| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS, INC | 615 PIIKOI STREET, SUITE 301 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $77K | — | $77K | 2.00% |
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS, INC | 615 PIIKOI STREET, SUITE 301 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | $2K | — | $2K | 0.92% |
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS, INC | 615 PIIKOI STREET, SUITE 301 HONOLULU, HI 96814 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD | $2K | — | $2K | 8.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT & RISK MANAGEMENT SERVICES EIN 68-0306908 NONE | Contract Administrator Service code 13 | 560 NORTH NIMITZ HIGHWAY, SUITE 209 HONOLULU, HI 96817 | $65K |
| WACHI & WATANABE, CPA, INC. EIN 99-0291480 NONE | Accounting (including auditing) Service code 10 | 201 MERCHANT STREET, SUITE 2350 HONOLULU, HI 96813 | $27K |
| CENTRAL PACIFIC BANK EIN 99-0309040 NONE | Custodial (securities); Investment management Service code 19 | PO BOX 1400 HONOLULU, HI 96807 | $22K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 | Insurance agents and brokers Service code 22 | — | $12K |
| YEE & KAWASHIMA LLLP EIN 47-3636548 NONE | Legal Service code 29 | 1000 BISHOP STREET, SUITE 908 HONOLULU, HI 96813 | $8K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal Service code 29 | 220 SOUTH KING STREET, SUITE 901 HONOLULU, HI 96813 | $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 | 438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 733 | $5.0M |
| Dental | HAWAII DENTAL SERVICE | 890 | $252K |
| Vision | VISION SERVICE PLAN | 360 | $21K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD | 443 | $17K |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 733 | $3.9M |
| Other | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD | 443 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 890 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.