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Employer
2325 Paxton Church Rd, Harrisburg, PA 17110 · EIN 25-1728673 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $9,296
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 50 | Comp not disclosed Premium $309,419 |
| Dental | United Concordia Insurance Companies, Inc. | Mpb Risk Services, LLC | 86 | $2,051 6.0% of $34,111 |
| Dental | United Concordia Insurance Companies, Inc. | Mcconkey Benefits & Financial Servi | 86 | $1,360 4.0% of $34,111 |
| Vision | Highmark, Inc. | Amy Brida | 83 | $108 1.9% of $5,599 |
| Vision | Highmark, Inc. | Bradly Graffius | 83 | $98 1.8% of $5,599 |
| Vision | Highmark, Inc. | The Benecon Group, Inc. | 83 | $77 1.4% of $5,599 |
| Vision | Highmark, Inc. | Erin Rupp | 83 | $57 1.0% of $5,599 |
| Life | United Of Omaha Life Insurance Company | Mpb Risk Services, LLC | 60 | $142 8.8% of $1,609 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 60 | $99 6.2% of $1,609 |
| Life | United Of Omaha Life Insurance Company | Gis Benefits Inc | 60 | $46 2.9% of $1,609 |
| AD&D | United Of Omaha Life Insurance Company | Mpb Risk Services, LLC | 8 | $370 8.7% of $4,264 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 8 | $270 6.3% of $4,264 |
| AD&D | United Of Omaha Life Insurance Company | Gis Benefits Inc | 8 | $126 3.0% of $4,264 |
| Other | United Of Omaha Life Insurance Company | Mpb Risk Services, LLC | 59 | $764 8.8% of $8,662 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 59 | $535 6.2% of $8,662 |
| Other | United Of Omaha Life Insurance Company | Gis Benefits Inc | 59 | $248 2.9% of $8,662 |
| Other | United Of Omaha Life Insurance Company | Mpb Risk Services, LLC | 59 | $1,458 8.8% of $16,492 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 59 | $1,016 6.2% of $16,492 |
| Other | United Of Omaha Life Insurance Company | Gis Benefits Inc | 59 | $471 2.9% of $16,492 |
Schedule C
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
Visible subtotal $75,130
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $59,818 | $695.56 |
| Mpb Risk Services, LLC | Broker | $22,968 | $267.07 |
| Revivehealth, Inc. | Other | $8,294 | $96.44 |
| Capital Bluecross | Carrier | $-15,950 | $-185.47 |