Form 5500 · Employee benefit plan · HARRISBURG, PA
HOSPICE OF CENTRAL PENNSYLVANIA
The filing calls this plan HOSPICE OF CENTRAL PENNSYLVANIA HEALTH & WELFARE PLAN.
HOSPICE OF CENTRAL PENNSYLVANIA of HARRISBURG, PA is a 111-participant professional services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PETRINA SKILES. Coverage is written through UPMC HEALTH OPTIONS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2106895 · plan 502 · plan year 2023, filed Jul 18, 2024
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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
Also declared: death benefits.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with UPMC HEALTH OPTIONS, covers 77 people.
Reported premium across the insured contracts is $98,946, with $930 in disclosed broker commissions — about 0.9% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in November. The plan is on a split renewal cycle.
PETRINA SKILES is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including UPMC HEALTH OPTIONS, STANDARD INSURANCE COMPANY, UPMC HEALTH BENEFITS and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. UPMC HEALTH OPTIONS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 18 | Dec 1, 2023 | $1,544 | $508 |
| UPMC HEALTH BENEFITS | Health, Dental | 117 | Jan 1, 2024 | $3,865 | $381 |
| HEARTLAND | Vision | 139 | Jan 1, 2024 | $822 | $41 |
| UPMC HEALTH OPTIONS | Health, Dental | 77 | Jan 1, 2024 | $85,928 | $0 |
| STANDARD INSURANCE COMPANY | Life, Disability | 110 | Jan 1, 2024 | $6,787 | $0 |
Premium and claims on this contract
STANDARD INSURANCE COMPANY, contract 168280. For the contract year on this filing, the carrier reported $6,787 in premium earned and $3,051 in claims incurred. Dividing one by the other gives 45%.
- STANDARD INSURANCE COMPANY, contract 168280 reported $4,358 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.
Other plans filed by this employer
How this plan compares
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