Honolulu, Hawaii employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
142 employers in Honolulu, Hawaii filed health plans with 100 or more participants for plan year 2024, covering 159,026 participants. They reported $192M in insurance premiums and $11M in broker commissions and fees. Against 2023, premiums were up 2.5% and broker pay rose 7.2%.
Funding: 40 fully insured · 6 self-funded · 96 mixed. 102 of 142 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Honolulu
Honolulu employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Altres Global Business Services, Inc. | $38,336,562 | $113,805 | 7,222 | Richard Kersten |
| Board of Trustees of Hawaii Teamsters Health & Welfare Plan | $28,564,101 | $2,520 | 2,313 | Benefit Plan Solutions, Inc. |
| First Hawaiian Bank | $19,271,198 | $353,227 | 3,066 | First Hawaiian Bank |
| Bank of Hawaii | $14,886,515 | $101,541 | 1,377 | Mercer |
| Punahou School | $8,598,988 | $23,766 | 862 | Brown & Brown |
| Hawaii Sheet Metal Workers Health & Welfare Trust Fund | $6,405,889 | $29,455 | 812 | Segal |
| Painting Industry of Hawaii Health and Welfare Trust | $6,398,989 | $5,547 | 572 | Group Plan Administrators |
| Local 665 I.A.T.S.E. Health & Welfare Plan | $3,808,486 | $59,133 | 438 | Benefit Plan Solutions |
| Prince Resorts Hawaii, Inc. | $3,683,021 | $149,852 | 1,306 | Noguchi & Associates Inc. |
| Hawaiiusa Federal Credit Union | $3,511,979 | $141,434 | 372 | Advantage Insurance Services, Inc |
| Associa Hawaii & dba Aa Oceanfront Rentals Health & Welfare Plans | $3,507,971 | $121,776 | 190 | Mercer |
| Board of Trustees of Hawaii Tapers Health and Welfare Plan | $3,400,862 | — | 295 | Benefit & Risk Management Services |
| Board of Trustees of ILWU Local 142 General Health & Welfare | $3,354,921 | — | 564 | — |
| Arcadia Retirement Residence | $2,577,554 | $170,021 | 525 | Mercer |
| Alohacare | $2,294,967 | $19,054 | 274 | Atlas Insurance Agency, Inc. |
| Carpet Linoleum and Soft Tile Local Union 1926 Health and Welfar | $2,147,619 | $5,470 | 188 | Benefit & Risk Management Services |
| Hawaiian Electric Industries, Inc. | $2,126,885 | $145,599 | 2,695 | Brown & Brown |
| Kamehameha Schools | $1,860,000 | $148,785 | 2,452 | Mercer |
| Territorial Savings Bank | $1,751,716 | $89,178 | 256 | Brown & Brown |
| MJC Inc. | $1,734,243 | $49,970 | 270 | Hogan Consulting Group, LLC |
| Hawaiiana Group Incorporated | $1,547,948 | — | 220 | — |
| JTB Hawaii Inc | $1,547,731 | $65,491 | 201 | Mercer |
| Hawaii Carpenters Health & Welfare Fund | $1,539,010 | $32,479 | 4,169 | Milliman Agency, Inc. |
| Oahu Waste Maui Waste | $1,503,051 | $138,698 | 562 | Employee Benefits Resource, Inc. |
| Foodland Super Market, LTD | $1,405,161 | $361,433 | 3,174 | Mercer |
Source: DOL Form 5500 Schedule A, plan year 2024; employers are grouped by the sponsor's mailing city as filed. Self-funded employers show only stop-loss and ancillary premium.
Who gets paid
Commissions and fees reported by Honolulu employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $1,731,825 | 28 |
| Atlas Insurance Agency, Inc. | $1,075,311 | 29 |
| Brown & Brown | $930,533 | 21 |
| BTP Health LLC | $546,657 | 3 |
| Advantage Benefits Group, Inc. | $523,407 | 8 |
| Gallagher | $431,296 | 3 |
| Willis Towers Watson | $378,603 | 4 |
| Compass Consulting Group LLC | $357,642 | 1 |
| Aon | $341,682 | 6 |
| Strategic Non-Medical Solution | $282,985 | 10 |
Largest medical carriers
Medical premium written for these employers.
Honolulu against Hawaii and the U.S.
Medians over the same definitions on every BenefitsLedger page: commission rate on commission-paying, fully insured medical plans; broker pay per employer that disclosed any; medical premium per covered person.
| Honolulu | Hawaii | United States | |
|---|---|---|---|
| Employer plans | 142 | 202 | 58,547 |
| Median commission rate | n/a | 2.0% | 3.8% |
| Middle half of rates | n/a | 1.3% – 2.6% | 2.7% – 5.0% |
| Median broker pay per employer | $54,548 | $45,338 | $72,628 |
| Medical premium per covered person | $6,370 | $6,331 | $7,274 |
| Plans reporting no commission | 10 | 13 | 933 |
Year over year. In plan year 2023, 152 Honolulu employers reported $188M in premiums and $10.0M in broker pay for 164,631 participants; in 2024 it was $192M and $11M for 159,026 participants (premiums +2.5%, broker pay +7.2%).
Source: DOL Form 5500 and Schedule A, plan years 2024 and 2023, employer health plans with 100 or more participants; built October 24, 2026. Medians need at least 10 rated plans to be shown for a city. Methodology.
How much do Honolulu employers pay health insurance brokers?
142 Honolulu employers reported $10,694,609 in broker commissions and fees on their 2024 Form 5500 filings, 126 of them disclosing at least some compensation. Too few fully insured medical plans in Honolulu reported premium to compute a stable commission rate; the Hawaii median is 2.0% and the U.S. median is 3.8%. In dollars, the median Honolulu employer that disclosed broker pay reported $54,548.
Which Honolulu employers have the largest health plans?
By insurance premium reported for 2024, Altres Global Business Services, Inc. ($38M), Board of Trustees of Hawaii Teamsters Health & Welfare Plan ($29M), First Hawaiian Bank ($19M) lead. 25 Honolulu employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Honolulu?
By compensation reported by Honolulu employers, the largest brokers are Mercer ($1.7M, 28 plans), Atlas Insurance Agency, Inc. ($1.1M, 29 plans), Brown & Brown ($930,533, 21 plans). By medical premium, the largest carriers are University Health Alliance, Hawaii Medical Service Association, HMSA.
Are Honolulu employer health plans self-funded or fully insured?
Of 142 Honolulu employer plans, 40 are fully insured, 6 are self-funded and 96 mix insured and self-funded coverage. Self-funded plans report only stop-loss and ancillary contracts on Schedule A, so their premium and broker pay understate total spend.
Is your company on this page? Get its Form 5500 read next to the Honolulu, Hawaii medians.
Tell us the company and a specialist writes up what the public Form 5500 record shows for it, if it files one: broker pay against the medians above, fee disclosure and filing timeliness, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.
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