| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 N 12TH STREET LEMOYNE, PA 17043 | DELTA DENTAL OF PENNSYLVANIA | $3K | $0 | $3K | 7.00% |
| DAVID A TALMAS3 Filed as: DAVID TALMAS | 29 PEACH LN LANCASTER, PA 17601 | SUN LIFE ASSURANCE COMPANY OF CANADA38-1082080 | $5K | $0 | $5K | 11.34% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | VISION BENEFITS OF AMERICA | $937 | $0 | $937 | 5.00% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | 650 N 12TH STREET LEMOYNE, PA 17043 | VISION BENEFITS OF AMERICA | $490 | $0 | $490 | 5.00% |
| DAVID A TALMAS3 Filed as: DAVID TALMAS | 39 PEACH LANE LANCASTER, PA 17601 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| SCOTT IODICE ASSC LLC3 Filed as: SCOTT F STOTHOFF | 6400 MURRAY HILL RD BALTIMORE, MD 21202 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| ANDERS, SMITH & ASSOCIATES, INC SUM3 | 14785 PRESTON RD STE 1000 DALLAS, TX 75254 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| RENATE H TODD-KOTLER3 | 107 VALLEY BROOK DR LANCASTER, PA 17601 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| VOLUNTARY BENEFITS SOL LLC3 Filed as: VOLUNTARY BENEFIT SOLUTIONS INC. | 4742 WIDDUP COURT ELLIOTT CITY, MD 21031 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| SCU HOUSE ACCT3 | 1400 CENTERVIEW DR LITTLE ROCK, AR 72211 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MARYLAND INC | 225 SCHILLING CIRCLE STE 150 HUNT VALLEY, MD 21031 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| GREGORY W TROUPE3 | 1300 DETWILER DR YORK, PA 17404 | TRANSAMERICA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GUNN-MOWERY, LLC BROKER | Insurance agents and brokers Service code 22 | 650 N 12TH STREET LEMOYNE, PA 17043 | $29K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $15K |
| HIGHMARK EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $5K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $5K |
| CAPITAL BLUE CROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $0 |
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 | 89 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 91 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 136 | $47K |
| Vision(2 contracts) | VISION BENEFITS OF AMERICA | 85 | $29K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 0 | $0 |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA38-1082080 | 62 | $43K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA38-1082080 | 62 | $43K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 89 | $421K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.