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Employer
1149 Harrisburg Pike, Carlisle, PA 17013 · EIN 27-3756754 · Jan 1, 2024 to Dec 31, 2024
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 $94,762
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Mercer (Us), Inc. | 7432 | $56,262 0.8% of $6,746,388 |
| Vision | Fidelity Security Life Insurance Company | — | 5699 | Comp not disclosed Premium $202,631 |
| Vision | Fidelity Security Life Insurance Company | — | 44 | Comp not disclosed Premium $15,579 |
| Vision | Fidelity Security Life Insurance Company | — | — | Comp not disclosed Premium $802 |
| Vision | Fidelity Security Life Insurance Company | — | 108 | Comp not disclosed Premium $4,350 |
| Employee Assistance Program | Magellan Healthcare Inc. | — | 4048 | Comp not disclosed Premium $34,737 |
| Other | Massachusetts Mutual Life Insurance Company | Mercer Health & Benefits, LLC | 71 | $23,896 19.3% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | Richard A St Jean | 71 | $7,809 6.3% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | Raymond P Newsom | 71 | $357 0.3% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | Christopher Nelson Rikard | 71 | $108 0.1% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | Henry W Mccray | 71 | $29 0.0% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | William Mcquaid & Various Agents | 71 | $18 0.0% of $123,815 |
| Other | Massachusetts Mutual Life Insurance Company | Timothy C Flanagan | 71 | $6 0.0% of $123,815 |
| Accident & Sickness,Permanent Total Disability | Lloyds Of London | Mercer (Us), Inc. | 7 | $6,277 26.6% of $23,559 |
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.
No Schedule C parties in this year.