| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDERS INS | PO BOX 6118 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $213 | $4K | 15.75% |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST NASHVILLE, PA 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 5.00% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDERS INS | PO BOX 6118 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $809 | $40 | $849 | 15.74% |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $270 | $0 | $270 | 5.00% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER INS. | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $290 | $22 | $312 | 10.77% |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST. NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $145 | $0 | $145 | 5.00% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDERS INS | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| BH PREFERRED LLC3 | STE 402 1900 CHURCH ST NASHVILLE, TN 37203 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $10K |
| COLONIAL PARK REALTY COMPANY ENDERS BROKER | Insurance agents and brokers Service code 22 | 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | $9K |
| CAPITAL BLUE CROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $7K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $2K |
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 | 32 | 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) | 32 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 0 | $0 |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 58 | $3K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $3K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $28K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $28K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 28 | $133K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 58 | — |
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."
No prospect flags tripped on this filing.