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Employer
1000 Park Drive, Lawrence, PA 15055 · EIN 47-5380117 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $221,299
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Legal | Metlife Legal Plans | Henderson Brothers Inc. | 109 | $2,750 10.3% of $26,604 |
| Stop-loss | Berkley Life And Health Insurance Company | Stealth Partner Group, LLC | — | $102,345 5.0% of $2,046,904 |
| Dental | Delta Dental Of Delaware | — | 2100 | Comp not disclosed Premium $848,398 |
| Vision | Fidelity Security Life Insurance Company | Henderson Brothers Inc. | 20 | $34 6.0% of $565 |
| Vision | Fidelity Security Life Insurance Company | Henderson Brothers Inc. | 1839 | $3,761 6.7% of $55,954 |
| Life | Lincoln National Life Insurance Company | Henderson Brothers Inc. | 1303 | $43,643 6.3% of $690,255 |
| Other | Lincoln National Life Insurance Company | Henderson Brothers Inc. | 1303 | $14,301 6.6% of $215,961 |
| Critical Illness | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 556 | $36,130 17.0% of $211,983 |
| Accident | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 560 | $12,964 14.2% of $91,284 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 222 | $5,371 10.3% of $51,981 |
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.