| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | UNIVERSITY HEALTH ALLIANCE | $24K | — | $24K | 1.73% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN, INC. | $17K | — | $17K | 2.31% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INS SVCS | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | — | $7K | 0.91% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $2K | — | $2K | 1.31% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INS SVCS | 2010 MAIN STREET, SUITE 1050 IRVINE, CO 92614 | HAWAII DENTAL SERVICE | $666 | — | $666 | 0.53% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - HONOLULU | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $195 | $2K | 9.35% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INS SVCS | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $115 | $1K | 5.52% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - HONOLULU | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $490 | $61 | $551 | 7.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INS SVCS | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $315 | $39 | $354 | 4.86% |
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 | 336 | 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) | 338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 191 | $2.1M |
| Dental | HAWAII DENTAL SERVICE | 328 | $126K |
| Vision | UNIVERSITY HEALTH ALLIANCE | 191 | $1.4M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $30K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $23K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 191 | $2.1M |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 336 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.