| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COLONIAL PARK REALTY3 | 400 N. BLUE RIBBON AVENUE HARRISBURG, PA 17112 | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 6.97% |
| COLONIAL PARK REALTY3 | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $295 | $0 | $295 | 5.00% |
| COLONIAL PARK REALTY3 | 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $298 | $0 | $298 | 9.99% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $149 | $149 | 5.00% |
| URL INC3 | 5320 JAYCEE AVE HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $149 | $149 | 5.00% |
| COLONIAL PARK REALTY3 | 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $274 | $0 | $274 | 15.01% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $91 | $91 | 4.98% |
| URL INC3 | 5320 JAYCEE AVE HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $91 | $91 | 4.98% |
| COLONIAL PARK REALTY3 | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $65 | $0 | $65 | 3.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $11K |
| ENDERS INSURANCE ASSOCIATES EIN 23-1605577 BROKER | Insurance agents and brokers Service code 22 | — | $11K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $2K |
| CAPITAL BLUECROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | -$270 |
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 | 53 | 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) | 53 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 86 | $29K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 53 | $3K |
| Stop-loss / reinsurancereinsurance | OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) | 39 | $155K |
| Other(4 contracts, 2 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 53 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 86 | — |
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.