| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST FLORIDA INSURERS OF TAMPA INC | 3710 CORPOREX PARK DRIVE, SUITE 215 TAMPA, FL 33619 | ENVISION INSURANCE COMPANY | $13K | — | $13K | 3.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION EIN 99-0040115 NONE | Claims processing Service code 12 | P.O. BOX 860 HONOLULU, HI 96808 | $733K |
| PAMCAH-UA LOCAL 675 ADMIN OFFICE EIN 99-0110375 ADMIN OFFICE | Plan Administrator Service code 14 | 1109 BETHEL STREET, ROOM 403 HONOLULU, HI 96813 | $398K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general) Service code 16 | 100 MONTGOMERY STREET, SUITE 500 SAN FRANCISCO, CA 94104 | $275K |
| HAWAII DENTAL SERVICE EIN 99-0107971 NONE | Claims processing Service code 12 | 700 BISHOP STREET 700 HONOLULU, HI 96813 | $141K |
| S&M SAKAMOTO, INC. EIN 99-0113881 NONE | Other services Service code 49 | — | $56K |
| LEMKE, CHINEN & TANAKA, C.P.A., INC EIN 99-0155373 NONE | Accounting (including auditing) Service code 10 | 500 ALA MOANA BLVD, SUITE 2-302 HONOLULU, HI 96813 | $54K |
| OPTUM RX EIN 33-0441200 NONE | Other fees; Float revenue; Direct payment from the plan; Claims processing Service code 12 | 1600 KAPIOLANI BLVD SUITE 1322 HONOLULU, HI 96814 | $46K |
| ENVISION PHARMACEUTICAL SERVICES EIN 20-4308924 NONE | Claims processing Service code 12 | 2181 EAST AURORA ROAD 201 TWINSBURG, OH 44087 | $43K |
| BOSTON PARTNERS INVESTORS, INC. EIN 98-0202744 NONE | Investment management Service code 28 | 100 DRAKES LANDING ROAD, SUITE 360 GREENBRAE, CA 94904 | $43K |
| TRUCKER HUSS EIN 94-3216063 NONE | Legal Service code 29 | — | $41K |
| VSP EIN 99-0247673 NONE | Claims processing Service code 12 | 1003 BISHOP STREET, SUITE 890 HONOLULU, HI 96813 | $33K |
| CONGRESS ASSET MANAGEMENT EIN 04-2848965 NONE | Investment management Service code 28 | 2 SEAPORT LANE BOSTON, MA 02210 | $25K |
| CENTRAL PACIFIC BANK EIN 99-0309010 NONE | Custodial (securities) Service code 19 | 220 SOUTH KING STREET, 4TH FLOOR HONOLULU, HI 96813 | $24K |
| CKW FINANCIAL GROUP EIN 27-1156797 NONE | Investment management fees paid directly by plan Service code 51 | 1003 BISHOP STREET, SUITE 1950 HONOLULU, HI 96813 | $24K |
| PACIFIC INCOME ADVISORS EIN 95-4067974 NONE | Investment management fees paid directly by plan Service code 51 | 1299 OCEAN AVENUE, SUITE 201 SANTA MONICA, CA 90401 | $17K |
| ABM FACILITY SERVICES, INC. EIN 95-2495556 NONE | Other services Service code 49 | — | $14K |
| PACIFIC PROPERTY GROUP, INC. EIN 20-8525112 NONE | Real estate brokerage; Other services Service code 32 | 1150 S. KING STREET, SUITE 501 HONOLULU, HI 96814 | $13K |
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 | 1,582 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 344 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,926 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL SERVICE ASSOCIATION | 271 | $381K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO. | 1,572 | $451K |
| Prescription drug | ENVISION INSURANCE COMPANY | 293 | $353K |
| Other | ENVISION INSURANCE COMPANY | 293 | $353K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,572 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.