Form 5500 · Employee benefit plan · DARBY, PA
LITTLE FLOWER MANOR, INC.
The filing calls this plan LITTLE FLOWER MANOR HEALTH AND WELFARE BENEFIT PLAN.
LITTLE FLOWER MANOR, INC. of DARBY, PA spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MARCOS R. LOPEZ. Coverage is written through HIGHMARK BLUE SHIELD and 5 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1896683 · plan 501 · plan year 2025, filed May 19, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, 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 6 insured contracts covering health, dental, vision, life and disability; the largest, with HIGHMARK BLUE SHIELD, covers 88 people.
Reported premium across the insured contracts is $949,465, with $74,398 in disclosed broker commissions — about 7.8% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
MARCOS R. LOPEZ is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including HIGHMARK BLUE SHIELD, TRANSAMERICA LIFE INSURANCE COMPANY, UNITED CONCORDIA INSURANCE COMPANY and HARTFORD LIFE AND ACCIDENT. HIGHMARK BLUE SHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HIGHMARK BLUE SHIELD | Health, Vision | 88 | Sep 1, 2025 | $808,161 | $49,482 |
| TRANSAMERICA LIFE INSURANCE COMPANY | Life, Disability | 91 | Sep 1, 2025 | $86,338 | $17,796 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 100 | Sep 1, 2025 | $38,044 | $5,693 |
| HARTFORD LIFE AND ACCIDENT | Life | 113 | Sep 1, 2025 | $7,684 | $768 |
| VISION SERVICE PLAN | Vision | 73 | Sep 1, 2025 | $6,466 | $659 |
| AETNA BEHAVIORAL HEALTH, LLC | — | 120 | Sep 1, 2025 | $2,772 | $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.
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: 150 employees, 5 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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