Form 5500 · Employee benefit plan · HONOLULU, HI
SERVCO PACIFIC INC.
The filing calls this plan SERVCO PACIFIC INC. - EMPLOYEE BENEFITS PROGRAM.
SERVCO PACIFIC INC. of HONOLULU, HI spreads its employee benefits across 7 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through HAWAII MEDICAL SERVICE ASSOCIATION and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0057870 · plan 503 · plan year 2024, filed Oct 7, 2025
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217 other employer plans in Hawaii have policy years ending in December. 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
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.
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 15 insured contracts covering health, dental, vision, life and disability; the largest, with HAWAII MEDICAL SERVICE ASSOCIATION, covers 941 people.
Reported premium across the insured contracts is $15,581,347, with $34,118 in disclosed broker commissions — about 0.2% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 3 of the 15 contracts; the rest name a different broker or none.
7 carriers appear on the filing, including HAWAII MEDICAL SERVICE ASSOCIATION, KAISER FOUNDATION HEALTH PLAN, INC., HAWAII DENTAL SERVICE and STANDARD INSURANCE COMPANY. HAWAII MEDICAL SERVICE ASSOCIATION writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life | 644 | Jan 1, 2025 | $524,204 | $15,715 |
| STANDARD INSURANCE COMPANY | — | 197 | Jan 1, 2025 | $138,729 | $6,051 |
| STANDARD INSURANCE COMPANY | Disability | 638 | Jan 1, 2025 | $192,193 | $5,766 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 19 | Jan 1, 2025 | $24,159 | $5,731 |
| STANDARD INSURANCE COMPANY | Disability | 86 | Jan 1, 2025 | $28,504 | $855 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Vision | 941 | Jan 1, 2025 | $7,489,086 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Vision | 383 | Jan 1, 2025 | $3,490,052 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health, Vision | 326 | Jan 1, 2025 | $1,689,039 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Vision | 156 | Jan 1, 2025 | $966,832 | $0 |
| HAWAII DENTAL SERVICE | Dental | 1,384 | Jan 1, 2025 | $537,207 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Vision | 37 | Jan 1, 2025 | $286,085 | $0 |
| HAWAII DENTAL SERVICE | Dental | 493 | Jan 1, 2025 | $174,391 | $0 |
| EMPLOYEE ASSISTANCE OF THE PACIFIC, LLC | — | 1,100 | Jan 1, 2025 | $21,725 | $0 |
| HAWAII DENTAL SERVICE | Dental | 37 | Jan 1, 2025 | $13,498 | $0 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | 49 | May 11, 2024 | $5,643 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 170572. For the contract year on this filing, the carrier reported $387,676 in premium earned and $715,800 in claims incurred. Dividing one by the other gives 185%.
STANDARD INSURANCE COMPANY, contract 170572. For the contract year on this filing, the carrier reported $139,624 in premium earned and $9,558 in claims incurred. Dividing one by the other gives 7%.
STANDARD INSURANCE COMPANY, contract 170572. For the contract year on this filing, the carrier reported $23,241 in premium earned and $19,018 in claims incurred. Dividing one by the other gives 82%.
HAWAII DENTAL SERVICE, contract 198. For the contract year on this filing, the carrier reported $537,207 in premium earned and $484,187 in claims incurred. Dividing one by the other gives 90%.
HAWAII DENTAL SERVICE, contract 906. For the contract year on this filing, the carrier reported $174,391 in premium earned and $108,537 in claims incurred. Dividing one by the other gives 62%.
HAWAII DENTAL SERVICE, contract 2587. For the contract year on this filing, the carrier reported $13,498 in premium earned and $8,979 in claims incurred. Dividing one by the other gives 67%.
- STANDARD INSURANCE COMPANY, contract 170572 reported $117,317 in retention.
- STANDARD INSURANCE COMPANY, contract 170572 reported $130,067 in retention.
- STANDARD INSURANCE COMPANY, contract 170572 reported $10,945 in retention.
- HAWAII DENTAL SERVICE, contract 198 reported $75,209 in retention.
- HAWAII DENTAL SERVICE, contract 906 reported $24,415 in retention.
- HAWAII DENTAL SERVICE, contract 2587 reported $1,890 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. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 81 employees, 4 recordable cases, 59 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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