Insurance carriers
2 carriers · 108 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 990040115 · 64 contracts
HealthRxDentalVisionHMOPPO
$1.5M
72.8%
27
0.0%
-
1
Contract 029390001
2017-01-01 → 2017-12-31
HealthRxDentalVisionHMOPPO
$204K
9.8%
27
0.0%
-
2
Contract 021144001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$138K
6.6%
22
0.0%
-
3
Contract 014374004
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$87K
4.2%
16
0.0%
-
4
Contract 096517001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$63K
3.0%
8
0.0%
-
5
Contract 066830001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$60K
2.9%
7
0.0%
-
7
Contract 24707001
2017-01-01 → 2017-12-31
HealthRxDentalVisionHMOPPO
$40K
1.9%
8
0.0%
-
8
Contract 96499001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$39K
1.9%
3
0.0%
-
9
Contract 019430001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$38K
1.8%
3
0.0%
-
10
Contract 20321001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$37K
1.8%
7
0.0%
-
11
Contract 076110001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$36K
1.7%
3
0.0%
-
13
Contract 096501001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$33K
1.6%
3
0.0%
-
14
Contract 015326004
2016-03-01 → 2017-02-28
HealthRxDentalVisionHMOPPO
$32K
1.5%
5
0.0%
-
15
Contract 019731001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$32K
1.5%
5
0.0%
-
16
Contract 26482001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$32K
1.5%
4
0.0%
-
17
Contract 022822001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$31K
1.5%
4
0.0%
-
18
Contract 050491001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$31K
1.5%
3
0.0%
-
20
Contract 021490001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$28K
1.3%
3
0.0%
-
22
Contract 087133003
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$27K
1.3%
5
0.0%
-
24
Contract 014488001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$25K
1.2%
4
0.0%
-
28
Contract 021192001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$24K
1.1%
1
0.0%
-
29
Contract 017523001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$22K
1.1%
3
0.0%
-
30
Contract 097608004
2016-06-01 → 2017-05-31
HealthRxDentalVisionHMOPPO
$21K
1.0%
2
0.0%
-
31
Contract 013540001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$21K
1.0%
2
0.0%
-
33
Contract 022750001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$20K
1.0%
1
0.0%
-
34
Contract 014809001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$20K
0.9%
4
0.0%
-
35
Contract 029384001
2017-01-01 → 2017-12-31
$19K
0.9%
1
0.0%
-
37
Contract 087931003
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$18K
0.9%
3
0.0%
-
38
Contract 52958
Filed as: HAWAII MEDICAL ASSURANCE ASSOCIATION
2017-01-01 → 2017-12-31
HealthRxDentalVisionHMOPPO
$18K
0.9%
2
0.0%
PATRICIA HO
40
Contract 028788001
2016-09-01 → 2017-08-31
HealthRxDentalVisionHMOPPO
$17K
0.8%
3
0.0%
-
41
Contract 013168001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$17K
0.8%
3
0.0%
-
42
Contract 014098001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$17K
0.8%
4
0.0%
-
44
Contract 056509001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$16K
0.8%
3
0.0%
-
45
Contract 074635001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$16K
0.7%
1
0.0%
-
49
Contract 022374001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$14K
0.7%
2
0.0%
-
52
Contract 26170001
2016-04-01 → 2017-03-31
HealthRxDentalVisionHMOPPO
$13K
0.6%
2
0.0%
-
53
Contract 023449001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$13K
0.6%
1
0.0%
-
57
Contract 094605004
2016-10-01 → 2017-09-30
HealthRxDentalVisionHMOPPO
$11K
0.5%
1
0.0%
-
59
Contract 029145001
2016-12-01 → 2017-11-30
HealthRxDentalVisionHMOPPO
$10K
0.5%
1
0.0%
-
60
Contract 074124001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$10K
0.5%
1
0.0%
-
61
Contract 26171001
2016-04-01 → 2017-03-31
HealthRxDentalVisionHMOPPO
$10K
0.5%
1
0.0%
-
62
Contract 020319001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$10K
0.5%
1
0.0%
-
65
Contract 26756001
2016-11-01 → 2017-10-31
HealthRxDentalVisionHMOPPO
$10K
0.5%
2
0.0%
-
68
Contract 027642001
2016-04-01 → 2017-03-31
$9K
0.4%
1
0.0%
-
69
Contract 022159001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$9K
0.4%
1
0.0%
-
73
Contract 027824001
2016-06-01 → 2017-05-31
HealthRxDentalVisionHMOPPO
$8K
0.4%
1
0.0%
-
75
Contract 026064001
2016-02-01 → 2017-01-31
HealthRxDentalVisionHMOPPO
$8K
0.4%
1
0.0%
-
76
Contract 020405001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$8K
0.4%
1
0.0%
-
79
Contract 023333001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$7K
0.4%
1
0.0%
-
81
Contract 093847001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$7K
0.3%
2
0.0%
-
82
Contract 024087001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$7K
0.3%
1
0.0%
-
83
Contract 016699001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$7K
0.3%
1
0.0%
-
84
Contract 000088001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$7K
0.3%
1
0.0%
-
86
Contract 028216001
2016-12-01 → 2017-11-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
88
Contract 067653003
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
89
Contract 012621001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
91
Contract 028017001
2016-09-01 → 2017-08-31
HealthRxDentalVisionHMOPPO
$6K
0.3%
0
0.0%
-
92
Contract 26483001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
93
Contract 023547001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
94
Contract 091694001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
95
Contract 099652001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
96
Contract 099484001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$6K
0.3%
1
0.0%
-
98
Contract 015337004
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$5K
0.2%
1
0.0%
-
102
Contract 011285001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$5K
0.2%
1
0.0%
-
108
Contract 16583001
2016-07-01 → 2017-06-30
HealthRxDentalVisionHMOPPO
$1K
0.1%
2
0.0%
-
2
EIN 941340523 · 44 contracts
$568K
27.2%
6
0.0%
-
6
Contract 07835
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$41K
1.9%
6
0.0%
-
12
Contract 07839
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$33K
1.6%
4
0.0%
-
19
Contract 07842
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$30K
1.4%
3
0.0%
-
21
Contract 07856
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$28K
1.3%
3
0.0%
-
23
Contract 08611
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-03-01 → 2017-02-28
$26K
1.2%
4
0.0%
-
25
Contract 07526
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$25K
1.2%
5
0.0%
PSH INSURANCE INC
26
Contract 07843
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$25K
1.2%
3
0.0%
-
27
Contract 07847
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$25K
1.2%
3
0.0%
-
32
Contract 33216
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$20K
1.0%
3
0.0%
-
36
Contract 09662
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$18K
0.9%
5
0.0%
-
39
Contract 07826
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$17K
0.8%
2
0.0%
-
43
Contract 07820
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$17K
0.8%
2
0.0%
-
46
Contract 07844
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$15K
0.7%
2
0.0%
-
47
Contract 07850
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$14K
0.7%
2
0.0%
-
48
Contract 09412
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$14K
0.7%
1
0.0%
-
50
Contract 08456
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-12-01 → 2017-11-30
$13K
0.6%
4
0.0%
-
51
Contract 07848
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$13K
0.6%
2
0.0%
-
54
Contract 08727
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-06-01 → 2017-05-31
$12K
0.6%
2
0.0%
-
55
Contract 07852
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$12K
0.6%
2
0.0%
-
56
Contract 09340
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2017-01-01 → 2017-12-31
$12K
0.6%
1
0.0%
-
58
Contract 9458
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-08-01 → 2017-07-31
$11K
0.5%
1
0.0%
-
63
Contract 07829
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$10K
0.5%
1
0.0%
-
64
Contract 07834
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$10K
0.5%
1
0.0%
-
66
Contract 34389
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$9K
0.4%
1
0.0%
-
67
Contract 06336
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-05-01 → 2017-04-30
$9K
0.4%
3
0.0%
PSH INSURANCE INC.
70
Contract 07855
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
71
Contract 07824
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
72
Contract 07832
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
74
Contract 07858
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
77
Contract 07838
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
78
Contract 07845
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$8K
0.4%
1
0.0%
-
80
Contract 07978
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-08-01 → 2017-07-31
$7K
0.3%
1
0.0%
-
85
Contract 08907
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-09-01 → 2017-08-31
$7K
0.3%
1
0.0%
-
87
Contract 07859
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$6K
0.3%
1
0.0%
-
90
Contract 08726
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-05-01 → 2017-04-30
$6K
0.3%
1
0.0%
-
97
Contract 09542
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-10-01 → 2017-09-30
$5K
0.2%
1
0.0%
-
99
Contract 09914
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-05-01 → 2017-04-30
$5K
0.2%
1
0.0%
-
100
Contract 07854
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$5K
0.2%
1
0.0%
-
101
Contract 07846
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$5K
0.2%
1
0.0%
-
103
Contract 09499
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-08-01 → 2017-07-31
$4K
0.2%
1
0.0%
-
104
Contract 07830
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$3K
0.2%
1
0.0%
-
105
Contract 07828
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$3K
0.2%
1
0.0%
-
106
Contract 07851
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$3K
0.1%
1
0.0%
-
107
Contract 07821
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2016-07-01 → 2017-06-30
$2K
0.1%
1
0.0%
-
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
108 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 | 292 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 292 | 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)(108 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 27 | $2.1M |
| Dental(107 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 27 | $2.1M |
| Vision(108 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 27 | $2.1M |
| Prescription drug(107 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 27 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 27 | — |
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."