| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY, CO. | 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 10.01% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER | PO BOX 6118 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $930 | $0 | $930 | 18.72% |
| BH PREFERRED LLC3 | 1900 CHURCH STREET SUITE 402 NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $243 | $195 | $438 | 8.82% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $243 | $0 | $243 | 4.89% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $482 | $0 | $482 | 9.99% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $241 | $241 | 5.00% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER | PO BOX 6118 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $607 | $0 | $607 | 22.37% |
| BH PREFERRED LLC3 | 1900 CHURCH STREET SUITE 402 NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $136 | $109 | $245 | 9.03% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $136 | $136 | 5.01% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER | PO BOX 6118 5912 LINGLESTOWN PA HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $93 | $0 | $93 | 15.00% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $31 | $31 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPITAL BLUE CROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $96K |
| COLONIAL PARK REALTY COMPANY BROKER | Insurance agents and brokers Service code 22 | 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | $13K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $13K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $3K |
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 | 44 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 45 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 77 | $20K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 44 | $3K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $5K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $5K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $5K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 45 | $137K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 77 | — |
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."
No prospect flags tripped on this filing.