Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Health | Health | |
Health | Health | |
Health | Health | |
Vision | Vision | |
Dental | Dental | |
Broker: Benefit Plan Solutions, Inc. Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 7 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,279 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 498 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,777 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 4,781 | $38.3M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 87 | $51K |
| Vision | VISION SERVICE PLAN | 2,800 | $208K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 2,249 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,781 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Pacific Guardian Life Insurance Company, Ltd. |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT RISK MANAGEMENT SERVICES EIN 68-0306908 NONE | Contract Administrator Service code 13 | 560 N NIMITZ HWY, STE 209 HONOLULU, HI 96817 | $325K |
| HAWAII DENTAL SERVICE EIN 99-0107971 NONE | Claims processing Service code 12 | 700 BISHOP STREET, STE 700 HONOLULU, HI 96813 | $118K |
| EXPRESS SCRIPTS INC EIN 43-1420563 | Claims processing Service code 12 | 100 PARSONS POND DR FRANKLIN LAKES, NJ 07417 | $103K |
| BENEFIT PLAN SOLUTIONS INC EIN 20-5370318 NONE | Consulting (general) Service code 16 | 615 PIKOI ST. STE 301 HONOLULU, HI 96814 | $81K |
| FIRST HAWAIIAN BANK EIN 99-0346772 NONE | Custodial (securities); Investment management Service code 19 | 999 BISHOP STREET, STE 2806 HONOLULU, HI 96813 | $77K |
| SINGERLEWAK, LLP EIN 95-2302617 NONE | Accounting (including auditing) Service code 10 | 500 ALA MOANA BLVD. 2-302 HONOLULU, HI 96813 | $51K |
| CHIROPLAN HAWAII, INC EIN 99-0321516 NONE | Insurance services Service code 23 | 711 KILANI AVE WAHIAWA, HI 96786 | $48K |
| HARRIS RESOURCES, PC EIN 75-2793010 | Consulting (general) Service code 16 | 18032 ROCK BRANCH DR, DALLAS, TX 75287 | $32K |
| YEE AND KAWASHIMA LLLP EIN 47-3636548 NONE | Legal Service code 29 | 1000 BISHOP ST., STE 908 HONOLULU, HI 96813 | $21K |
| RAYMOND JAMES & ASSOCIATES EIN 59-1237041 NONE | Investment advisory (plan) Service code 27 | 880 CARILLON PARKWAY ST. PETERSBURG, FL 33716 | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
1 contact
10 filings · 2016 to 2025