| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOB WEBB INSURANCE INC3 | 572 CARLISLE ST HANOVER, PA 17331 | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 9.09% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON RD, STE 100 YORK, PA 17402 | UNITED CONCORDIA INSURANCE COMPANY | -$28 | -$6 | -$34 | -0.13% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: BOB WEBB INSRUANCE INC | 572 CARLISLE ST PO BOX 67 HANOVER, PA 17331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON RD, STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 4.88% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $447 | $447 | 2.17% |
| BOB WEBB INSURANCE INC3 | 572 CARLISLE ST PO BOX 67 HANOVER, PA 17331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON DR, STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $650 | $650 | 5.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $289 | $289 | 2.26% |
| BOB WEBB INSURANCE INC3 | 572 CARLISLE ST PO BOC 67 HANOVER, PA 17331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON RD, STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $620 | $620 | 5.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $276 | $276 | 2.34% |
| BOB WEBB INSURANCE INC3 | 572 CARLISLE ST PO BOX 67 HANOVER, PA 17331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $599 | $0 | $599 | 9.99% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON RD, STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $484 | $484 | 8.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $215 | $215 | 3.59% |
| WEBB INSURANCE3 | 572 CARLISLE STREET HANOVER, PA 17331 | VISION BENEFITS OF AMERICA | $364 | $0 | $364 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $52K |
| WEBB INSURANCE, INC. EIN 23-2962885 BROKER | Insurance agents and brokers Service code 22 | — | $17K |
| REVIVEHEALTH, INC. EIN 86-1279290 OTHER | Other services Service code 49 | — | $9K |
| E. K. MCCONKEY & CO., INC. EIN 23-3086396 BROKER | Insurance agents and brokers Service code 22 | — | -$210 |
| CAPITAL BLUECROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | -$17K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 74 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 74 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 93 | $26K |
| Vision | VISION BENEFITS OF AMERICA | 60 | $4K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 74 | $18K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 65 | $21K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 65 | $13K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | CRUM & FORSTER | 56 | $270K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 74 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 93 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.