| 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 | $37K | — | $37K | 4.53% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN, INC. | $22K | — | $22K | 3.31% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HAWAII MEDICAL SERVICE ASSOCIATION | — | $3K | $3K | 2.94% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | VISION SERVICE PLAN | $1K | — | $1K | 5.71% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSHERE CIRCLE CHICAGO, IL 60674 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 6.05% |
| TYLER K PANG3 Filed as: TYLER K. PANG | 2510 RAINBOW DRIVE HONOLULU, HI 96822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $646 | — | $646 | 3.53% |
| DEAN TAKASHI YONESHIGE3 | 1430 ALA HANAHUI STREET HONOLULU, HI 96818 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.23% |
| KIRA M KIM-CHARLES3 | 1695 EAMES STREET WAHIAWA, HI 96786 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.21% |
| MARJORIE C ROBINSON3 Filed as: MARJORIE ROBINSON AND ASSOC. LLC | 91-1095 KAIKO DRIVE EWA BEACH, HI 96706 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.21% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | $2K | — | $2K | 15.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | $984 | — | $984 | 14.93% |
| MARIE BAYUDAN-DRURY3 | 1350 E. FLAMINGO ROAD SUITE 130-330 LAS VEGAS, NV 89119 | AFLAC | $191 | — | $191 | 2.98% |
| MICHAEL E JONES3 Filed as: MICHAEL E. JONES | 91-1043 MANAOPAA STREET EWA BEACH, HI 96706 | AFLAC | $170 | — | $170 | 2.65% |
| PIOPAC FIDELITY3 | 1164 BISHOP STREET SUITE 1200 HONOLULU, HI 96813 | AFLAC | $104 | — | $104 | 1.62% |
| GEORGE R. FONTAINE3 | 3157 WAAKEA PLACE KIHEI, HI 96753 | AFLAC | $37 | — | $37 | 0.58% |
| STEPHANIE S. MONTANO3 | 50 PUAKOU PLACE PAIA, HI 96779 | AFLAC | $26 | — | $26 | 0.41% |
| PATTIE L ARANIO3 Filed as: PATTIE L. ARANIO | PO BOX 894711 MILILANI, HI 96789 | AFLAC | $14 | — | $14 | 0.22% |
| PIONEER PACIFIC FINANCIAL3 Filed as: PIONEER PACIFIC FIN SERVICES INC. | 1132 BISHOP STREET SUITE 2101 HONOLULU, HI 96813 | AFLAC | $11 | — | $11 | 0.17% |
| SANDRA TRENHOLME3 | 628 MAPUANA PLACE WAILUKU, HI 96793 | AFLAC | $11 | — | $11 | 0.17% |
| NICOLE MAEDA3 | PO BOX 481 KAHULUI, HI 96733 | AFLAC | $10 | — | $10 | 0.16% |
| JAMES ARTHUR HARBOUR3 | 7725 GATEWAY UNIT 2503 IRVINE, CA 92618 | AFLAC | $6 | — | $6 | 0.09% |
| STEPHEN H ARANIO3 Filed as: STEPHEN H. ARANIO | 1136 UNION MALL SUITE 800 HONOLULU, HI 96813 | AFLAC | $4 | — | $4 | 0.06% |
| LYNN A GOULD3 Filed as: LYNN A. GOULD | 6 ROSEMONT LANE TUCKERTON, NJ 08087 | AFLAC | $2 | — | $2 | 0.03% |
| KAI M TAKEKAWA3 Filed as: KAI M. TAKEKAWA | 1155 HASSINGER STREET APT 801 HONOLULU, HI 96822 | AFLAC | $2 | — | $2 | 0.03% |
| MICHAEL J ELLIS3 Filed as: MICHAEL J. ELLIS | 532 GARRICK PLACE O FALLON, MO 63368 | AFLAC | $1 | — | $1 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 700 BISHOP STREET SUITE 1100 HONOLULU, HI 96813 | WORKLIFE HAWAII | $239 | — | $239 | 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 | $14 | $252 | 26.53% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 118 | $1.5M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 247 | $92K |
| Vision | VISION SERVICE PLAN | 152 | $20K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 149 | $12K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 13 | $18K |
| Long-term disability | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 148 | $7K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 118 | $1.5M |
| Other(5 contracts, 5 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 180 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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.