| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CCAB INSURANCE & BENEFITS, INC.3 | 2101 OREGON PIKE, SUITE 202 LANCASTER, PA 17601 | AMERICAN UNITED LIFE INSURANCE COMPANY | $5K | $0 | $5K | 11.68% |
| THE BENECON GROUP3 | 201 E OREGON RD STE 100 LITITZ, PA 17543 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.52% |
| CCAB INSURANCE & BENEFITS, INC.3 Filed as: CCAB INSURANCE BENEFITS INC | 2101 OREGON PIKE STE 202 LANCASTER, PA 17601 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 7.06% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL SERVI | 2555 KINGSTON RD STE 100 YORK, PA 17402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $473 | $0 | $473 | 1.88% |
| NATIONAL ENROLLMENT PARTNERS LLC3 | 401S MOUNT JULIET RD PMB#184 MOUNT JULIET, TN 37122 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $200 | $200 | 0.79% |
| NATIONAL ENROLLMENT PARTNERS LLC3 Filed as: NATIONAL ENROLLMENT PARTNERS GENERA | 2000 CHAPEL VIEW RD STE 240 CRANSTON, RI 02920 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $109 | $109 | 0.43% |
| CCAB INSURANCE & BENEFITS, INC.3 Filed as: CCAB INSURANCE & BENEFITS INC | 2101 OREGON PK LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 8.86% |
| BENECHOICE ENROLLMENT SOLUTIONS & T3 Filed as: BENECHOICE ENROLLMENT SOL | 1574 LITITZ PK LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $163 | $1K | 7.56% |
| PETRINA SKILES3 | 1574 LITITZ PK LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $361 | $163 | $524 | 3.31% |
| LANCE A BRADLEY3 | 2028 MOUNT VERNON CIR HARRISBURG, PA 17110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $125 | $0 | $125 | 0.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CCAB INSURANCE & BENEFITS, INC. EIN 45-3140653 BROKER | Insurance agents and brokers Service code 22 | — | $21K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $18K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $5K |
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 | 72 | 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) | 73 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 41 | $25K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 41 | $25K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 85 | $57K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 85 | $41K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 85 | $41K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 72 | $448K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 85 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 85 | — |
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.