| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST 14TH FLOOR HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $64K | — | $64K | 3.22% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $102K | — | $102K | 10.13% |
| MOLENAAR, DAVID A3 | 1188 BISHOP ST STE 1708 HONOLULU, HI 96813 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $24K | — | $24K | 2.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS SERVICES | 737 BISHOP STREET, SUITE 2120 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $6K | — | $6K | 0.76% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES CORP | 700 BISHOP ST 14TH FLOOR HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INS CO | $18K | — | $18K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PACIFIC INS SERVICES | 700 BISHOP ST STE 1400 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11K | — | $11K | 3.41% |
| MARUYAMA & ASSOC INC3 Filed as: MARUYAMA ASSOC INC | 800 S BERETANIA #260 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8K | — | $8K | 2.46% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 1.31% |
| HERBERT L HUSSEY II3 | 44139 KAHINANI WAY KANEOHE, HI 96744 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 1.15% |
| WILLIAM E ROOSENBERG3 | 1515 MOCKINGBIRD LANE SUITE 820 CHARLOTTE, NC 28209 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $398 | — | $398 | 0.13% |
| THOMAS C SMITH3 | 2928 FOSTER CREIGHTON DR NASHVILLE, TN 37204 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $382 | — | $382 | 0.12% |
| WANEE KIMBERLY AN MCCABE3 | 74-5070 TOMI TOMI DRIVE KAILUAKONA, HI 96740 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $300 | — | $300 | 0.09% |
| BENEFITS BY DESIGN INC3 Filed as: BENEFITS BY DESIGN LLC | 1136 UNION MALL SUITE 705 HONOLULU, HI 96813 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $118 | — | $118 | 0.04% |
| PIONEER PACIFIC FINL SVCS INC3 | 1132 BISHOP STREET SUITE 2101 HONOLULU, HI 96792 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| US BENTEC WORKPLACE SOLUTIONS3 | 99 WOOD AVE SOUTH STE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES | 700 BISHOP ST 14TH FLOOR HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INS | $10K | — | $10K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN PACIFIC | 700 BISHOP ST STE 1400 HONOLULU, HI 96813 | VISION SERVICE PLAN | $3K | — | $3K | 2.05% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS SERVICES CORP | 700 BISHOP ST 14TH FLOOR HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INS CO | $3K | — | $3K | 5.00% |
| SERVO INSURANCE SERVICES CORP.3 Filed as: SERVO INS SERVICES | 700 BISHOP ST 14TH FLOOR HONOLULU, HI 96813 | RELIANCE STANDARD LIFE INS CO | $3K | — | $3K | 15.00% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVOCO INS. SERVICES CORP | 700 BISHOP ST #1400 HONOLULU, HI 96813 | FEDERAL INSURANCE COMPANY | $3K | — | $3K | 25.00% |
| SERVCO INSURANCE SERVICES CORP3 | 700 BISHOP ST STE 1400 HONOLULU, HI 96813 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 12.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $24K |
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 | 1,213 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAI'I MEDICAL SERVICE ASSOCIATION | 689 | $8.7M |
| Dental | HAWAII DENTAL SERVICE | 1,047 | $751K |
| Vision | VISION SERVICE PLAN | 980 | $155K |
| Life insurance | RELIANCE STANDARD LIFE INS CO | 1,167 | $356K |
| Short-term disability | RELIANCE STANDARD LIFE INS | 1,238 | $194K |
| Long-term disability(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,259 | $1.1M |
| Other(5 contracts, 5 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,200 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,259 | — |
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.