| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | HIGHMARK, INC. | $93K | — | $93K | 3.28% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 200 EAST PARK DRIVE, SUITE 600 MOUNT LAUREL, NJ 08054 | HARTFORD LIFE AND ACCIDENT | $21K | $1K | $22K | 10.63% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | UNKNOWN DALLAS, TX 75265 | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | $15K | — | $15K | 10.06% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | FSL | $3K | — | $3K | 10.00% |
| JONATHON R SEELE3 Filed as: JONATHON R. SEELE | 60 BYRON NELSON CIRCLE ETTERS, PA 17319 | AFLAC | $302 | — | $302 | 6.18% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER A. LUPP, INC. | 441 FRIENDSHIP ROAD, SUITE 102 HARRISBURG, PA 17111 | AFLAC | $173 | — | $173 | 3.54% |
| MJ INSURANCE3 Filed as: DEBRA L. CARL AND VARIOUS AGENTS | 2042 STATE ROUTE 61 SUNBURY, PA 17801 | AFLAC | $124 | — | $124 | 2.54% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY S. ALMODOVAR | 3605 VARTAN WAY, SUITE 304 HARRISBURG, PA 17110 | AFLAC | $72 | — | $72 | 1.47% |
| DIANE L MARTIN3 Filed as: DIANE L. MARTIN | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $63 | — | $63 | 1.29% |
| CRAWFORD ADVISORS, LLC3 | 280 GRANITE RUN DRIVE, SUITE 250 LANCASTER, PA 17601 | AFLAC | $50 | — | $50 | 1.02% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: C.H. ROBINSON AND ASSOCIATES, INC. | 101 SE 2ND PLACE, SUITE 201A GAINESVILLE, FL 32601 | AFLAC | $45 | — | $45 | 0.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MCKONLY AND ASBURY, LLP EIN 23-1909723 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $13K |
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 | 464 | 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) | 464 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK, INC. | 687 | $2.8M |
| Dental | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | 576 | $153K |
| Vision | FSL | 514 | $27K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 464 | $212K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 464 | $207K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 464 | $207K |
| Prescription drug | HIGHMARK, INC. | 687 | $2.8M |
| Other | HARTFORD LIFE AND ACCIDENT | 464 | $207K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 687 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.