| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE, HAMBRIGHT & DAVIES | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17605 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $15K | — | $15K | 2.23% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER-KUNKLE GROUP | 999 BERKSHIRE BLVD PO BOX 6243 READING, PA 19610 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $5K | — | $5K | 0.77% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE, HAMBRIGHT & DAVIES, INC. | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17605 | SECURITY LIFE INSURANCE COMPANY | $6K | — | $6K | 12.51% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE HAMBRIGHT AND DAVIES INC | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17605 | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | $1K | — | $1K | 2.75% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17605 | HIGHMARK LIFE INSURANCE COMPANY | $243 | — | $243 | 3.02% |
No Schedule C service providers reported on this filing.
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 | 110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 25 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 97 | $728K |
| Dental | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | 110 | $40K |
| Vision | HIGHMARK LIFE INSURANCE COMPANY | 72 | $8K |
| Life insurance(2 contracts, 2 carriers) | SECURITY LIFE INSURANCE COMPANY | 107 | $49K |
| Short-term disability(2 contracts, 2 carriers) | SECURITY LIFE INSURANCE COMPANY | 107 | $49K |
| Long-term disability(2 contracts, 2 carriers) | SECURITY LIFE INSURANCE COMPANY | 107 | $49K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 97 | $664K |
| Other(2 contracts, 2 carriers) | SECURITY LIFE INSURANCE COMPANY | 107 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 110 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.