| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY, CO. | PO BOX 6118 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 6.58% |
| ASSUREDPARTNERS3 Filed as: GUNN MOWERY LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | UNITED CONCORDIA INSURANCE COMPANY | $1K | $0 | $1K | 4.33% |
| 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 | $879 | $24 | $903 | 10.18% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 NORTH 12 ST LEMONYE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $452 | $0 | $452 | 5.09% |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $293 | $0 | $293 | 3.30% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $293 | $293 | 3.30% |
| 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 | $301 | $12 | $313 | 9.22% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 NORYTH 12TH ST LEMONYE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $209 | $0 | $209 | 6.15% |
| EMERSON REID LLC3 | STE 320 1787 SENTRY PWKY W, VERA 16 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $100 | $100 | 2.94% |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $100 | $0 | $100 | 2.94% |
| 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 | $144 | $7 | $151 | 6.96% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 NORTH 12TH ST LEMONYE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $73 | $0 | $73 | 3.36% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W, VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $72 | $72 | 3.32% |
| 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 | $21 | $1 | $22 | 9.21% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 NORTH 12TH ST LEMONYE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15 | $0 | $15 | 6.28% |
| EMERSON REID LLC3 | STE 320 1787 SENTRY PWKY W, VEVA 16 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $7 | $7 | 2.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $16K |
| COLONIAL PARK REALTY COMPANY BROKER | Insurance agents and brokers Service code 22 | 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | $15K |
| CAPITAL BLUE CROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $8K |
| 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 | 90 | 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) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 106 | $29K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 113 | $4K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 90 | $2K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 8 | $3K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 90 | $9K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 55 | $223K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 90 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.