| Provider | Services | Address | Compensation |
|---|---|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION EIN 99-0040115 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.0M |
| HAWAII BENEFIT ADMINISTRATORS, INC. EIN 99-0329747 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $602K |
| FIRST HAWAIIAN BANK EIN 99-0034327 NONE | Custodial (securities); Other investment fees and expenses; Direct payment from the plan Service code 19 | — | $146K |
| MILLIMAN EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $129K |
| 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 | $129K |
| FOCUS INVESTMENTS EIN 81-1193503 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $82K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $71K |
| SEGAL NONE | Consulting (general); Direct payment from the plan Service code 16 | 10880 WILSHIRE BOULEVARD SUITE 850 LOS ANGELES, CA 90024 | $21K |
| SHANLEY, A PROFESSIONAL CORPORATION NONE | Legal; Direct payment from the plan Service code 29 | 533 SOUTH FREEMONT AVE., 9TH FLOOR LOS ANGELES, CA 90017 | $20K |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Claims processing Service code 12 | — | $14K |
| LAW OFFICE OF JEFFREY P. MILLER NONE | Legal; Direct payment from the plan Service code 29 | 733 BISHOP STREET, SUITE 2950 HONOLULU, HI 96813 | $6K |
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 | 3,655 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 337 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 78 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,070 | 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 | 2,156 | $12.0M |
| Dental | HAWAII DENTAL SERVICE | 13,717 | $3.5M |
| Life insurance | PACIFIC GUARDIAN LIFE INSURANCE CO | 3,915 | $464K |
| Short-term disability | PACIFIC GUARDIAN LIFE INSURANCE CO | 3,758 | $947K |
| Prescription drug | HMSA BLUE CROSS/BLUE SHIELD | 404 | $1.2M |
| Other | PACIFIC GUARDIAN LIFE INSURANCE CO | 3,915 | $464K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,717 | — |
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.