| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNIVERSITY HEALTH ALLIANCE | $30K | — | $30K | 2.50% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | UNIVERSITY HEALTH ALLIANCE | $10K | — | $10K | 0.80% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN, INC. | $14K | — | $14K | 2.45% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | — | $10K | 1.66% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 745 FORT STREET SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $1K | — | $1K | 1.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES INC. OF HAWAII | 201 MERCHANT STREET, SUITE 2400 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $1K | — | $1K | 0.99% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR. CHICAGO, IL 606740001 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $219 | $2K | 9.10% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - HONOLULU | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $105 | $1K | 4.33% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR. CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $579 | $72 | $651 | 7.91% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - HONOLULU | 75 REMITTANCE DRIVE SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $313 | $39 | $352 | 4.28% |
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 | 344 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 347 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 187 | $1.8M |
| Dental | HAWAII DENTAL SERVICE | 321 | $126K |
| Vision | UNIVERSITY HEALTH ALLIANCE | 187 | $1.2M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 261 | $34K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 261 | $26K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 187 | $1.8M |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 344 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 344 | — |
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.