| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS,INC. | 680 IWILEI ROAD, SUITE 528 HONOLULU, HI 96817 | PACIFIC GUARDIAN LIFE INSURANCE CO. | $1K | — | $1K | 11.99% |
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS, INC | 680 IWILEI ROAD, SUITE 528 HONOLULU, HI 96817 | HAWAII DENTAL SERVICE | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP PLAN ADMINISTRATORS EIN 99-0187572 NONE | Plan Administrator Service code 14 | 222 SOUTH VINEYARD STREET, PH4 HONOLULU, HI 96813 | $39K |
| BENEFIT PLAN SOLUTIONS, INC EIN 99-0114097 NONE | Consulting (general) Service code 16 | 680 IWILEI ROAD SUITE 528 HONOLULU, HI 96817 | $12K |
| LEMKE CHINEN & TANAKA CPA INC. EIN 99-0155373 NONE | Accounting (including auditing) Service code 10 | 210 WARD AVENUE SUITE 336 HONOLULU, HI 96814 | $11K |
| CENTRAL PACIFIC BANK EIN 99-0309010 NONE | Custodial (other than securities); Investment management; Custodial (securities) Service code 18 | PO BOX 1400 HONOLULU, HI 96807 | $10K |
| FUJIKAWA & YASUNAGA EIN 99-0219097 NONE | Legal Service code 29 | 615 PIIKOI ST, PH1 HONOLULU, HI 96814 | $7K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 268 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 268 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 89 | $2.2M |
| Dental | HAWAII DENTAL SERVICE | 0 | $0 |
| Vision | VISION SERVICE PLAN | 205 | $12K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO. | 234 | $9K |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 0 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.