| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | KAISER FOUNDATION HEALTH PLAN | $69K | $26 | $69K | 3.47% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $14K | — | $14K | 2.96% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1580 MAKALOA ST STE 1220 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE DELTA DENTAL | $5K | — | $5K | 3.00% |
| ADVANTAGE INSURANCE SERVICES, INC.3 Filed as: ADVANTAGE INSURANCE SERVICES | 1585 KAPIOLANI BLVD STE 1120 HONOLULU, HI 96814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | — | $17K | 20.00% |
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 | 460 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN | 333 | $2.5M |
| Dental | HAWAII DENTAL SERVICE DELTA DENTAL | 338 | $175K |
| Vision | HAWAII MEDICAL ASSURANCE ASSOCIATION | 57 | $484K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $84K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $84K |
| Prescription drug | HAWAII MEDICAL ASSURANCE ASSOCIATION | 57 | $484K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 338 | — |
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.