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HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 401k Plan overview

Plan NameHEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION
Plan identification number 503

HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

HAWAII MEDICAL SERVICE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:HAWAII MEDICAL SERVICE ASSOCIATION
Employer identification number (EIN):990040115
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01JANNA NAKAGAWA
5032016-01-01JANNA NAKAGAWA
5032015-01-01JANNA NAKAGAWA
5032014-01-01JANNA NAKAGAWA
5032013-01-01JANNA NAKAGAWA
5032012-01-01JANNA NAKAGAWA
5032011-01-01JANNA NAKAGAWA
5032010-01-01JANNA NAKAGAWA
5032009-01-01JANNA NAKAGAWA
5032009-01-01 JANNA NAKAGAWA2010-10-12

Plan Statistics for HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION

401k plan membership statisitcs for HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION

Measure Date Value
2023: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2023 401k membership
Total participants, beginning-of-year2023-01-011,235
Total number of active participants reported on line 7a of the Form 55002023-01-011,235
Number of retired or separated participants receiving benefits2023-01-014
Total of all active and inactive participants2023-01-011,239
2022: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2022 401k membership
Total participants, beginning-of-year2022-01-011,509
Total number of active participants reported on line 7a of the Form 55002022-01-011,218
Number of retired or separated participants receiving benefits2022-01-0110
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,228
2021: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2021 401k membership
Total participants, beginning-of-year2021-01-011,689
Total number of active participants reported on line 7a of the Form 55002021-01-011,535
Number of retired or separated participants receiving benefits2021-01-0113
Total of all active and inactive participants2021-01-011,548
Total participants2021-01-011,548
2020: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2020 401k membership
Total participants, beginning-of-year2020-01-011,766
Total number of active participants reported on line 7a of the Form 55002020-01-011,704
Number of retired or separated participants receiving benefits2020-01-018
Total of all active and inactive participants2020-01-011,712
Total participants2020-01-011,712
2019: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2019 401k membership
Total participants, beginning-of-year2019-01-011,806
Total number of active participants reported on line 7a of the Form 55002019-01-011,747
Number of retired or separated participants receiving benefits2019-01-0110
Total of all active and inactive participants2019-01-011,757
Total participants2019-01-011,757
2018: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2018 401k membership
Total participants, beginning-of-year2018-01-012,030
Total number of active participants reported on line 7a of the Form 55002018-01-012,005
Number of retired or separated participants receiving benefits2018-01-0116
Total of all active and inactive participants2018-01-012,021
Total participants2018-01-012,021
2017: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2017 401k membership
Total participants, beginning-of-year2017-01-011,744
Total number of active participants reported on line 7a of the Form 55002017-01-011,801
Number of retired or separated participants receiving benefits2017-01-0110
Total of all active and inactive participants2017-01-011,811
Total participants2017-01-011,811
2016: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2016 401k membership
Total participants, beginning-of-year2016-01-011,741
Total number of active participants reported on line 7a of the Form 55002016-01-011,718
Number of retired or separated participants receiving benefits2016-01-019
Total of all active and inactive participants2016-01-011,727
Total participants2016-01-011,727
2015: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-01-011,589
Total number of active participants reported on line 7a of the Form 55002015-01-011,727
Number of retired or separated participants receiving benefits2015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,740
2014: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-01-011,636
Total number of active participants reported on line 7a of the Form 55002014-01-011,548
Number of retired or separated participants receiving benefits2014-01-0119
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,567
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,567
2013: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-01-011,402
Total number of active participants reported on line 7a of the Form 55002013-01-011,381
Number of retired or separated participants receiving benefits2013-01-0127
Total of all active and inactive participants2013-01-011,408
Total participants2013-01-011,408
2012: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-01-011,377
Total number of active participants reported on line 7a of the Form 55002012-01-011,393
Number of retired or separated participants receiving benefits2012-01-0120
Total of all active and inactive participants2012-01-011,413
Total participants2012-01-011,413
2011: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-01-011,648
Total number of active participants reported on line 7a of the Form 55002011-01-011,385
Number of retired or separated participants receiving benefits2011-01-0117
Total of all active and inactive participants2011-01-011,402
Total participants2011-01-011,402
2010: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-01-011,678
Total number of active participants reported on line 7a of the Form 55002010-01-011,628
Number of retired or separated participants receiving benefits2010-01-0116
Total of all active and inactive participants2010-01-011,644
Total participants2010-01-011,644
2009: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-01-011,747
Total number of active participants reported on line 7a of the Form 55002009-01-011,681
Number of retired or separated participants receiving benefits2009-01-0120
Total of all active and inactive participants2009-01-011,701
Total participants2009-01-011,701

Form 5500 Responses for HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION

2023: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HEALTH PLAN FOR EMPLOYEES OF HAWAII MEDICAL SERVICE ASSOCIATION 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number13480
Policy instance 1
Insurance contract or identification number13480
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSIST
Welfare Benefit Premiums Paid to CarrierUSD $3,287,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number13480
Policy instance 1
Insurance contract or identification number13480
Number of Individuals Covered1228
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSIST
Welfare Benefit Premiums Paid to CarrierUSD $3,442,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number13480
Policy instance 1
Insurance contract or identification number13480
Number of Individuals Covered1548
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,362,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1765
Policy instance 1
Insurance contract or identification number1765
Number of Individuals Covered1712
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,508,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1765
Policy instance 1
Insurance contract or identification number1765
Number of Individuals Covered1757
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $22,855,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1765
Policy instance 1
Insurance contract or identification number1765
Number of Individuals Covered2021
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $21,529,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number1765
Policy instance 1
Insurance contract or identification number1765
Number of Individuals Covered1811
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,547,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1740
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,365,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1567
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,978,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1408
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,302,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1413
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $13,243,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1402
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $13,442,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number01765
Policy instance 1
Insurance contract or identification number01765
Number of Individuals Covered1644
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLEMENTARY CARE, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $13,445,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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