| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNIVERSITY HEALTH ALLIANCE | $77K | $0 | $77K | 3.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN, INC. | $61K | $0 | $61K | 3.22% |
| MERCER HEALTH AND BENEFITS, LLC3 | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $9K | $0 | $9K | 3.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $1K | $13K | 11.25% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $460 | $6K | 15.07% |
| SAMANTHA PECK3 | 624 PEPEEKEO STREET HONOLULU, HI 96825 | AFLAC | $575 | $0 | $575 | 4.30% |
| SUSANNA H TRAN3 Filed as: SUSANNA TRAN AND OTHER AGENTS | 3030 ALA ILIMA STREET APARTMENT 202 HONOLULU, HI 96818 | AFLAC | $482 | $14 | $496 | 3.71% |
| KIRA M KIM-CHARLES3 Filed as: KIRA M. KIM-CHARLES | 2215 AUPAKA STREET PEARL CITY, HI 96782 | AFLAC | $402 | $0 | $402 | 3.01% |
| TYLER K PANG3 Filed as: TYLER K. PANG | 1108 20TH AVENUE HONOLULU, HI 96816 | AFLAC | $345 | $7 | $352 | 2.64% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $149 | $0 | $149 | 1.12% |
| RICHARD KERSTEN3 Filed as: RICHARD FONSECA JR. | 1450 YOUNG STREET APARTMENT 2306 HONOLULU, HI 96814 | AFLAC | $109 | $0 | $109 | 0.82% |
| MALCOLM MATSUOKA3 | 8255 LAS VEGAS BOULEVARD SOUTH UNIT 816 LAS VEGAS, NV 89123 | AFLAC | $72 | $0 | $72 | 0.54% |
| MERCER HEALTH AND BENEFITS, LLC4 Filed as: MERCER HEALTH AND BENEFITS ADMIN | PO BOX 850502 MINNEAPOLIS, MN 55485 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $1K | $0 | $1K | 17.00% |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 524 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 353 | $4.5M |
| Dental(2 contracts, 2 carriers) | HAWAII DENTAL SERVICE | 675 | $299K |
| Vision(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 353 | $4.5M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 521 | $156K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 521 | $116K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 353 | $4.5M |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 521 | $178K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 675 | — |
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.