Skilled nursing and residential care facilities in Hawaii
PlanOptica tracks 15 health and welfare plans sponsored by 12 skilled nursing and residential care facilities in Hawaii, covering 4,044 participants and $20M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 209 participants, and the most common size is 100 to 249 participants (40% of plans). Fully insured coverage is the norm (73% of plans); only 27% are self-funded or mixed.
Kaiser Foundation Health Plan of Hawaii leads by premium with a 39% share, followed by Hawaii Medical Service Association at 31%. Ae & Associates is the broker of record on 3 plans, more than any other firm, ahead of Brown & Brown Pacific Insurance Svc (3). 93% of plans report broker compensation on Schedule A; the median brokered plan pays $11K a year, about 3.3% of premium. Hilo, Honolulu and Kaneohe have the most plans.
Funding mix
- Fully insured11 · 73%
- Mixed3 · 20%
- Self-funded1 · 7%
Plan size (participants)
- Under 1003 · 20%
- 100 to 2496 · 40%
- 250 to 4994 · 27%
- 500 to 9992 · 13%
- 1,000 or more0 · 0%
Median plan: 209 participants. Median broker comp: 3.3% of premium across 14 brokered plans.
Top carriers, skilled nursing, Hawaii
- 1Kaiser Foundation Health Plan of Hawaii$7.6M8 plans · 38.5%
- 2Hawaii Medical Service Association$6.0M10 plans · 30.6%
- 3University Health Alliance$4.4M3 plans · 22.5%
- 4Anthem Insurances Companies, Inc$1.2M1 plans · 6.0%
- 5Unum Life Insurance Company of America$160K2 plans · 0.8%
- 6Reliance Standard Life Insurance Company$104K3 plans · 0.5%
- 7Usable Life$99K2 plans · 0.5%
- 8Pacific Guardian Life$23K3 plans · 0.1%
- 9Aflac$13K1 plans · 0.1%
- 10Employee Assistance of the Pacific$9K2 plans · 0.0%
Top brokers, skilled nursing, Hawaii
- 1Ae & Associates3 plans$61K comp · 21.4%
- 2Brown & Brown Pacific Insurance Svc3 plans$18K comp · 21.4%
- 3Atlas Insurance Agency, Inc3 plans$17K comp · 21.4%
- 4Mercer Health and Benefits, LLC1 plans$168K comp · 7.1%
- 5Group Benefits Ltd1 plans$60K comp · 7.1%
- 6Willis Towers Watson West Ins Svcs1 plans$47K comp · 7.1%
- 7PSH Insurance, Inc1 plans$31K comp · 7.1%
- 8Gallagher Benefit Services Inc1 plans$2K comp · 7.1%
- 9Usi Insurance Services, LLC1 plans$2K comp · 7.1%
- 10Victorine Becki-Lin1 plans$730 comp · 7.1%
Largest skilled nursing and residential care facilities in Hawaii
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Hilo Medical Investors, Ltd. Dba Life Care Center of Hilo and Medical Benefits Plan for the Employees of Hilo Medical Investors, LtdAll plans | Hilo | Fully insured | 683 | $780K | Hawaii Medical Service Association |
| Arcadia Retirement Residence Arcadia Retirement ResidenceAll plans | Honolulu | Fully insured | 524 | $4.9M | University Health Alliance |
| Hale Makua Health Services Hale Makua Health Services Employee Benefit PlanAll plans | Kahului | Mixed | 451 | $3.6M | Kaiser Foundation Health Plan Inc |
| Pacific Healthcare Group LLC Pacific Healthcare Group Health & Welfare BenefitsAll plans | Pearl City | Fully insured | 352 | $3.2M | Hawaii Medical Service Association |
| Kahala Senior Living Community, Inc Kahala Senior Living Community, Inc. Welfare Benefits PlanAll plans | Honolulu | Mixed | 344 | $2.4M | University Health Alliance |
| Ohana Pacific Management Company, Inc Villas Health & Welfare PlanAll plans | Kaneohe | Fully insured | 248 | $77K | Hawaii Medical Service Association |
| Oahu Healthcare, LLC Hmsa Medical Plan for the Employees of Oahu Healthcare, LLCAll plans | Kapolei | Mixed | 192 | $1.2M | Hawaii Medical Service Association |
| Ohana Pacific Management Company Inc Ohana Pacific Management Co Health & Welfare PlanAll plans | Kaneohe | Fully insured | 142 | $44K | Hawaii Medical Service Association |
| Island Paradise Investments, LP Kalakaua Gardens Kalakaua Gardens Health & Welfare Benefits PlanAll plans | Honolulu | Fully insured | 140 | $1.1M | Hawaii Medical Service Association |
| Hilo, SNF, LLC Legacy Hilo Health & Welfare PlanAll plans | Kaneohe | Fully insured | 102 | $37K | Hawaii Medical Service Association |
| Glenburn Homes Glenburn Homes Employee Benefit PlanAll plans | Linton | Fully insured | 96 | $1.2M | Anthem Life Insurance Company |
| Hale Mahaolu Hale Mahaolu Health and Welfare Benefits PlanAll plans | Kahului | Fully insured | 96 | $1.1M | Kaiser Foundation Health Plan Inc |
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 skilled nursing and residential care facilities in Hawaii offer an ERISA health plan?
15 health and welfare plans from 12 skilled nursing and residential care facilities in Hawaii appear in plan year 2024 to 2025 filings on Form 5500, covering 4,044 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 skilled nursing and residential care facilities in Hawaii?
By Schedule A premium: Kaiser Foundation Health Plan of Hawaii (39% of premium, 8 plans), Hawaii Medical Service Association (31% of premium, 10 plans) and University Health Alliance (23% of premium, 3 plans).
Which benefits brokers work with skilled nursing and residential care facilities in Hawaii?
By number of client plans: Ae & Associates (3 plans), Brown & Brown Pacific Insurance Svc (3 plans) and Atlas Insurance Agency, Inc (3 plans). 93% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in Hawaii?
The median brokered plan reports $11K a year in broker commissions and fees, or 3.3% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in Hawaii self-funded or fully insured?
Fully insured 73%, mixed 20% and self-funded 7%. Self-funded and mixed plans together make up 27%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care.
Prospect skilled nursing and residential care facilities in Hawaii
Open the welfare search with Hawaii and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Skilled nursing 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). Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care. Location is the sponsor's filing address in Hawaii.