Insurance carriers
2 carriers · 90 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 990040115 · 54 contracts
HealthRxDentalVisionHMOPPO
$1.1M
69.4%
21
0.0%
-
1
Contract 021144001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$137K
8.5%
21
0.0%
-
3
Contract 096517001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$66K
4.2%
10
0.0%
-
4
Contract 066830001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$64K
4.0%
8
0.0%
-
5
Contract 015326004
2015-03-01 → 2016-02-28
HealthRxDentalVisionHMOPPO
$50K
3.1%
5
0.0%
-
6
Contract 20321001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$41K
2.6%
7
0.0%
-
7
Contract 087133003
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$40K
2.5%
8
0.0%
-
9
Contract 96499001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$38K
2.4%
4
0.0%
-
11
Contract 24707001
2016-01-01 → 2016-12-31
HealthRxDentalVisionHMOPPO
$37K
2.3%
6
0.0%
-
12
Contract 019430001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$36K
2.2%
3
0.0%
-
13
Contract 019731001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$34K
2.1%
5
0.0%
-
14
Contract 076110001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$34K
2.1%
2
0.0%
-
16
Contract 096501001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$30K
1.9%
4
0.0%
-
17
Contract 021490001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$29K
1.8%
3
0.0%
-
19
Contract 022822001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$26K
1.6%
2
0.0%
-
20
Contract 014809001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$25K
1.6%
5
0.0%
-
21
Contract 028788001
2015-09-01 → 2016-08-31
HealthRxDentalVisionHMOPPO
$24K
1.5%
2
0.0%
-
23
Contract 021192001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$23K
1.4%
2
0.0%
-
24
Contract 050491001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$22K
1.4%
3
0.0%
-
26
Contract 52958
Filed as: HAWAII MEDICAL ASSURANCE ASSOCIATION
2016-01-01 → 2016-12-31
HealthRxDentalVisionHMOPPO
$21K
1.3%
3
0.0%
-
28
Contract 26482001
Filed as: HAWAIII MEDICAL SERVICE ASSOCIATION
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$20K
1.2%
3
0.0%
-
29
Contract 022159001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$19K
1.2%
1
0.0%
-
30
Contract 022750001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$18K
1.1%
1
0.0%
-
32
Contract 014098001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$17K
1.1%
3
0.0%
-
33
Contract 013168001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$16K
1.0%
3
0.0%
-
38
Contract 022374001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$14K
0.9%
2
0.0%
-
39
Contract 023449001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$14K
0.9%
2
0.0%
-
40
Contract 087931003
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$13K
0.8%
3
0.0%
-
41
Contract 074635001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$12K
0.8%
1
0.0%
-
42
Contract 26171001
2015-04-01 → 2016-03-31
HealthRxDentalVisionHMOPPO
$12K
0.7%
1
0.0%
-
43
Contract 013540001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$11K
0.7%
1
0.0%
-
44
Contract 056509001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$10K
0.6%
2
0.0%
-
46
Contract 015902001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$9K
0.6%
1
0.0%
-
47
Contract 017523001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$9K
0.6%
2
0.0%
-
48
Contract 020319001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$9K
0.6%
1
0.0%
-
49
Contract 26756001
2015-11-01 → 2016-10-31
HealthRxDentalVisionHMOPPO
$9K
0.6%
2
0.0%
-
51
Contract 016699001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$9K
0.5%
1
0.0%
-
53
Contract 074124001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$8K
0.5%
1
0.0%
-
56
Contract 026064001
2015-02-01 → 2016-01-31
HealthRxDentalVisionHMOPPO
$8K
0.5%
1
0.0%
-
57
Contract 023547001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$8K
0.5%
1
0.0%
-
59
Contract 023333001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.5%
1
0.0%
-
60
Contract 024087001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.5%
1
0.0%
-
61
Contract 020405001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.4%
1
0.0%
-
63
Contract 014488001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.4%
1
0.0%
-
64
Contract 093847001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.4%
1
0.0%
-
68
Contract 16583001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$7K
0.4%
0
0.0%
-
75
Contract 096506003
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$6K
0.4%
0
0.0%
-
76
Contract 26170001
2015-04-01 → 2016-03-31
HealthRxDentalVisionHMOPPO
$6K
0.4%
2
0.0%
-
77
Contract 26483001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
79
Contract 067653003
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$5K
0.3%
1
0.0%
-
82
Contract 012621001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$5K
0.3%
1
0.0%
-
83
Contract 000088001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$5K
0.3%
1
0.0%
-
84
Contract 091694001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$5K
0.3%
1
0.0%
-
85
Contract 023230001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$4K
0.3%
1
0.0%
-
86
Contract 022753001
2015-07-01 → 2016-06-30
HealthRxDentalVisionHMOPPO
$4K
0.2%
1
0.0%
-
2
EIN 941340523 · 36 contracts
HealthRxDentalVisionHMOPPO
$490K
30.6%
6
0.0%
-
2
Contract 063361012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-05-01 → 2016-04-30
$72K
4.5%
2
0.0%
-
8
Contract 078351012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$39K
2.4%
6
0.0%
-
10
Contract 078561012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$37K
2.3%
6
0.0%
-
15
Contract 078261012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$30K
1.9%
2
0.0%
-
18
Contract 078391012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$28K
1.8%
5
0.0%
-
22
Contract 086111012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-03-01 → 2016-02-28
$23K
1.5%
3
0.0%
-
25
Contract 078471012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$22K
1.4%
3
0.0%
-
27
Contract 078421012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$20K
1.2%
3
0.0%
-
31
Contract 078441012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$18K
1.1%
1
0.0%
-
34
Contract 084561012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-12-01 → 2016-11-30
$15K
1.0%
3
0.0%
-
35
Contract 078461012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$15K
0.9%
1
0.0%
-
36
Contract 078201012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-01-01 → 2016-12-31
$14K
0.9%
3
0.0%
-
37
Contract 078521012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$14K
0.9%
2
0.0%
-
45
Contract 078431012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$10K
0.6%
3
0.0%
-
50
Contract 078291012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$9K
0.5%
1
0.0%
-
52
Contract 078541012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$8K
0.5%
1
0.0%
-
54
Contract 079781012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-08-01 → 2016-07-31
$8K
0.5%
1
0.0%
-
55
Contract 078581012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$8K
0.5%
1
0.0%
-
58
Contract 078241012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$8K
0.5%
1
0.0%
-
62
Contract 078451012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$7K
0.4%
1
0.0%
-
65
Contract 078551012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$7K
0.4%
1
0.0%
-
66
Contract 078321012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2001-07-01 → 2016-06-30
$7K
0.4%
1
0.0%
-
67
Contract 078281012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$7K
0.4%
1
0.0%
-
69
Contract 078381012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$7K
0.4%
1
0.0%
-
70
Contract 078211012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$6K
0.4%
1
0.0%
-
71
Contract 087071012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$6K
0.4%
1
0.0%
-
72
Contract 078591012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$6K
0.4%
1
0.0%
-
73
Contract 078541012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$6K
0.4%
1
0.0%
-
74
Contract 087271012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-06-01 → 2016-05-31
$6K
0.4%
1
0.0%
-
78
Contract 087261012
Filed as: KAISER FOUNDATOIN HEALTH PLAN OF HAWAII
2015-05-01 → 2016-04-30
HealthRxDentalVisionHMOPPO
$5K
0.3%
1
0.0%
-
80
Contract 078481012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$5K
0.3%
1
0.0%
-
81
Contract 078571012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$5K
0.3%
0
0.0%
-
87
Contract 085921012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-02-01 → 2016-01-31
$3K
0.2%
0
0.0%
-
88
Contract 089691012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-09-01 → 2016-08-31
$3K
0.2%
0
0.0%
-
89
Contract 078511012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$3K
0.2%
1
0.0%
-
90
Contract 078501012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2015-07-01 → 2016-06-30
$2K
0.1%
1
0.0%
-
Brokers
No brokers reported on this filing.
Service providers (Schedule C)
No Schedule C service providers reported on this filing.
Coverage breadth
1 benefit type
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).
Health✓Not declared:DentalVisionLifeShort-term disabilityLong-term disabilityPrescription drugDeath benefitsSeveranceUnemploymentSupplementalOther
Population walkthrough
90 Sch A contracts
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
Form 5500 line 6 — sponsor-reported, single number per filing
| Active participants | 213 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 213 | Active + retired/separated + beneficiaries. No dependents. |
Schedule A — per-contract enrollment, one row per coverage line
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|
| Health (medical)(90 contracts, 5 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 21 | $1.6M |
| Dental(90 contracts, 5 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 21 | $1.6M |
| Vision(90 contracts, 5 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 21 | $1.6M |
| Prescription drug(90 contracts, 5 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 21 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21 | — |
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."