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 | — | $1.2M |
| HAWAII BENEFIT ADMINISTRATORS, INC. EIN 99-0329747 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $450K |
| UBS FINANCIAL SERVICES NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | 733 BISHOP STREET, SUITE 1600 HONOLULU, HI 96813 | $137K |
| FIRST HAWAIIAN BANK NONE | Direct payment from the plan; Custodial (securities) Service code 19 | 999 BISHOP STREET HONOLULU, HI 96813 | $108K |
| BENEFIT PLAN SOLUTIONS, INC. EIN 20-5370318 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $96K |
| JAMES P. HASSELMAN CPA, LLC EIN 20-5496781 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| LAW OFFICE OF JEFFREY P. MILLER NONE | Legal; Direct payment from the plan Service code 29 | 733 BISHOP STREET, SUITE 2950 HONOLULU, HI 96813 | $47K |
| FOCUS INVESTMENTS NONE | Investment management fees paid directly by plan Service code 51 | 511 SAXONY PLACE, STE 101 ENCINITAS, CA 92024 | $26K |
| 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 | $19K |
| DECARLO & SHANLEY EIN 95-4022565 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| SYSTEM DESIGN ASSOCIATES NONE | Direct payment from the plan; Other services Service code 49 | 900 S HIGHWAY DRIVE, SUITE 102 FENTOM, MO 63026 | $14K |
| RAYMOND JAMES & ASSOCIATES, INC NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 1001 BISHOP STREET, SUITE 2920 HONOLULU, HI 96813 | $9K |
| EXPRESS SCRIPTS/MEDCO EIN 22-3461740 NONE | Claims processing; Contract Administrator Service code 12 | — | $7K |
| PHARMACEUTICAL STRATEGIES GROUP EIN 20-2422296 NONE | Consulting fees; Consulting (general) 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 | 3,925 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 530 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 105 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,560 | 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 | 2,160 | $11.5M |
| Dental(2 contracts, 2 carriers) | HAWAII DENTAL SERVICE | 10,731 | $3.9M |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,406 | $630K |
| Short-term disability | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,098 | $767K |
| Prescription drug | HMSA BLUE CROSS/BLUE SHIELD | 722 | $2.1M |
| Other | PACIFIC GUARDIAN LIFE INSURANCE CO | 4,406 | $630K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,731 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.