Form 5500 · Employee benefit plan · HONOLULU, HI
SMALL BUSINESS CHAMBER OF COMMERCE HAWAII
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 GAVIN TOMA. 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 507 · as of Aug 2026
Plan brief
Schedule A lists 1 insured contract covering health, dental, vision and life; the largest, with HAWAII MEDICAL ASSURANCE ASSOCIATION, covers 86 people.
Reported premium across the insured contracts is $864,617, with $21,975 in disclosed broker commissions — about 2.5% 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.
At 79 participants this is a small group; Form 5500 is required once a welfare plan reaches 100 participants, or when it is funded through insurance contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health, Dental, Vision, Life | 86 | December | $864,617 | $21,975 |
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