| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MPB RISK SERVICES LLC3 | 2407 PARK DR HARRISBURG, PA 17110 | UNITED CONCORDIA INSURANCE COMPANIES, INC. | $2K | $0 | $2K | 6.01% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY INSURANCE & BENEFITS | 2555 KINGSTON RD #100 YORK, PA 17402 | UNITED CONCORDIA INSURANCE COMPANIES, INC. | $1K | $0 | $1K | 3.99% |
| MPB RISK SERVICES LLC3 | 2407 PARK DR HARRISBURG, PA 17110 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 8.84% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL | 2555 KINGSTON RD STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.16% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $471 | $471 | 2.86% |
| MPB RISK SERVICES LLC3 | 2407 PARK DR HARRISBURG, PA 17110 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $764 | $0 | $764 | 8.82% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL | 2555 KINGSTON RD STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $535 | $0 | $535 | 6.18% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $248 | $248 | 2.86% |
| AMY BRIDA3 | 417 WALNUT STREET HARRISBURG, PA 17101 | HIGHMARK, INC. | $108 | $0 | $108 | 1.93% |
| BRADLY GRAFFIUS3 | 2 BARLO CIR STE C DILLSBURG, PA 17019 | HIGHMARK, INC. | $98 | $0 | $98 | 1.75% |
| THE BENECON GROUP3 Filed as: THE BENECON GROUP, LLC | PO BOX 5406 LANCASTER, PA 17606 | HIGHMARK, INC. | $77 | $0 | $77 | 1.38% |
| ERIN RUPP3 | 4622 CARLISLE RD GARDNERS, PA 17324 | HIGHMARK, INC. | $57 | $0 | $57 | 1.02% |
| MPB RISK SERVICES LLC3 | 2407 PARK DR HARRISBURG, PA 17110 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $370 | $0 | $370 | 8.68% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL | 2555 KINGSTON RD STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $270 | $0 | $270 | 6.33% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $126 | $126 | 2.95% |
| MPB RISK SERVICES LLC3 | 2407 PARK DR HARRISBURG, PA 17110 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $142 | $0 | $142 | 8.83% |
| MCCONKEY BENEFITS & FINANCIAL SERV3 Filed as: MCCONKEY BENEFITS & FINANCIAL | 2555 KINGSTON RD STE 100 YORK, PA 17402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $99 | $0 | $99 | 6.15% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $46 | $46 | 2.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $60K |
| MPB RISK SERVICES, LLC EIN 85-0556241 BROKER | Insurance agents and brokers Service code 22 | — | $23K |
| REVIVEHEALTH, INC. EIN 86-1279290 OTHER | Other services Service code 49 | — | $8K |
| CAPITAL BLUECROSS EIN 23-0455154 CARRIER | Claims processing Service code 12 | — | -$16K |
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 | 60 | 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) | 61 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANIES, INC. | 86 | $34K |
| Vision | HIGHMARK, INC. | 83 | $6K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 60 | $2K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 59 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 59 | $16K |
| Stop-loss / reinsurancereinsurance | CRUM & FORSTER | 50 | $309K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 60 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 86 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.