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Employer
3000 Fellowship Dr, Whitehall, PA 18052 · EIN 23-1705204 · 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 $99,675
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc | American Insurance Administrators | 239 | $46,344 2.7% of $1,703,752 |
| Dental | United Concordia Insurance Company | American Insurance Administrators | 213 | $4,708 6.1% of $77,312 |
| Vision | Eyemed Vision Care | Alera Group Inc, DBA American Insur | 188 | $1,210 10.0% of $12,101 |
| Life | United Of Omaha Life Insurance | Alera General Agency Insurance Serv | 188 | $23 0.4% of $5,335 |
| Life | United Of Omaha Life Insurance | American Insurance Administrators | 188 | $297 5.6% of $5,335 |
| Life | United Of Omaha Life Insurance | Aia American Insurance Administrato | 188 | $318 6.0% of $5,335 |
| Life | United Of Omaha Life Insurance | Aia American Insurance Administrato | 188 | $800 15.0% of $5,335 |
| AD&D | United Of Omaha Life Insurance | Aia American Insurance Administato | 69 | $1,220 5.8% of $20,933 |
| AD&D | United Of Omaha Life Insurance | Aia American Insurance Administrato | 69 | $3,140 15.0% of $20,933 |
| AD&D | United Of Omaha Life Insurance | American Insurance Administrators | 69 | $1,161 5.5% of $20,933 |
| AD&D | United Of Omaha Life Insurance | Alera General Agency Insurance Serv | 69 | $89 0.4% of $20,933 |
| Other | Highmark Inc | — | 239 | Comp not disclosed Premium $501,677 |
| Other | United Of Omaha Life Insurance Company | Aia American Insurance Administato | 94 | $20,884 19.7% of $106,008 |
| Other | United Of Omaha Life Insurance Company | Aia American Insurance Administato | 94 | $6,274 5.9% of $106,008 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 94 | $5,914 5.6% of $106,008 |
| Other | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 94 | $432 0.4% of $106,008 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance | Aia American Insurance Administato | 66 | $1,607 6.3% of $25,433 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance | American Insurance Administrators | 66 | $1,439 5.7% of $25,433 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance | Alera General Agency Insurance Serv | 66 | $100 0.4% of $25,433 |
| Supplemental Health, Dental, Disability | Aflac | Donna Louise Jackovitz | 24 | $2,006 6.8% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Joseph B Mcginty Jr | 24 | $427 1.4% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Wendy M Boone | 24 | $354 1.2% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Justin P Abraham | 24 | $259 0.9% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Denton E Quick | 24 | $202 0.7% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Kenneth L Good | 24 | $185 0.6% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Jacqueline M Eberz | 24 | $76 0.3% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | James Elder Brooks | 24 | $35 0.1% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Dianne L Martin | 24 | $34 0.1% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Delmas R Butler Jr | 24 | $19 0.1% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Lynne M Hartman | 24 | $18 0.1% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Jason E Ferger | 24 | $15 0.1% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Anthony S Almodovar | 24 | $13 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Darren D Riddle | 24 | $10 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | John B Lacaria | 24 | $10 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | David C Sweigard | 24 | $8 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Christopher A Lupp | 24 | $8 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Cynthia L Jay | 24 | $8 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Matthew G Berger | 24 | $5 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Robert A Anderson | 24 | $5 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | David W Ranck | 24 | $5 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Daniel R Judy | 24 | $4 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Angela Umosella | 24 | $2 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Martin E Bystrom | 24 | $2 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Ryan K Goldberg | 24 | $2 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Randall Sims | 24 | $2 0.0% of $29,602 |
| Supplemental Health, Dental, Disability | Aflac | Irene E Brooks | 24 | $1 0.0% of $29,602 |
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.