| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AE & ASSOCIATES INSURANCE SERVICES3 Filed as: AE & ASSOCIATES INS SVCS, LLC | 707 RICHARD STREET, PH6 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $5K | — | $5K | 1.39% |
| ATLAS INSURANCE AGENCY, INC.3 | 1132 BISHOP STREET, SUITE 1600 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $4K | — | $4K | 1.12% |
| FINANCE INSURANCE LTD3 | 1164 BISHOP STREET, SUITE 400 HONOLULU, HI 96813 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 12.12% |
| COMPYSCH5 | 455 N CITYFRONT PLAZA DR, 13TH FL CHICAGO, IL 60611 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $445 | $418 | $863 | 4.45% |
| AXA ASSISTANCE, USA5 | 122 S MICHIGAN AVENUE, SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $36 | $36 | 0.19% |
| ATLAS INSURANCE AGENCY, INC.3 | 1132 BISHOP STREET, SUITE 1600 HONOLULU, HI 96813 | VISION SERVICE PLAN | $567 | — | $567 | 3.48% |
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 | 143 | 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) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HMSA | 111 | $938K |
| Dental | HAWAII DENTAL SERVICE | 213 | $71K |
| Vision | VISION SERVICE PLAN | 133 | $16K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 98 | $19K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 98 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.