Form 5500 · Employee benefit plan · HONOLULU, HI
DON QUIJOTE USA CO., LTD.
DON QUIJOTE USA CO., LTD.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MST INSURANCE SOLUTIONS INC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF HAWAII and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0150807 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII | Health | 67 | March | $15,192 |
| HAWAII DENTAL SERVICE | Dental | 537 | March | $1,696 |
| HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | Health, Vision | 321 | March | $0 |
Questions
Who is DON QUIJOTE USA CO., LTD.'s benefits broker?
Per its most recent Form 5500 Schedule A, DON QUIJOTE USA CO., LTD.'s broker of record is MST INSURANCE SOLUTIONS INC.
What insurance carrier does DON QUIJOTE USA CO., LTD. use?
DON QUIJOTE USA CO., LTD.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF HAWAII, among 3 disclosed carriers.
When does DON QUIJOTE USA CO., LTD.'s group plan renew?
The most recent Schedule A policy period for DON QUIJOTE USA CO., LTD. ended in March. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DON QUIJOTE USA CO., LTD.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.