Loading employer…
Employer
33 Teen Challenge Road, Rehrersburg, PA 19550 · EIN 92-3125680 · Dec 1, 2024 to Nov 30, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $11,518
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optumhealth | — | — | Comp not disclosed Premium $38,852 |
| Medical | United Healthcare (Uhc) | — | — | Schedule A not provided |
| Dental | United Concordia Life And Health Insurance Company | Alliant Insurance Services, Inc. | 134 | $4,813 10.0% of $48,043 |
| Vision | Metropolitan Life Insurance Company | Alliant Insurance Services, Inc. | 130 | $520 6.8% of $7,664 |
| Life | United Of Omaha Life Insurance Company | Alliant Insurance Services, Inc. | 139 | $1,179 15.0% of $7,863 |
| Life | United Of Omaha Life Insurance Company | Alliant Insurance Services, Inc. | 13 | $2,744 30.0% of $9,148 |
| Voluntary Std | United Of Omaha Life Insurance Company | — | 17 | Comp not disclosed Premium $14,608 |
| Voluntary Ltd | United Of Omaha Life Insurance Company | Alliant Insurance Services, Inc. | 10 | $1,184 15.0% of $7,896 |
| Accident Voluntary | United Of Omaha Life Insurance Company | Alliant Insurance Services, Inc. | 5 | $493 25.0% of $1,971 |
| Voluntary Critical Care | United Of Omaha Life Insurance Company | Alliant Insurance Services, Inc. | 3 | $585 25.0% of $2,340 |
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 $8,243
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $5,363 | $80.04 |
| Alliant Insurance Services, Inc. | Broker | $2,880 | $42.99 |