Form 5500 · Employee benefit plan · HONOLULU, HI
HI-SIC, INC.
HI-SIC, INC. of HONOLULU, HI insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is TIMA-HIU TAMZEN. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF HAWAII and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0313967 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision and life; the largest, with KAISER FOUNDATION HEALTH PLAN OF HAWAII, covers 512 people.
Reported premium across the insured contracts is $7,093,720, with $4,361 in disclosed broker commissions — about 0.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
TIMA-HIU TAMZEN is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN OF HAWAII, HAWAII DENTAL SERVICE, USABLE LIFE and HAWAII MEDICAL SERVICE ASSOCIATION — with KAISER FOUNDATION HEALTH PLAN OF HAWAII writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| USABLE LIFE | Life | 118 | December | $118,021 | $3,125 |
| HAWAII DENTAL SERVICE | Dental | 1,521 | December | $2,695,353 | $1,236 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Vision | 89 | December | $89,124 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII | Health, Vision | 512 | December | $4,191,222 | $0 |
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