| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA ST., SUITE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $207K | — | $207K | 3.23% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA ST., SUITE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $4K | — | $4K | 1.00% |
No Schedule C service providers reported on this filing.
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 | 1,100 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 1,066 | $6.4M |
| Dental | HAWAII DENTAL SERVICE | 1,137 | $390K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 1,066 | $6.4M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 1,066 | $6.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,137 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.