No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HAWAII MASON & PLASTERERS ADMIN OFF EIN 99-0224301 NONE | Plan Administrator Service code 14 | 2251 NORTH SCHOOL STREET HONOLULU, HI 96819 | $111K |
| FUJIKAWA & YASUNAGA EIN 99-0219097 NONE | Legal Service code 29 | 615 PIIKOI STREET, PH1 HONOLULU, HI 96814 | $40K |
| LEMKE,CHINEN & TANAKA, CPA EIN 99-0155373 NONE | Accounting (including auditing) Service code 10 | 210 WARD AVENUE, SUITE 336 HONOLULU, HI 96814 | $23K |
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Investment advisory (plan); Custodial (securities) Service code 19 | 900 BISHOP STREET HONOLULU, HI 96814 | $20K |
| BENESYS EIN 38-2383171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 700 TOWER DRIVE, SUITE 300 TROY, MI 48098 | $17K |
| DATA HOUSE EIN 99-7056611 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1585 KAPIOLANI BOULEVARD HONOLULU, HI 968144500 | $14K |
| YEE AND KAWASHIMA EIN 47-3636548 NONE | Legal Service code 29 | 1000 BISHOP STREET, 908 HONOLULU, HI 96813 | $8K |
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 | 1,536 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,536 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.