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Form 5500 · Employee benefit plan · HARRISBURG, PA

CHRISTIAN SCHOOL ASSOCIATION OF GREATER HARRISBURG PENNA

The filing calls this plan CHRISTIAN SCHOOL ASSOCIATION OF GREATER HARRISBURG PENNA EMPLOYEE BENEFIT PLAN.

Public Form 5500 records show how CHRISTIAN SCHOOL ASSOCIATION OF GREATER HARRISBURG PENNA of HARRISBURG, PA, a education employer, structures its employee benefits. Its broker of record is GUNN MOWERY LLC. Coverage is written through HM LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Insurance carrier
Policy year ends
Juneas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1494759 · plan 501 · plan year 2024, filed Dec 12, 2024

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How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
90
Active at start of year
90
Active at end of year
92
Disclosed commissions
$5,985
Typical renewal
July 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentalinsured — UNITED CONCORDIA INSURANCE COMPANY110 of 90 participants
Visioninsured — CAPITAL ADVANTAGE ASSURANCE COMPANY102 of 90 participants
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA92 of 90 participants
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA92 of 90 participants on the largest contract

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 8 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with HM LIFE INSURANCE COMPANY, covers 60 people.

The filing declares vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The 2 stop-loss contracts report $286,434 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $343,653, with $5,985 in disclosed broker commissions — about 1.7% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED CONCORDIA INSURANCE COMPANYDental110Jul 1, 2024$33,986$3,302
UNUM LIFE INSURANCE COMPANY OF AMERICADisability92Jul 1, 2024$8,925$1,339
UNUM LIFE INSURANCE COMPANY OF AMERICADisability13Jul 1, 2024$6,231$935
UNUM LIFE INSURANCE COMPANY OF AMERICA—10Jul 1, 2024$1,535$230
UNUM LIFE INSURANCE COMPANY OF AMERICALife92Jul 1, 2024$1,795$179
HM LIFE INSURANCE COMPANYStop-loss60Jul 1, 2024$285,009$0
CAPITAL ADVANTAGE ASSURANCE COMPANYVision102Jul 1, 2024$4,747$0
EVEREST REINSURANCE COMPANYStop-loss0Jul 1, 2024$1,425$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

CAPITAL BLUECROSS
Claims processing · EIN 23-0455154
$9,840
paid directly by the plan
CONNECTCARE3
PATIENT ADVOCATE · EIN 26-1768616
$3,865
paid directly by the plan
ENDERS INSURANCE ASSOCIATES
BROKER · EIN 23-1605577
$48
paid directly by the plan

Named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$18,503
Paid out in benefits
$557,115

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

How this plan compares

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