Form 5500 · Employee benefit plan · HONOLULU, HI
MENTAL HEALTH KOKUA
Public Form 5500 records show how MENTAL HEALTH KOKUA of HONOLULU, HI, a health care and social assistance employer, structures its employee benefits. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through UNIVERSITY HEALTH ALLIANCE and 5 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0154505 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with UNIVERSITY HEALTH ALLIANCE, covers 69 people.
Reported premium across the insured contracts is $1,215,644, with $69,147 in disclosed broker commissions — about 5.7% 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.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing — UNIVERSITY HEALTH ALLIANCE, KAISER FOUNDATION HEALTH PLAN, INC., AFLAC and HAWAII DENTAL SERVICE among them — with UNIVERSITY HEALTH ALLIANCE writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNIVERSITY HEALTH ALLIANCE | Health, Vision | 69 | June | $612,810 | $30,641 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health, Vision | 48 | June | $446,621 | $15,670 |
| AFLAC | Health, Dental, Vision | 61 | June | $63,449 | $15,613 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 197 | June | $36,345 | $5,452 |
| HAWAII DENTAL SERVICE | Dental | 156 | June | $55,288 | $1,654 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 4 | June | $1,131 | $117 |
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