Form 5500 · Employee benefit plan · HONOLULU, HI
THE QUEEN'S HEALTH SYSTEMS
The filing calls this plan THE QUEEN'S HEALTH SYSTEMS HEALTH AND WELFARE PLAN.
THE QUEEN'S HEALTH SYSTEMS of HONOLULU, HI is a 10,160-participant health care and social assistance employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is GALLAGHER BENEFITS SERVICES INC.. Coverage is written through HAWAII DENTAL SERVICE and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0238120 · plan 501 · plan year 2025, filed Aug 6, 2026
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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
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: severance.
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 8 insured contracts covering dental, life, disability and stop-loss; the largest, with HAWAII DENTAL SERVICE, covers 14,578 people.
The filing declares dental, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $1,987,479 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $12,390,272, with $233,912 in disclosed broker commissions — about 1.9% 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 |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 9,969 | Jan 1, 2026 | $3,283,734 | $156,181 |
| HAWAII DENTAL SERVICE | Dental | 14,578 | Jan 1, 2026 | $5,792,506 | $70,278 |
| HAWAII DENTAL SERVICE | Dental | 1,081 | Jan 1, 2026 | $371,297 | $4,701 |
| HAWAII DENTAL SERVICE | Dental | 1,248 | Jan 1, 2026 | $544,709 | $2,752 |
| HM LIFE INSURANCE COMPANY | Stop-loss | 8,059 | Jan 1, 2026 | $1,987,479 | $0 |
| EMPLOYEE ASSISTANCE OF THE PACIFIC, LLC | — | 9,587 | Jan 1, 2026 | $168,927 | $0 |
| HARTFORD LIFE AND ACCIDENT | — | 11,575 | Jan 1, 2026 | $140,847 | $0 |
| HARTFORD LIFE AND ACCIDENT | — | 11,654 | Jan 1, 2026 | $100,773 | $0 |
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
217 other employer plans in Hawaii are January 1 renewals (policy year ends December).
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