No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPITAL BLUE CROSS EIN 23-0455154 NONE | Direct payment from the plan; Other insurance fees and expenses Service code 50 | 2500 ELMERTON AVE HARRISBURG, PA 17177 | $228K |
| BEYER BARBER EIN 23-2503024 NONE | Direct payment from the plan; Actuarial Service code 11 | 1136 HAMILTON STREET, STE 103 ALLENTOWN, PA 18101 | $29K |
| UNITED CONCORDIA COMPANIES EIN 25-1687586 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $26K |
| CHARLES W JOHNSTON PC EIN 23-2077724 NONE | Legal; Direct payment from the plan Service code 29 | 101 ERFORD ROAD CAMP HILL, PA 17001 | $22K |
| ALAN ROSS AND COMPANY, PC EIN 20-5367494 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 10 HEARTHSTONE CT, STE 100 READING, PA 19606 | $11K |
| CAP TRUST FINANCIAL ADVISORS EIN 26-0058143 NONE | Investment management fees paid directly by plan Service code 51 | 4208 SIX FORKS ROAD, STE 1700 RALEIGH, NC 27609 | $11K |
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 | 362 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 130 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 492 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 487 | $228K |
| Vision | HM LIFE INSURANCE COMPANY | 1,039 | $54K |
| Life insurance | FORT DEARBORN LIFE INSURANCE COMPANY | 360 | $113K |
| Short-term disability | FORT DEARBORN LIFE INSURANCE COMPANY | 360 | $113K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 487 | $228K |
| Stop-loss / reinsurancereinsurance | AVALON INSURANCE COMPANY | 485 | $424K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,039 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.