| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $11K | — | $11K | 3.51% |
| MERCER HEALTH AND BENEFITS, LLC3 | 745 FORT STREET SUITE 1100 HONOLULU, HI 96813 | HAWAII DENTAL SERVICE | $2K | — | $2K | 1.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 12421 MEREDITH DRIVE URBANDALE, IA 50398 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17K | — | $17K | 12.58% |
| TYLER K PANG3 | 2510 RAINBOW DRIVE HONOLULU, HI 96822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 5.94% |
| SUSANNA H TRAN3 | 303 ALA LLIMA STREET#202 HONOLULU, HI 96818 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 1.93% |
| SIMON E TAUTALA3 | 3001 S HARBOUR SPRING STREET NAMPA, ID 83686 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.68% |
| GARRETT HIRANAKA3 Filed as: GARRETT C HIRANAKA | 3705 WAIALAE AVENUE HONOLULU, HI 96816 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.65% |
| GENEROSO PETRAGLIA3 | 918 CREST VIEW ROAD VISTA, CA 92081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $992 | — | $992 | 0.74% |
| MERCER HEALTH AND BENEFITS, LLC3 | 745 FORT STREET, SUITE 1100 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | $5K | — | $5K | 9.39% |
| MERCER HEALTH AND BENEFITS, LLC3 | 745 FORT STREET, SUITE 1100 HONOLULU, HI 96813 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | $4K | — | $4K | 10.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | VISION SERVICE PLAN | $1K | — | $1K | 5.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 745 FORT STREET STE 1100 HONOLULU, HI 96813 | HARTFORD LIFE AND ACCIDENT | $113 | $11 | $124 | 16.53% |
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 | 241 | 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) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 382 | $3.5M |
| Dental | HAWAII DENTAL SERVICE | 477 | $170K |
| Vision | VISION SERVICE PLAN | 262 | $29K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 343 | $49K |
| Long-term disability | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 240 | $37K |
| Prescription drug(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 382 | $3.5M |
| Other(4 contracts, 4 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 986 | $204K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 986 | — |
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.