| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PLAN SOLUTIONS, INC.3 Filed as: BENEFIT PLAN SOLUTIONS | 615 PIIKOI STREET, SUITE 301 HONOLULU, HI 96814 | UNIVERSITY HEALTH ALLIANCE | $59K | — | $59K | 1.66% |
| 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 | $57K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general) Service code 16 | 100 MONTGOMERY STREET, SUITE 500 SAN FRANCISCO, CA 94104 | $53K |
| SINGERLEWAK LLP EIN 95-2302617 NONE | Accounting (including auditing) Service code 10 | 500 ALA MOANA BLVD, SUITE 2-302 HONOLULU, HI 96813 | $26K |
| CENTRAL PACIFIC BANK EIN 99-0309040 NONE | Custodial (securities); Investment management Service code 19 | PO BOX 1400 HONOLULU, HI 96807 | $22K |
| YEE & KAWASHIMA LLLP EIN 47-3636548 NONE | Legal Service code 29 | 1000 BISHOP STREET, SUITE 908 HONOLULU, HI 96813 | $15K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance agents and brokers Service code 22 | — | $12K |
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 | 400 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 400 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 723 | $4.7M |
| Dental | HAWAII DENTAL SERVICE | 776 | $232K |
| Vision | VISION SERVICE PLAN | 316 | $19K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD | 369 | $14K |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 723 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 776 | — |
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.