| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNIVERSITY HEALTH ALLIANCE | $31K | $0 | $31K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN, INC. | $16K | $0 | $16K | 3.51% |
| TYLER K PANG3 Filed as: TYLER K. PANG | 1108 20TH AVENUE HONOLULU, HI 96816 | AFLAC | $5K | $349 | $6K | 8.75% |
| KAHIKINA CONSULTANTS INC3 Filed as: KAHIKINA CONSULTANTS INC AND OTHERS | 68 KUMULAAU OHIO LOOP WAILUKU, HI 96793 | AFLAC | $3K | $60 | $3K | 5.13% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $3K | $0 | $3K | 4.24% |
| ANNASTACEYA ARCANGEL-PANG3 | 667 MAALO STREET KAHULUI, HI 96732 | AFLAC | $1K | $211 | $2K | 2.65% |
| SHERRIE L CRONKITE3 Filed as: SHERRIE L. CRONKITE | 101 AUPUNI STREET SUITE 159 HILO, HI 96720 | AFLAC | $2K | $6 | $2K | 2.44% |
| KIRA M KIM-CHARLES3 Filed as: KIRA M. KIM-CHARLES | 2215 AUPAKA STREET PEARL CITY, HI 96782 | AFLAC | $910 | $30 | $940 | 1.48% |
| MARJORIE C ROBINSON3 Filed as: MARJORIE ROBINSON AND ASSOCIATES | 91-1095 KAIKO STREET EWA BEACH, HI 96706 | AFLAC | $603 | $60 | $663 | 1.04% |
| MERCER HEALTH AND BENEFITS, LLC3 | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $2K | $0 | $2K | 2.99% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $5K | $0 | $5K | 15.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE CONSULTING | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $0 | $567 | $567 | 1.56% |
| MERCER HEALTH AND BENEFITS, LLC4 Filed as: MERCER HEALTH AND BENEFITS ADMIN | PO BOX 850502 MINNEAPOLIS, MN 55485 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $82 | $0 | $82 | 7.25% |
| WELLS HOUSTON LLC4 Filed as: WELLS HOUSTON, LLC | 6940 OLDE ATLANTA PARKWAY SUWANEE, GA 30024 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $36 | $0 | $36 | 3.18% |
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 | 111 | 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) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 69 | $1.1M |
| Dental(2 contracts, 2 carriers) | AFLAC | 156 | $119K |
| Vision(3 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 69 | $1.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 197 | $36K |
| Short-term disability | AFLAC | 61 | $63K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 197 | $36K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 69 | $1.1M |
| Other(3 contracts, 3 carriers) | AFLAC | 197 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.