREET HONOLULU, HI 96822 | $6K |
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 | 195 | 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) | 195 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.