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Employer
9156 Molly Pitcher Highway, Greencastle, PA 17225 · EIN 25-1875355 · 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 $14,929
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennyslvania | Strickler Agency, Inc. | 97 | $2,073 5.0% of $41,545 |
| Vision | Capital Advantage Assurance Company | Strickler Agency, Inc. | 98 | $359 4.6% of $7,756 |
| Life | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 123 | $1,640 11.6% of $14,155 |
| Life | United Of Omaha Life Insurance Company | Usi Insurance Svcs LLC-Midatlantic | 123 | $211 1.5% of $14,155 |
| AD&D | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 28 | $2,597 15.9% of $16,300 |
| AD&D | United Of Omaha Life Insurance Company | Usi Insurance Svcs LLC-Midatlantic | 28 | $348 2.1% of $16,300 |
| Vol | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 65 | $3,865 10.6% of $36,399 |
| Vol | United Of Omaha Life Insurance Company | Usi Insurance Svcs LLC-Midatlantic | 65 | $543 1.5% of $36,399 |
| Vol | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 30 | $2,824 14.5% of $19,457 |
| Vol | United Of Omaha Life Insurance Company | Usi Insurance Svcs LLC-Midatlantic | 30 | $469 2.4% of $19,457 |
| Stop-loss | HM Life Insurance Company | — | 93 | Comp not disclosed Premium $314,061 |
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 $66,935
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Strickler Agency, Inc. (Chambersbur | Broker | $29,976 | $277.56 |
| The Benecon Group, LLC | Broker | $26,739 | $247.58 |
| Capital Bluecross | Admin | $10,220 | $94.63 |