| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORADO & COMPANY, INC.3 | 555 E CHOCOLATE AVE STE 201 HERSHEY, PA 17033 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 11.07% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | P.O. BOX 900 CAMP HILL, PA 170010900 | DELTA DENTAL OF PENNSYLVANIA | $4K | $0 | $4K | 10.20% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | HIGHMARK, INC | $461 | $0 | $461 | 5.99% |
| COLONIAL PARK REALTY3 | 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $76 | $0 | $76 | 1.25% |
| CORADO, LOUIS3 | 1699 SHERWOOD RD NEW CUMBERLAND, PA 17070 | PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $61 | $0 | $61 | 1.01% |
| CORADO & COMPANY, INC.3 Filed as: CORADO & COMPANY INC. | 555 E CHOCOLATE AVE STE 201 HERSHEY, PA 17033 | PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $32 | $0 | $32 | 0.53% |
| CORADO & COMPANY, INC.3 | 555 E CHOCOLATE AVE STE 201 HERSHEY, PA 17033 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $570 | $0 | $570 | 20.44% |
| URL INC3 Filed as: URL INC. | 5320 JAYCEE AVE HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $139 | $0 | $139 | 4.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPITAL BLUE CROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $26K |
| GUNN MOWERY BROKER | Insurance agents and brokers Service code 22 | 650 N 12TH ST LEMOYNE, PA 17043 | $20K |
| THE BENECON GROUP LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $12K |
| CONNECTCARE3 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 | 73 | 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) | 75 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 68 | $41K |
| Vision | HIGHMARK, INC | 67 | $8K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $49K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $49K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $49K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 65 | $139K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 73 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.