| 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 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | — | $10K | 3.49% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 745 FORT STREET SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $1K | — | $1K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | PO BOX 100260 PASADENA, CA 91189 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 4.75% |
| DEAN TAKASHI YONESHIGE3 Filed as: DEAN TAKASHI YONESHIG | 725 KAPIOLANI BLVD. SUITE C302 HONOLULU, HI 96818 | CONTINENTAL AMERICAN INSURANCE COMPANY | $958 | — | $958 | 2.85% |
| TYLER K PANG3 Filed as: TYLER K. PANG | 2510 RAINBOW DRIVE HONOLULU, HI 96822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $504 | — | $504 | 1.50% |
| GENEROSO PETRAGLIA3 | 918 CREST VIEW ROAD VISTA, CA 92081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $122 | — | $122 | 0.36% |
| MARIE BAYUDAN-DRURY3 | 94-974 LUMIHOAHU STREET WAIPAHU, HI 96797 | AFLAC | $765 | $318 | $1K | 4.87% |
| STEPHANIE S. MONTANO3 | 50 PUAKOU PLACE PAIA, HI 96779 | AFLAC | $428 | $267 | $695 | 3.13% |
| MICHAEL E JONES3 Filed as: MICHAEL E. JONES | 15 MALIHINI PLACE WAILUKU, HI 96793 | AFLAC | $550 | $139 | $689 | 3.10% |
| PIOPAC FIDELITY3 | 1164 BISHOP STREET SUITE 1200 HONOLULU, HI 96813 | AFLAC | $420 | — | $420 | 1.89% |
| GEORGE R. FONTAINE3 | 3157 WAAKEA PLACE KIHEI, HI 96753 | AFLAC | $245 | $130 | $375 | 1.69% |
| DEAN TAKASHI YONESHIGE3 | 1430 ALA HANANUI STREET HONOLULU, HI 96818 | AFLAC | $268 | — | $268 | 1.21% |
| NICOLE MAEDA3 | PO BOX 481 KAHULUI, HI 96733 | AFLAC | $170 | $49 | $219 | 0.99% |
| MICHAEL E JONES3 Filed as: MICHAEL E. JONES | 2065 MAIN STREET SUITE 101A WAILUKU, HI 96793 | AFLAC | $215 | $3 | $218 | 0.98% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $179 | — | $179 | 0.81% |
| TYLER K PANG3 Filed as: TYLER K. PANG | 1108 20TH AVENUE HONOLULU, HI 96816 | AFLAC | $117 | — | $117 | 0.53% |
| SANDRA TRENHOLME3 | 628 MAPUANA PLACE WAILUKU, HI 96793 | AFLAC | $68 | $21 | $89 | 0.40% |
| GENEROSO PETRAGLIA3 Filed as: GENEROSO A. PETRAGLIA | 918 CREST VIEW ROAD VISTA, CA 92081 | AFLAC | $74 | — | $74 | 0.33% |
| PATTIE L ARANIO3 Filed as: PATTIE L. ARANIO | 1136 UNION MALL SUITE 800 HONOLULU, HI 96813 | AFLAC | $22 | — | $22 | 0.10% |
| PIONEER PACIFIC FINANCIAL3 | 1132 BISHOP STREET SUITE 2101 HONOLULU, HI 96813 | AFLAC | $14 | — | $14 | 0.06% |
| JAMES ARTHUR HARBOUR3 | 405 BARSCHALL DRIVE COLUMBUS, GA 31904 | AFLAC | $9 | — | $9 | 0.04% |
| STEPHEN H ARANIO3 Filed as: STEPHEN H. ARANIO | 1136 UNION MALL SUITE 800 HONOLULU, HI 96813 | AFLAC | $7 | — | $7 | 0.03% |
| PIONEER PACIFIC FINANCIAL3 Filed as: PIONEER PACIFIC FIN SERVICES INC. | 1132 BISHOP STREET SUITE 2101 HONOLULU, HI 96813 | AFLAC | $3 | — | $3 | 0.01% |
| LYNN A GOULD3 | 210 LEXINGTON DRIVE LITTLE EGG HARBOR, NJ 08087 | AFLAC | $3 | — | $3 | 0.01% |
| KAI M TAKEKAWA3 Filed as: KAI M. TAKEKAWA | 1155 HASSINGER STREET APT. 801 HONOLULU, HI 96822 | AFLAC | $2 | — | $2 | 0.01% |
| STEVEN W K SOONG3 Filed as: STEVEN W.K. SOONG | 1580 MAKALOA STREET SUITE 1111 HONOLULU, HI 96814 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL J ELLIS3 Filed as: MICHAEL J. ELLIS | 532 GARRICK PLACE O FALLON, MO 63368 | AFLAC | $1 | — | $1 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | WORKLIFE HAWAII | $169 | — | $169 | 5.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 745 FORT STREET SUITE 1100 HONOLULU, HI 96813 | HARTFORD LIFE AND ACCIDENT | $238 | — | $238 | 25.05% |
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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 42 | $279K |
| Dental | HAWAII DENTAL SERVICE | 147 | $52K |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 42 | $279K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 42 | $279K |
| Other(4 contracts, 4 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 131 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 147 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.