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Form 5500 · Employee benefit plan · HONOLULU, HI

WAIALAE COUNTRY CLUB

WAIALAE COUNTRY CLUB of HONOLULU, HI spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is EMPLOYEE BEENFIT CONSULTING. Coverage is written through HAWAII MEDICAL SERVICE ASSOCIATION and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0057829 · plan 501 · as of Aug 2026

Participants
125
Carriers on file
5
Disclosed commissions
$11,278
Renewal month
December

Plan brief

Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with HAWAII MEDICAL SERVICE ASSOCIATION, covers 160 people.

Reported premium across the insured contracts is $1,501,182, with $11,278 in disclosed broker commissions — about 0.8% 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.

EMPLOYEE BEENFIT CONSULTING is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.

4 carriers appear on the filing — HAWAII MEDICAL SERVICE ASSOCIATION, KAISER FOUNDATION HEALTH PLAN, HAWAII DENTAL SERVICE and STANDARD INSURANCE COMPANY — with HAWAII MEDICAL SERVICE ASSOCIATION writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLANHealth, Vision21December$131,392$4,599
STANDARD INSURANCE COMPANYLife110December$43,931$2,789
STANDARD INSURANCE COMPANYDisability110December$19,899$1,990
HAWAII DENTAL SERVICEDental198December$76,351$1,900
HAWAII MEDICAL SERVICE ASSOCIATIONHealth, Vision160December$1,229,609$0

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