Form 5500 · Employee benefit plan · HONOLULU, HI
MACFARMS, LLC
The filing calls this plan HEALTH PLAN FOR THE EMPLOYEES OF MACFARMS OF HAWAII.
MACFARMS, LLC of HONOLULU, HI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through HAWAII MEDICAL ASSURANCE ASSOCIATION and 3 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-3007910 · plan 501 · plan year 2023, filed Aug 23, 2024
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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
Also declared: 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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 8 insured contracts covering health, dental, vision and life; the largest, with HAWAII MEDICAL ASSURANCE ASSOCIATION, covers 159 people.
Reported premium across the insured contracts is $2,121,635, with $65,410 in disclosed broker commissions — about 3.1% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in March. The plan is on a split renewal cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 6 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including HAWAII MEDICAL ASSURANCE ASSOCIATION, HAWAII DENTAL SERVICE, HAWAII DENTAL SERVICES and RELIANCE STANDARD LIFE INSURANCE COMPANY. HAWAII MEDICAL ASSURANCE ASSOCIATION writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health, Vision | 159 | Feb 1, 2023 | $1,119,852 | $33,569 |
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health, Vision | 137 | Jan 1, 2024 | $888,686 | $26,638 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 140 | Apr 1, 2023 | $22,404 | $2,241 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 148 | Jan 1, 2024 | $14,840 | $1,484 |
| HAWAII DENTAL SERVICE | Dental | 174 | Feb 1, 2023 | $45,919 | $868 |
| HAWAII DENTAL SERVICES | Dental | 147 | Jan 1, 2024 | $29,495 | $567 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 7 | Apr 1, 2023 | $251 | $25 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 7 | Jan 1, 2024 | $188 | $18 |
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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