| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | PO BOX 900 CAMP HILL, PA 17001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | PO BOX 900 CAMP HILL, PA 17001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| ASSUREDPARTNERS3 Filed as: GUNN MOWERY, LLC | 650 N. 12TH ST LEMOYNE, PA 17043 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $2K | $0 | $2K | 9.05% |
| ASSUREDPARTNERS3 Filed as: GUNN MOWERY LLC | 650 N 12TH ST LEMOYNE, PA 17043 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $256 | $0 | $256 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GUNN MOWERY, LLC BROKER | Insurance agents and brokers Service code 22 | 650 NORTH 12TH ST LEMOYNE, PA 17043 | $15K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $10K |
| CAPITAL BLUE CROSS EIN 45-5492167 ADMIN | Claims processing Service code 12 | — | $3K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $2K |
| YOUNG, OAKES, BROWN & CO EIN 25-1589048 BROKER | Insurance agents and brokers Service code 22 | — | $13 |
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 | 43 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 46 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CAPITAL ADVANTAGE ASSURANCE COMPANY | 44 | $17K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 44 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 46 | $3K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 46 | $18K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 28 | $26K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | AVALON INSURANCE COMPANY | 43 | $153K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 46 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 46 | — |
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.