| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COLONIAL PARK REALTY3 | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 12.57% |
| BH PREFERRED LLC3 Filed as: BH PREFERRED | 2817 WEST END AVE, STE 126-281 NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $1K | $1K | 5.00% |
| COLONIAL PARK REALTY3 | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | STARMOUNT LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.81% |
| BH PREFERRED LLC3 Filed as: BH PREFERRED | 2817 WEST END AVE, STE 126-281 NASHVILLE, TN 37203 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $841 | $841 | 4.90% |
| COLONIAL PARK REALTY3 | PO BOX 6118 5912 LINGLESTOWN RD HARRISBURG, PA 17112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $520 | $0 | $520 | 15.14% |
| BH PREFERRED LLC3 Filed as: BH PREFERRED | 2817 WEST END AVE, STE 126-281 NASHVILLE, TN 37203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $173 | $173 | 5.04% |
| COLONIAL PARK REALTY3 Filed as: COLONIAL PARK REALTY DBA ENDER | 5912 LINGLESTOWN ROAD HARRISBURG, PA 17112 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $107 | $0 | $107 | 4.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENDERS INSURANCE ASSOCIATES EIN 23-1605577 BROKER | Insurance agents and brokers Service code 22 | — | $9K |
| CAPITAL BLUECROSS EIN 23-0455154 ADMIN | Claims processing Service code 12 | — | $9K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $9K |
| CONNECTCARE3 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 | 29 | 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) | 29 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 25 | $17K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 48 | $3K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 29 | $29K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 29 | $29K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 29 | $29K |
| Stop-loss / reinsurancereinsurance | OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) | 25 | $161K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 29 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 48 | — |
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.