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Employer
1149 Harrisburg Pike, Carlisle, PA 17013 · EIN 53-0073545 · 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 $479,557
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Mercer (Us), Inc. | 25256 | $167,698 0.8% of $19,898,786 |
| Vision | Fidelity Security Life Insurance Company | — | 6905 | Comp not disclosed Premium $265,783 |
| Vision | Fidelity Security Life Insurance Company | — | 13573 | Comp not disclosed Premium $548,305 |
| Vision | Fidelity Security Life Insurance Company | — | — | Comp not disclosed |
| Other | The Lincoln National Life Insurance Company | Nfp Corporate Services (Se), Inc. | 1527 | $120,595 20.0% of $602,973 |
| Other | The Lincoln National Life Insurance Company | Nfp Corporate Services (Se), Inc. | 1527 | $20,000 3.3% of $602,973 |
| Other | The Lincoln National Life Insurance Company | Nfp Insurance Services, Inc. | 1527 | $6,604 1.1% of $602,973 |
| Other | The Lincoln National Life Insurance Company | Nfp Corporate Services (Se), Inc. | 2824 | $134,660 9.3% of $1,447,955 |
| Other | The Lincoln National Life Insurance Company | Nfp Corporate Services (Se), Inc. | 2824 | $20,000 1.4% of $1,447,955 |
| Other | The Lincoln National Life Insurance Company | Nfp Insurance Services, Inc. | 2824 | $10,000 0.7% of $1,447,955 |
| Employee Assistance Program | Magellan Healthcare | — | 48365 | Comp not disclosed Premium $75,610 |
| Employee Assistance Program | Magellan Healthcare | — | 37562 | Comp not disclosed Premium $372,189 |
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.