Form 5500 · Employee benefit plan · GETTYSBURG, PA
HILLANDALE GETTYSBURG, LP
The filing calls this plan HILLANDALE GETTYSBURG, LP HEALTH AND WELFARE BENEFIT PLAN.
HILLANDALE GETTYSBURG, LP of GETTYSBURG, PA insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BRANDON T PENKO. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and 3 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2975280 · plan 503 · plan year 2025, filed Sep 29, 2025
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105 other employer plans in Pennsylvania have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
10 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 15 insured contracts covering dental, vision, life and disability; the largest, with THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, covers 569 people.
The filing declares dental, 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 one of the 10 contracts here that do not say what they cover.
Reported premium across the insured contracts is $760,444, with $159,135 in disclosed broker commissions — about 21% of premium.
The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.
BRANDON T PENKO is the broker of record on 1 of the 15 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Disability | 569 | Mar 1, 2025 | $462,219 | $95,930 |
| ASSURITY LIFE INSURANCE COMPANY | — | 135 | Mar 1, 2025 | $53,665 | $20,055 |
| ASSURITY LIFE INSURANCE COMPANY | — | 124 | Mar 1, 2025 | $40,172 | $14,213 |
| ASSURITY LIFE INSURANCE COMPANY | — | 33 | Mar 1, 2025 | $14,414 | $5,910 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 865 | Mar 1, 2025 | $79,992 | $4,519 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 188 | Mar 1, 2025 | $40,795 | $3,815 |
| ASSURITY LIFE INSURANCE COMPANY | — | 30 | Mar 1, 2025 | $9,595 | $3,386 |
| ASSURITY LIFE INSURANCE COMPANY | — | 28 | Mar 1, 2025 | $9,584 | $3,230 |
| ASSURITY LIFE INSURANCE COMPANY | — | 18 | Mar 1, 2025 | $8,746 | $2,733 |
| ASSURITY LIFE INSURANCE COMPANY | — | 24 | Mar 1, 2025 | $10,601 | $2,563 |
| STANDARD INSURANCE COMPANY | Vision | 287 | Mar 1, 2025 | $21,135 | $1,150 |
| ASSURITY LIFE INSURANCE COMPANY | — | 9 | Mar 1, 2025 | $4,321 | $771 |
| ASSURITY LIFE INSURANCE COMPANY | — | 7 | Mar 1, 2025 | $4,146 | $737 |
| ASSURITY LIFE INSURANCE COMPANY | — | 8 | Mar 1, 2025 | $1,059 | $123 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 293 | Mar 1, 2025 | — | $0 |
Premium and claims on this contract
STANDARD INSURANCE COMPANY, contract 761147. For the contract year on this filing, the carrier reported $19,319 in premium earned and $17,024 in claims incurred. Dividing one by the other gives 88%.
- STANDARD INSURANCE COMPANY, contract 761147 reported $12,350 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 50 employees, 2 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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