Form 5500 · Employee benefit plan · HONOLULU, HI
SMALL BUSINESS CHAMBER OF COMMERCE HAWAII
The filing calls this plan SBCOC TRUCKING & TRANSIT INDUSTRY HEALTH PLAN.
SMALL BUSINESS CHAMBER OF COMMERCE HAWAII of HONOLULU, HI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MANDI TAOKA. Coverage is written through HAWAII MEDICAL ASSURANCE ASSOCIATION. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 85-0859938 · plan 506 · plan year 2025, filed Jul 22, 2026
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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.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
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.
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 1 insured contract covering health, dental, vision and life; the largest, with HAWAII MEDICAL ASSURANCE ASSOCIATION, covers 119 people.
Reported premium across the insured contracts is $1,001,555, with $19,667 in disclosed broker commissions — about 2% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health, Dental, Vision, Life | 119 | Jan 1, 2026 | $1,001,555 | $19,667 |
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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