Physician practices in Hawaii
PlanOptica tracks 14 health and welfare plans sponsored by 12 physician practices in Hawaii, covering 1,412 participants and $9.3M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 10 participants, and the most common size is under 100 participants (64% of plans). The funding mix is split: 50% of plans are self-funded or mixed and the rest are mainly fully insured.
Hawaii Medical Service Association dominates premium with a 62% share, followed by University Health Alliance at 25%. Atlas Insurance Agency, Inc is the broker of record on 1 plan, more than any other firm, ahead of Mercer Health & Benefits LLC (1). 21% of plans report broker compensation on Schedule A; the median brokered plan pays $68K a year, about 4.2% of premium. Honolulu, Wailuku and Kailua Kona have the most plans.
Funding mix
- Fully insured7 · 50%
- Self-funded7 · 50%
Plan size (participants)
- Under 1009 · 64%
- 100 to 2492 · 14%
- 250 to 4993 · 21%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 10 participants. Median broker comp: 4.2% of premium across 3 brokered plans.
Top carriers, physicians, Hawaii
- 1Hawaii Medical Service Association$5.8M4 plans · 62.1%
- 2University Health Alliance$2.4M3 plans · 25.5%
- 3Kaiser Foundation Health Plan, Inc$666K1 plans · 7.1%
- 4Hartford Life and Accident$136K2 plans · 1.5%
- 5The Lincoln National Life Insurance Company$113K1 plans · 1.2%
- 6Unum Insurance Company$97K1 plans · 1.0%
- 7Vision Service Plan$56K2 plans · 0.6%
- 8Continental American Insurance Company$25K1 plans · 0.3%
- 9Standard Insurance Company$23K1 plans · 0.3%
- 10Pacific Guardian Life Insurance Company, Ltd$19K1 plans · 0.2%
Top brokers, physicians, Hawaii
- 1Atlas Insurance Agency, Inc1 plans$171K comp · 33.3%
- 2Mercer Health & Benefits LLC1 plans$67K comp · 33.3%
- 3Steven Markham1 plans$2K comp · 33.3%
- 4Tyler K. Pang1 plans$646 comp · 33.3%
- 5Marie Bayudan-Drury1 plans$191 comp · 33.3%
- 6Michael E. Jones1 plans$170 comp · 33.3%
- 7Piopac Fidelity1 plans$104 comp · 33.3%
- 8Dean Takashi Yoneshige1 plans$43 comp · 33.3%
- 9Kira M Kim-Charles1 plans$39 comp · 33.3%
- 10Marjorie Robinson and Assoc. LLC1 plans$38 comp · 33.3%
Largest physician practices in Hawaii
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| West Hawaii Community Health Center West Hawaii Community Health Center Health and Welfare PlanAll plans | Kailua Kona | Fully insured | 445 | $4.7M | Hawaii Medical Service Association |
| The Maui Medical Group, Inc The Maui Medical Group, Inc. (Health Hmsa)All plans | Wailuku | Fully insured | 253 | $2.8M | University Health Alliance |
| Community Clinic of Maui, Inc. Dba Malama I Ke Ola Health Center Community Clinic of Maui, Inc. Dba Malama I Ke Ola Health Center ERISA Welfare Benefit Wraparound PlanAll plans | Wailuku | Fully insured | 168 | $1.6M | University Health Alliance |
| Sorbella Guillermo, MD., Inc Sorbella Guillermo, MD., Inc. 401(k) PlanAll plans | Waipahu | Self-funded | 13 | - | - |
| Jeffrey J.K. Lee, M.D., Inc Jeffrey J.K. Lee, M.D., Inc. Defined Benefit Pension PlanAll plans | Honolulu | Self-funded | 10 | - | - |
| David Y. Nakamura, M.D., Inc David Y. Nakamura, M.D., Inc. Profit Sharing PlanAll plans | Hilo | Self-funded | 9 | - | - |
| Jinichi Tokeshi, M.D., Inc Jinichi Tokeshi, M.D., Inc. Profit Sharing Plan (002)All plans | Honolulu | Fully insured | 8 | - | Wilco Life Insurance Company |
| Pediatrics Associates, Inc Pediatrics Associates, Inc. 401(k) Profit Sharing PlanAll plans | Honolulu | Self-funded | 7 | - | - |
| Aesthetics Hawaii LLC Aesthetics Hawaii LLC 401(k) Retirement Savings PlanAll plans | Honolulu | Self-funded | 5 | - | - |
| Julie-Ann Lee-Horita, MD, LLC Julie-Ann Lee-Horita, MD, LLC 401(k) PlanAll plans | Aiea | Self-funded | 4 | - | - |
| Michael R. Savona, M.D., a Sole Proprietorship Michael R. Savona, M.D., a Sole Proprietorship, Profit Sharing PlanAll plans | Kula | Fully insured | 3 | $5K | Northwestern Mutual |
| Oahu Kidney Care LLC Oahu Kidney Care LLC 401(k) PlanAll plans | Honolulu | Self-funded | 3 | - | - |
Showing 12 of 12 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Hawaii
Frequently asked questions
How many physician practices in Hawaii offer an ERISA health plan?
14 health and welfare plans from 12 physician practices in Hawaii appear in plan year 2024 to 2025 filings on Form 5500, covering 1,412 participants. Plans with fewer than 100 participants that are fully insured do not have to file, so small practices are under-counted.
Which insurance carriers cover the most physician practices in Hawaii?
By Schedule A premium: Hawaii Medical Service Association (62% of premium, 4 plans), University Health Alliance (25% of premium, 3 plans) and Kaiser Foundation Health Plan, Inc (7% of premium, 1 plan).
Which benefits brokers work with physician practices in Hawaii?
By number of client plans: Atlas Insurance Agency, Inc (1 plan), Mercer Health & Benefits LLC (1 plan) and Steven Markham (1 plan). 21% of plans report a broker.
How much do brokers earn on physician practices health plans in Hawaii?
The median brokered plan reports $68K a year in broker commissions and fees, or 4.2% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Hawaii self-funded or fully insured?
Fully insured 50% and self-funded 50%. Self-funded and mixed plans together make up 50%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Offices of physicians (NAICS 621111) and of mental health physicians (621112).
Prospect physician practices in Hawaii
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Physicians in nearby states
Other healthcare specialties in Hawaii
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Offices of physicians (NAICS 621111) and of mental health physicians (621112). Location is the sponsor's filing address in Hawaii.