| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE BENECON GROUP3 Filed as: THE BENECON GROUP, INC. | 201 E OREGON ROAD, SUITE 100 LITITZ, PA 17543 | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | $5K | $0 | $5K | 5.64% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY INSURANCE GROUP INC | PO BOX 900 CAMP HILL, PA 170010900 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 16.78% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $299 | $299 | 1.97% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 N 12 ST LEMOYNE, PA 17043 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 13.93% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 N 12TH ST LEMOYNE, PA 17043 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 16.97% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | 650 N 12TH STREET LEMOYNE, PA 17043 | HIGHMARK | $374 | $0 | $374 | 5.78% |
| GIMM-MOWERLY LLC3 | 650 N 12 ST. LEMOYNE, PA 17043 | STANDARD INSURANCE COMPANY | $813 | $0 | $813 | 15.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH AMERICA EIN 62-1411933 ADMIN | Claims processing Service code 12 | — | $57K |
| GUNN-MOWERY LLC BROKER | Insurance agents and brokers Service code 22 | 650 N 12TH STREET LEMOYNE, PA 17043 | $17K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $17K |
| CONNECTCARE 3 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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | 178 | $85K |
| Vision | HIGHMARK | 124 | $6K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $20K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $29K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $23K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 107 | $204K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.