| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BTP HEALTH LLC Filed as: BTP HEALTH, LLC | 87-1127 OHEOHE ST. WAIANAE, HI 96792 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $331K | — | $331K | 3.00% |
| NATIONAL BENEFITS ADMINISTRATOR LLC3 | 615 PIIKOI STREET, SUITE 302 HONOLULU, HI 96814 | HAWAII DENTAL SERVICE | — | — | $0 | 0.00% |
| NATIONAL BENEFITS ADMINISTRATOR LLC3 | 615 PIIKOI STREET, SUITE 302 HONOLULU, HI 96814 | PACIFIC GUARDIAN LIFE | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MASONS AND PLASTERERS ADMIN OFFICE EIN 99-0224301 NONE | Contract Administrator Service code 13 | 2251 NORTH SCHOOL STREET HONOLULU, HI 96819 | $341K |
| NATIONAL BENEFITS ADMINISTRATORS EIN 27-1724276 NONE | Consulting (general) Service code 16 | 707 RICHARDS STREET, PH6 HONOLULU, HI 96813 | $103K |
| LEMKE, CHINEN & TANAKA CPA, INC EIN 99-0155373 NONE | Accounting (including auditing) Service code 10 | 500 ALA MOANA BLVD., SUITE 2-302 HONOLULU, HI 96813 | $74K |
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Custodial (securities) Service code 19 | P.O. BOX 3708 HONOLULU, HI 96811 | $71K |
| YOSHIDA & ASSOCIATES EIN 99-0337282 NONE | Legal Service code 29 | 737 BISHOP STREET, SUITE 2730 HONOLULU, HI 96813 | $32K |
| YEE & KAWASHIMA EIN 47-3636548 NONE | Legal Service code 29 | 1000 BISHOP STREET SUITE 908 HONOLULU, HI 96813 | $30K |
| DATAHOUSE EIN 99-7056611 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1585 KAPIOLANI BLVD SUITE 1800 HONOLULU, HI 96814 | $14K |
| WELLS FARGO ADVISORS LLC EIN 34-1542819 NONE | Investment advisory (plan) Service code 27 | 1001 BISHOP STREET, SUITE 1900 HONOLULU, HI 96813 | $10K |
| MASONS UNION, LOCAL 630 EIN 99-0089632 UNION OFFICE | Other services Service code 49 | 2251 NORTH SCHOOL STREET HONOLULU, HI 96819 | $5K |
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 | 1,141 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 355 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HAWAII MEDICAL ASSURANCE ASSOCIATION | 2,875 | $14.1M |
| Dental | HAWAII DENTAL SERVICE | 4,049 | $1.4M |
| Vision | VISION SERVICE PLAN | 1,296 | $75K |
| Life insurance | PACIFIC GUARDIAN LIFE | 0 | $334K |
| Short-term disability | PACIFIC GUARDIAN LIFE | 0 | $334K |
| Prescription drug | HAWAII MEDICAL ASSURANCE ASSOCIATION | 2,875 | $11.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,049 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.