| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | P.O. BOX 900 CAMP HILL, PA 17001 | HIGHMARK, INC. | $4K | $0 | $4K | 9.23% |
| ASSUREDPARTNERS3 Filed as: INGROUP ASSOCIATES, INC. | 448 MURRAY HILL CIRCLE LANCASTER, PA 17601 | UNUM LIFE INSURANCE COMPANY OD AMERICA | $2K | $0 | $2K | 10.51% |
| EMERSON REID LLC3 Filed as: EMERSON REID, LLC | 1787 SENTRY PKWY STE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OD AMERICA | $0 | $812 | $812 | 4.10% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | UNUM LIFE INSURANCE COMPANY OD AMERICA | $218 | $21 | $239 | 1.21% |
| ASSUREDPARTNERS3 Filed as: INGROUP ASSOCIATES, INC. | 448 MURRY HILL CIRCLE LANCASTER, PA 17601 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $994 | $0 | $994 | 12.77% |
| EMERSON REID LLC3 Filed as: EMERSON REID,LLC | 1787 SENTRY PKWY STE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $331 | $331 | 4.25% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | 650 NORTH 12TH ST LEMOYNE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $84 | $7 | $91 | 1.17% |
| ASSUREDPARTNERS3 Filed as: GUNN MOWERY, LLC | 650 NORTH 12 TH ST LEMOYNE, PA 17043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $470 | $0 | $470 | 14.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $18K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Claims processing Service code 12 | — | $12K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $3K |
| GUNN MOWERY, LLC BROKER | Claims processing Service code 12 | 650 NORTH 12 ST LEMOYNE, PA 17043 | $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 | 73 | 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) | 74 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HIGHMARK, INC. | 73 | $40K |
| Vision | HIGHMARK, INC. | 73 | $40K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 15 | $8K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OD AMERICA | 16 | $20K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OD AMERICA | 16 | $20K |
| Stop-loss / reinsurancereinsurance | EVERET REINSURANCE COMPANY | 73 | $150K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 15 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 73 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.