No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HAWAII MEDICAL SERVICES ASSOCIATION EIN 99-0040115 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.0M |
| HAWAII BENEFIT ADMINISTRATORS, INC. EIN 99-0329747 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $430K |
| UBS FINANCIAL SERVICES NONE | Investment management fees paid indirectly by plan; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 733 BISHOP STREET, SUITE 1600 HONOLULU, HI 96813 | $129K |
| FIRST HAWAIIAN BANK NONE | Custodial (securities); Direct payment from the plan Service code 19 | 999 BISHOP STREET HONOLULU, HI 96813 | $95K |
| BENEFIT PLAN SOLUTIONS, INC. EIN 20-5370318 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $94K |
| JAMES P. HASSELMAN CPA, LLC EIN 20-5496781 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $48K |
| DECARLO & SHANLEY EIN 95-4022565 NONE | Legal; Direct payment from the plan Service code 29 | — | $29K |
| FOCUS INVESTMENTS NONE | Investment management fees paid directly by plan Service code 51 | 511 SAXONY PLACE, STE 101 ENCINITAS, CA 92024 | $24K |
| ACW INSURANCE GROUP NONE | Insurance services; Direct payment from the plan Service code 23 | 1000 BISHOP STREET 600 HONOLULU, HI 96813 | $22K |
| CARDINAL MAILING SERVICES NONE | Direct payment from the plan; Other services Service code 49 | 197 SAND ISLAND ACCESS RD, A HONOLULU, HI 96819 | $21K |
| SYSTEM DESIGN ASSOCIATES NONE | Direct payment from the plan; Other services Service code 49 | 900 S HIGHWAY DRIVE, SUITE 102 FENTOM, MO 63026 | $18K |
| MILLER & SHEA NONE | Legal; Direct payment from the plan Service code 29 | 1001 BISHOP STREET, SUITE 2925 HONOLULU, HI 96813 | $9K |
| EXPRESS SCRIPTS/MEDCO EIN 22-3461740 NONE | Claims processing; Contract Administrator Service code 12 | — | $5K |
| PHARMACEUTICAL STRATEGIES GROUP EIN 20-2422296 NONE | Consulting (general); Consulting fees Service code 16 | — | $0 |
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 | 4,019 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 541 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 110 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,670 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 2,069 | $9.3M |
| Dental(2 contracts, 2 carriers) | HAWAII DENTAL SERVICE | 10,770 | $3.3M |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,239 | $580K |
| Short-term disability | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,342 | $713K |
| Prescription drug | HMSA BLUE CROSS/BLUE SHIELD | 785 | $2.1M |
| Other | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,239 | $580K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,770 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.