Insurance carriers
2 carriers · 142 contracts · ranked by premium
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
1
EIN 990040115 · 84 contracts
HealthRxDentalVisionHMOPPOLife
$2.4M
72.2%
35
0.0%
-
1
Contract 032803001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$249K
7.6%
35
0.0%
-
2
Contract 021144001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$181K
5.5%
27
0.0%
-
3
Contract 032786001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$105K
3.2%
15
0.0%
-
4
Contract 096517001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$93K
2.8%
11
0.0%
-
5
Contract 032794001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$78K
2.3%
11
0.0%
-
6
Contract 101914001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$72K
2.2%
11
0.0%
-
7
Contract 102076001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$65K
2.0%
9
0.0%
-
8
Contract 032788001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$65K
2.0%
8
0.0%
-
9
Contract 032791001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$64K
1.9%
7
0.0%
-
10
Contract 022822001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$64K
1.9%
9
0.0%
-
11
Contract 087133003
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$62K
1.9%
10
0.0%
-
13
Contract 032804001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$56K
1.7%
7
0.0%
-
14
Contract 032787001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$55K
1.7%
7
0.0%
-
15
Contract 097398001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$51K
1.5%
7
0.0%
-
16
Contract 066830001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$50K
1.5%
7
0.0%
-
17
Contract 032819001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$49K
1.5%
10
0.0%
-
18
Contract 032823001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$49K
1.5%
7
0.0%
-
19
Contract 032821001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$43K
1.3%
6
0.0%
-
22
Contract 032817001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$36K
1.1%
5
0.0%
-
25
Contract 021490001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$35K
1.1%
4
0.0%
-
28
Contract 019731001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$30K
0.9%
4
0.0%
-
31
Contract 032792001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$29K
0.9%
4
0.0%
-
32
Contract 021192001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$29K
0.9%
4
0.0%
-
34
Contract 52958
Filed as: HAWAII MEDICAL ASSURANCE ASSOCIATION
2020-01-01 → 2020-12-31
$28K
0.8%
3
0.0%
-
36
Contract 019430001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$28K
0.8%
5
0.0%
-
38
Contract 102351001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$26K
0.8%
4
0.0%
-
39
Contract 032812001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$25K
0.7%
4
0.0%
-
40
Contract 102885001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$24K
0.7%
0
0.0%
-
41
Contract 017523001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$23K
0.7%
4
0.0%
-
42
Contract 032805001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$22K
0.7%
3
0.0%
-
43
Contract 022750001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$22K
0.7%
3
0.0%
-
47
Contract 050491001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$21K
0.6%
3
0.0%
-
48
Contract 032800001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$20K
0.6%
3
0.0%
-
49
Contract 102886001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$20K
0.6%
3
0.0%
-
50
Contract 032816001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$20K
0.6%
3
0.0%
-
51
Contract 014488001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$20K
0.6%
3
0.0%
-
52
Contract 032807001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$20K
0.6%
3
0.0%
-
57
Contract 96499001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$19K
0.6%
3
0.0%
-
58
Contract 032814001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$19K
0.6%
3
0.0%
-
60
Contract 087931003
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$18K
0.5%
3
0.0%
-
64
Contract 013168001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$16K
0.5%
2
0.0%
-
66
Contract 000088001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$15K
0.4%
2
0.0%
-
67
Contract 032820001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$14K
0.4%
2
0.0%
-
68
Contract 013540001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$14K
0.4%
2
0.0%
-
69
Contract 096501001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$14K
0.4%
3
0.0%
-
71
Contract 014098001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$14K
0.4%
2
0.0%
-
72
Contract 076110001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
73
Contract 105091001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
74
Contract 032811001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
75
Contract 056509001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
76
Contract 022374001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
77
Contract 023449001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
78
Contract 032797001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
79
Contract 032815001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
1
0.0%
-
81
Contract 032806001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$13K
0.4%
2
0.0%
-
83
Contract 032799001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$11K
0.3%
1
0.0%
-
84
Contract 103849001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$11K
0.3%
2
0.0%
-
90
Contract 093847001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$10K
0.3%
1
0.0%
-
91
Contract 016699001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$10K
0.3%
2
0.0%
-
98
Contract 032790001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$9K
0.3%
1
0.0%
-
109
Contract 032813001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$8K
0.3%
1
0.0%
-
111
Contract 113322001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
4
0.0%
-
112
Contract 091694001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
113
Contract 102189001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
114
Contract 107004001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
115
Contract 022159001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
116
Contract 074124001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
117
Contract 032793001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
118
Contract 032798001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
119
Contract 067653003
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
120
Contract 032801001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
121
Contract 032796001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
122
Contract 032789001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
123
Contract 107069001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
124
Contract 099484001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
125
Contract 107529001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
126
Contract 023333001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$7K
0.2%
1
0.0%
-
129
Contract 012621001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$4K
0.1%
0
0.0%
-
130
Contract 032795001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$4K
0.1%
0
0.0%
-
131
Contract 032809001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$4K
0.1%
0
0.0%
-
132
Contract 032808001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$4K
0.1%
1
0.0%
-
134
Contract 110995001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$4K
0.1%
1
0.0%
-
139
Contract 107005001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$2K
0.1%
0
0.0%
-
140
Contract 113097001
2020-01-01 → 2020-12-31
HealthRxDentalVisionHMOPPO
$2K
0.1%
1
0.0%
-
2
EIN 941340523 · 58 contracts
HealthRxDentalVisionHMOLifePPO
$919K
27.8%
6
0.0%
-
12
Contract 11310-55-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$58K
1.8%
6
0.0%
-
20
Contract 11310-17-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$43K
1.3%
4
0.0%
-
21
Contract 11310-20-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$42K
1.3%
4
0.0%
-
23
Contract 11310-43-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$36K
1.1%
2
0.0%
-
24
Contract 11310-24-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$36K
1.1%
2
0.0%
-
26
Contract 11310-49-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$34K
1.0%
3
0.0%
-
27
Contract 11310-64-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$31K
0.9%
3
0.0%
-
29
Contract 11310-22-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$29K
0.9%
3
0.0%
-
30
Contract 11310-38-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$29K
0.9%
3
0.0%
-
33
Contract 113103012
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$28K
0.9%
4
0.0%
-
35
Contract 11310-18-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$28K
0.8%
2
0.0%
-
37
Contract 11310-60-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$26K
0.8%
3
0.0%
-
44
Contract 11310-32-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$21K
0.6%
2
0.0%
-
45
Contract 11310-66-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$21K
0.6%
2
0.0%
-
46
Contract 11310-51-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$21K
0.6%
1
0.0%
-
53
Contract 11310-11-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$19K
0.6%
2
0.0%
-
54
Contract 11310-29-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$19K
0.6%
2
0.0%
-
55
Contract 11310-42-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$19K
0.6%
2
0.0%
-
56
Contract 11310-56-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$19K
0.6%
2
0.0%
-
59
Contract 11310-86-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$18K
0.5%
2
0.0%
-
61
Contract 11310-57-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$17K
0.5%
2
0.0%
-
62
Contract 11310-19-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$16K
0.5%
2
0.0%
-
63
Contract 11310-13-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$16K
0.5%
2
0.0%
-
65
Contract 11310-25-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$15K
0.5%
1
0.0%
-
70
Contract 11310-35-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$14K
0.4%
1
0.0%
-
80
Contract 11310-39-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$13K
0.4%
1
0.0%
-
82
Contract 11310-91-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$12K
0.4%
2
0.0%
-
85
Contract 11310-33-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
86
Contract 11310-50-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
87
Contract 11310-62-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
88
Contract 11310-82-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
89
Contract 11310-71-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
92
Contract 11310-26-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
HealthDentalVisionLifeHMO
$10K
0.3%
1
0.0%
-
93
Contract 11310-77-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
94
Contract 11310-80-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
95
Contract 11310-83-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
96
Contract 11310-70-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
97
Contract 11310-28-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$10K
0.3%
1
0.0%
-
99
Contract 11310-15-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
100
Contract 11310-84-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
101
Contract 11310-31-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
HealthRxDentalVisionHMOPPO
$9K
0.3%
1
0.0%
-
102
Contract 11310-40-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
103
Contract 11310-44-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
104
Contract 11310-79-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
105
Contract 11310-48-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
106
Contract 11310-75-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
107
Contract 11310-53-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
108
Contract 11310-76-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$9K
0.3%
1
0.0%
-
110
Contract 11310-88-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$8K
0.2%
1
0.0%
-
127
Contract 11310-21-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$5K
0.1%
1
0.0%
-
128
Contract 11310-54-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$5K
0.1%
0
0.0%
-
133
Contract 11310-92-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$4K
0.1%
1
0.0%
-
135
Contract 11310-87-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$4K
0.1%
0
0.0%
-
136
Contract 11310-81-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$3K
0.1%
0
0.0%
-
137
Contract 11310-69-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$3K
0.1%
0
0.0%
-
138
Contract 11310-90-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$3K
0.1%
0
0.0%
-
141
Contract 11310-93-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$2K
0.1%
1
0.0%
-
142
Contract 11310-52-12
Filed as: KAISER FOUNDATION HEALTH PLAN OF HAWAII
2020-03-01 → 2021-02-28
$2K
0.1%
0
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
142 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 | 384 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 384 | 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)(142 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 35 | $3.3M |
| Dental(142 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 35 | $3.3M |
| Vision(142 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 35 | $3.3M |
| Life insurance(2 contracts, 2 carriers) | HAWAII MEDICAL ASSURANCE ASSOCIATION | 3 | $37K |
| Prescription drug(140 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 35 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 35 | — |
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."