| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | KAISER FOUNDATION HEALTH PLAN OF HAWAII | — | — | $0 | 0.00% |
| NONE | — | HAWAII MEDICAL SERVICE ASSOCIATION | — | — | $0 | 0.00% |
| NONE | — | THE UNION LABOR LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| NONE0 | — | PACIFIC GUARDIAN LIFE INSURANCE CO. | — | — | $0 | 0.00% |
| NONE | — | PACIFIC GUARDIAN LIFE INSURANCE CO. | — | — | $0 | 0.00% |
| NONE0 | — | HAWAII DENTAL SERVICE | — | — | $0 | 0.00% |
| NONE | — | DENTAL CARE CENTERS OF HAWAII, INC. | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACIFIC ADMINISTRATORS INC EIN 99-0351671 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.8M |
| RENALOGIC EIN 22-3857341 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $454K |
| DONNA ROBINSON EIN 99-6014749 EMPLOYEE OF PLAN | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| MILLIMAN EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $94K |
| RAYMOND JAMES EIN 94-3249244 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $67K |
| WEINBERG, ROGER, & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $55K |
| HEMMING MORSE EIN 30-0702322 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $38K |
| FOCUS INVESTMENT ADVISORS EIN 33-0606466 NONE | Investment management fees paid directly by plan Service code 51 | — | $29K |
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $28K |
| CENTRAL PACIFIC BANK EIN 39-2068708 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $28K |
| YOSHIDA AND ASSOCIATES EIN 99-0337282 NONE | Legal; Direct payment from the plan Service code 29 | — | $21K |
| BANK OF HAWAII EIN 99-0210467 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $11K |
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 | 2,754 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 802 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,556 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL SERVICE ASSOCIATION | 768 | $1.9M |
| Dental(2 contracts, 2 carriers) | HAWAII DENTAL SERVICE | 925 | $252K |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO. | 3,506 | $491K |
| Short-term disability | PACIFIC GUARDIAN LIFE INSURANCE CO. | 2,844 | $570K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,990 | $895K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,506 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.