| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET #1220 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $20K | — | $20K | 2.23% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY, INC | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | UNIVERSITY HEALTH ALLIANCE | $7K | — | $7K | 0.77% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET #1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 2.37% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY, INC | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.10% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES INC | 1580 MAKALOA STREET SUITE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICES | $1K | — | $1K | 1.31% |
| ATLAS INSURANCE AGENCY, INC.3 | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICES | $713 | — | $713 | 0.70% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1585 KAPIOLANI BLVD, SUITE 1120 HONOLULU, HI 96814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.70% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY, INC | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.30% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1585 KAPIOLANI BLVD, SUITE 1120 HONOLULU, HI 96814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $964 | — | $964 | 6.57% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY, INC | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $503 | — | $503 | 3.43% |
| RITA S. ORNELLAS3 | 95-1023 HOAILONA STREET MILILANI, HI 96789 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $7 | $1K | 11.33% |
| ALAYNE MATA3 | 3276 KATHY WAY LOOMIS, CA 95650 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 0.59% |
| ANDREA MARIE TIERCE3 | 1199 MADRONE LANE PLACERVILLE, CA 95667 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| ADVANTAGE INSURANCE SERVICES, INC.3 | 1580 MAKALOA STREET #1220 HONOLULU, HI 96814 | VISION SERVICE PLAN | $44 | — | $44 | 6.10% |
| ATLAS INSURANCE AGENCY, INC.3 Filed as: ATLAS INSURANCE AGENCY, INC | 201 MERCHANT STREET STE 1100 HONOLULU, HI 96813 | VISION SERVICE PLAN | $25 | — | $25 | 3.47% |
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 | 284 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | UNIVERSITY HEALTH ALLIANCE | 191 | $1.6M |
| Dental | HAWAII DENTAL SERVICES | 312 | $102K |
| Vision(4 contracts, 4 carriers) | UNIVERSITY HEALTH ALLIANCE | 191 | $1.5M |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 284 | $24K |
| Prescription drug(4 contracts, 4 carriers) | UNIVERSITY HEALTH ALLIANCE | 191 | $1.6M |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 284 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 312 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.