Broker book
Capital Blue Cross
2500 Elmerton Avenue, Harrisburg, PA 17177 · EIN 23-0455154
Plan year 2025
1 employer · 178 enrolled · Direct (A) $28,901 · Additional (C) $0
Employers
Plan year 2025
Groups named on this party’s Form 5500 rows for the selected plan year.
| Employer | Coverage | Carrier | Enrolled | Direct (A) | Additional (C) |
|---|---|---|---|---|---|
| Lebanon Seaboard Corporation | Stop-loss | Qbe Insurance | 178 | $28,901 · 6.3% | — |
About these columns
Direct (A) — Carrier-contract commissions from Schedule A. Not averaged with Schedule C.
Additional (C) — Plan-paid amounts from Schedule C. Shown as total and $ / enrolled / year.