Sign up free to preview 10 contract rows with premium, retention, and renewal dates
Free accounts unlock saves, downloads, and 3-year history.
Sign up free to preview commissions and fees for 11 broker rows
Free accounts unlock saves, downloads, and 3-year history.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HAWAII DENTAL SERVICE EIN 99-0107971 CLAIMS PROCESSOR | Claims processing Service code 12 | 700 BISHOP STREET, SUITE 700 HONOLULU, HI 968134196 | $189K |
| STRAUB CLINIC & HOSPITAL EIN 91-2151670 SERVICE PROVIDER | Other services Service code 49 | 55 MERCHANT STREET, 24TH FLOOR HONOLULU, HI 96813 | $99K |
| WORKLIFE HAWAII EIN 99-0073483 SERVICE PROVIDER | Other services Service code 49 | 1001 BISHOP STREET, SUITE 780 HONOLULU, HI 96813 | $39K |
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 | 2,170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 927 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,097 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | HAWAII MEDICAL SERVICES ASSOCIATION | 3,345 | $21.8M |
| Vision | VISION SERVICE PLAN | 2,417 | $288K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 2,173 | $1.9M |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 2,173 | $1.9M |
| Prescription drug(4 contracts, 4 carriers) | HAWAII MEDICAL SERVICES ASSOCIATION | 3,345 | $21.8M |
| Other(5 contracts, 4 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 2,241 | $3.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,345 | — |
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.