Form 5500 · Employee benefit plan · HONOLULU, HI
SEVEN-ELEVEN HAWAII, INC.
SEVEN-ELEVEN HAWAII, INC. of HONOLULU, HI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN & BROWN INSURANCE SVCS,INC. Coverage is written through HAWAII MEDICAL SERVICE ASSOCIATION and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0275843 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental and vision; the largest, with HAWAII MEDICAL SERVICE ASSOCIATION, covers 679 people.
Reported premium across the insured contracts is $5,245,406, with $22,937 in disclosed broker commissions — about 0.4% 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.
BROWN & BROWN INSURANCE SVCS,INC 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 — HAWAII MEDICAL SERVICE ASSOCIATION, KAISER FOUNDATION HEALTH PLAN, INC., HAWAII DENTAL SERVICE and VISION SERVICE PLAN — with HAWAII MEDICAL SERVICE ASSOCIATION writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 58 | December | $559,505 | $18,222 |
| HAWAII DENTAL SERVICE | Dental | 591 | December | $184,348 | $2,875 |
| VISION SERVICE PLAN | Vision | 401 | December | $48,934 | $1,840 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 679 | December | $4,452,619 | $0 |
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