Form 5500 · Employee benefit plan · HONOLULU, HI
HALEKULANI CORPORATION
The filing calls this plan HEALTH AND WELFARE PLAN FOR HALEKULANI CORPORATION.
HALEKULANI CORPORATION of HONOLULU, HI is a 776-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ATLAS INSURANCE AGENCY, INC.. Coverage is written through HAWAII MEDICAL SERVICE ASSOCIATION and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0202926 · plan 501 · plan year 2025, filed Dec 22, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
53 other employer plans in Hawaii have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 6 insured contracts covering health, life and disability; the largest, with HAWAII MEDICAL SERVICE ASSOCIATION, covers 1,356 people.
The filing declares health, life, disability, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.
Reported premium across the insured contracts is $7,969,512, with $14,846 in disclosed broker commissions — about 0.2% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
ATLAS INSURANCE AGENCY, INC. is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 746 | Jul 1, 2025 | $61,339 | $9,201 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 111 | Jul 1, 2025 | $32,603 | $3,260 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 759 | Jul 1, 2025 | $12,949 | $1,942 |
| EMPLOYEE ASSISTANCE OF THE PACIFIC, LLC | — | 826 | Jul 1, 2025 | $16,520 | $330 |
| HARTFORD LIFE AND ACCIDENT | — | 685 | Jul 1, 2025 | $750 | $113 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 1,356 | Jul 1, 2025 | $7,845,351 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
53 other employer plans in Hawaii are July 1 renewals (policy year ends June).
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