| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| U R L INC3 | 5320 JAYCEE AVE HARRISBURG, PA 17112 | HIGHMARK INC. | $55K | — | $55K | 3.39% |
| MURRAY INSURANCE ASSOCIATES3 Filed as: MURRAY INSURANCE ASSOCIATES INC | 39 N DUKE STREET LANCASTER, PA 17602 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 6.55% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY, INC. | 25 B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | DOMINION NATIONAL | $13K | — | $13K | 11.32% |
| ASCELA PARTNERS LLC3 Filed as: ASCELA PARTNERS, LLC | 200 CONTINENTAL DRIVE SUITE 209 NEWARK, DE 19713 | DOMINION NATIONAL | $11K | — | $11K | 9.25% |
| MURRAY INSURANCE ASSOCIATES3 | PO BOX 1728 LANCASTER, PA 17608 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 9.35% |
| MURRAY INSURANCE ASSOCIATES3 | PO BOX 1728 LANCASTER, PA 17608 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| MURRAY INSURANCE ASSOCIATES3 | PO BOX 1728 LANCASTER, PA 17608 | STANDARD INSURANCE COMPANY | $834 | — | $834 | 11.36% |
| MURRAY INSURANCE ASSOCIATES3 Filed as: MURRAY INSURANCE ASSOCIATES INC | 39 N DUKE ST LANCASTER, PA 17602 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | — |
No Schedule C service providers reported on this filing.
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 117 | $1.6M |
| Dental | DOMINION NATIONAL | 206 | $119K |
| Vision | DOMINION NATIONAL | 206 | $119K |
| Life insurance(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 226 | $179K |
| Short-term disability(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 226 | $186K |
| Long-term disability(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 226 | $185K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.