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Employer
400 Seaks Run Road, Glen Rock, PA 17327 · EIN 23-1603865 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $100,723
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Service Plan | Mcconkey Benefits & Financial Servi | 319 | $5,357 10.8% of $49,531 |
| Life | Untied Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 447 | $31,612 15.1% of $209,417 |
| Life | Untied Of Omaha Life Insurance Company | Benefitmall | 447 | $6,283 3.0% of $209,417 |
| Life | Untied Of Omaha Life Insurance Company | Gi George Parent Lp | 447 | $3,880 1.9% of $209,417 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 393 | $33,424 20.3% of $164,507 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 393 | $4,936 3.0% of $164,507 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 393 | $3,182 1.9% of $164,507 |
| Term Life-Vol | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 81 | $9,653 20.5% of $47,148 |
| Term Life-Vol | United Of Omaha Life Insurance Company | Benefitmall | 81 | $1,413 3.0% of $47,148 |
| Term Life-Vol | United Of Omaha Life Insurance Company | Gi George Parent Lp | 81 | $983 2.1% of $47,148 |
| Stop-loss | Avalon Insurance Company | — | 338 | Comp not disclosed Premium $1,631,890 |
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 $79,937
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial | Broker | $14,518 | $32.48 |
| Delta Dental Of Pennsylvania | Admin | $54,315 | $121.51 |
| Mcconkey Benefits & Financial Serv | Broker | $88,668 | $257.01 |
| The Benecon Group LLC | Broker | $3,853 | $11.17 |
| Benefitmall | Admin | $23,380 | $67.77 |
| Highmark | Admin | $-104,797 | $-303.76 |