| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION3 | P.O. BOX 840 HONOLULU, HI 96808 | USABLE LIFE | $26K | $0 | $26K | 0.82% |
| THOMAS O'CONNOR3 | PO BOX 860 HONOLULU, HI 96808 | USABLE LIFE | $0 | $347 | $347 | 0.01% |
| GALEN HANEDA3 | PO BOX 860 HONOLULU, HI 96808 | USABLE LIFE | $0 | $149 | $149 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT & RISK MANAGEMENT SERVICES EIN 68-0306908 NONE | Contract Administrator; Direct payment from the plan; Consulting (pension) Service code 13 | — | $112K |
| THE SEGAL COMPANY (WESTERN STATES) EIN 94-1503999 NONE | Direct payment from the plan; Consulting (general); Consulting (pension) Service code 16 | — | $83K |
| SEGAL SELECT INSURANCE SERVICES, IN EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $23K |
| TORKILDSON KATZ HETHERINGTON HARRIS EIN 99-0155867 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| CW ASSOCIATES, CPA'S EIN 26-1659234 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $7K |
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Other investment fees and expenses; Trustee (directed) Service code 21 | — | $3K |
| YAMAMOTO, CALIBOSO & HETHERINGTON EIN 20-5115756 NONE | Legal; Direct payment from the plan Service code 29 | — | $3K |
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 | 851 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 401 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 127 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,379 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 1,240 | $27.1M |
| Dental | HAWAII DENTAL SERVICE | 367 | $413K |
| Vision(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 1,240 | $27.1M |
| Life insurance | USABLE LIFE | 760 | $3.2M |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 1,240 | $27.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,240 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.