Form 5500 · Employee benefit plan · HONOLULU, HI
HAWAII CARPENTERS HEALTH & WELFARE FUND
The filing calls this plan HAWAII CARPENTERS HEALTH AND WELFARE FUND.
HAWAII CARPENTERS HEALTH & WELFARE FUND of HONOLULU, HI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MILLIMAN AGENCY, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF HAWAII and 3 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-6014752 · plan 501 · plan year 2025, filed Jun 10, 2026
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6 other employer plans in Hawaii have policy years ending in August. 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
Benefits declared on this filing
Dental: HAWAII DENTAL SERVICE covers 269 of 4,169 participants (6.5%) on Schedule A.
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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 5 insured contracts covering health, dental, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF HAWAII, covers 2,250 people.
The filing declares health, dental, life, disability and vision. Vision appears 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 the contract here that does not say what it covers.
Reported premium across the insured contracts is $14,001,863, with $32,479 in disclosed broker commissions — about 0.2% of premium.
The health contract's policy period ended in August, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
MILLIMAN AGENCY, INC. is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HUMANA INSURANCE COMPANY | — | 262 | Jan 1, 2025 | $288,739 | $32,479 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII | Health | 2,250 | Sep 1, 2025 | $12,063,141 | $0 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | Disability | 4,016 | Sep 1, 2025 | $1,065,394 | $0 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | Life | 4,057 | Sep 1, 2025 | $473,616 | $0 |
| HAWAII DENTAL SERVICE | Dental | 269 | Sep 1, 2025 | $110,973 | $0 |
Premium and claims on these contracts
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD., contract TDI-7450. For the contract year on this filing, the carrier reported $1,065,394 in premium earned and $963,783 in claims incurred. Dividing one by the other gives 90%.
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD., contract 21350. For the contract year on this filing, the carrier reported $473,616 in premium earned and $630,000 in claims incurred. Dividing one by the other gives 133%.
- PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD., contract TDI-7450 reported $117,193 in retention.
- PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD., contract 21350 reported $42,625 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
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Renewal calendar
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