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Employer
3250 Susquehanna Trail, York, PA 17406 · EIN 23-2308981 · Oct 1, 2024 to Sep 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 $37,588
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 90 | Comp not disclosed Premium $544,060 |
| Dental | Highmark Inc. | Mcconkey Benefits & Financial Servi | 136 | $3,881 10.1% of $38,378 |
| Vision | National Vision Administrators, LLC (Heartland) | Mcconkey Benefits & Financial Servi | 123 | $676 10.0% of $6,762 |
| Life | Aflac | Ca Lupp Inc | 31 | $1,045 2.6% of $40,012 |
| Life | Aflac | Mcconkey Benefits & Financial Servi | 31 | $976 2.4% of $40,012 |
| Life | Aflac | Kimberly J Schuchart | 31 | $585 1.5% of $40,012 |
| Life | Aflac | Dianne L Martin | 31 | $581 1.5% of $40,012 |
| Life | Aflac | Anthony S Almodovar | 31 | $484 1.2% of $40,012 |
| Life | Aflac | Gail Holtizinger | 31 | $354 0.9% of $40,012 |
| Life | Aflac | Antonina M Greenplate | 31 | $295 0.7% of $40,012 |
| Life | Aflac | Jeffrey C Chubb | 31 | $255 0.6% of $40,012 |
| Life | Aflac | Christopher A Lupp | 31 | $249 0.6% of $40,012 |
| Life | Aflac | Gerald L Walsh | 31 | $194 0.5% of $40,012 |
| Life | Aflac | Adam Daniels Levine | 31 | $136 0.3% of $40,012 |
| Life | Aflac | David C Sweigard | 31 | $69 0.2% of $40,012 |
| Life | Aflac | Justin P Abraham | 31 | $68 0.2% of $40,012 |
| Life | Aflac | Kenneth Good | 31 | $47 0.1% of $40,012 |
| Life | Aflac | Kristen Murray | 31 | $39 0.1% of $40,012 |
| Life | Aflac | Cristian Apalaghie | 31 | $37 0.1% of $40,012 |
| Life | Aflac | Cynthia L Jay | 31 | $20 0.0% of $40,012 |
| Life | Aflac | Darren D Riddle | 31 | $18 0.0% of $40,012 |
| Life | Aflac | Irene E Brooks | 31 | $17 0.0% of $40,012 |
| Life | Aflac | Ryan Barnes | 31 | $15 0.0% of $40,012 |
| Life | Aflac | Susan R Mcsherry | 31 | $11 0.0% of $40,012 |
| Life | Aflac | Robert Anderson | 31 | $10 0.0% of $40,012 |
| Life | Aflac | Matthew G Berger | 31 | $8 0.0% of $40,012 |
| Life | Aflac | Ryan K Goldberg | 31 | $3 0.0% of $40,012 |
| Life | Aflac | Martin E Bystom | 31 | $3 0.0% of $40,012 |
| Life | Aflac | Daniel R Judy | 31 | $3 0.0% of $40,012 |
| Life | Aflac | Angela Umosella | 31 | $3 0.0% of $40,012 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 125 | $1,543 17.6% of $8,781 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 125 | $264 3.0% of $8,781 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 125 | $178 2.0% of $8,781 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 32 | $3,848 17.2% of $22,390 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 32 | $672 3.0% of $22,390 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 32 | $422 1.9% of $22,390 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Fin Scvs LLC | 125 | $1,779 5.3% of $33,397 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 125 | $1,002 3.0% of $33,397 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 125 | $647 1.9% of $33,397 |
| Voluntary | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 76 | $14,578 28.4% of $51,307 |
| Voluntary | United Of Omaha Life Insurance Company | Benefitmall | 76 | $1,539 3.0% of $51,307 |
| Voluntary | United Of Omaha Life Insurance Company | Gi George Parent Lp | 76 | $1,034 2.0% of $51,307 |
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 $61,442
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $33,495 | $338.33 |
| The Benecon Group | Broker | $1,155 | $11.67 |
| Highmark | Admin | $19,726 | $199.25 |
| Benefit Mall | Admin | $7,066 | $71.37 |