Loading employer…
Employer
2500 Elmerton Ave., Harrisburg, PA 17110 · EIN 23-0455154 · Jan 1, 2024 to Dec 31, 2024
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 $50,456
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Dearborn Life Insurance Company | — | 3 | Schedule A not provided |
| Life | Dearborn Life Insurance Company | — | 2248 | Schedule A not provided |
| AD&D | Zurich American Insurance Company | Mcconkey Benefits & Financial Servi | 2248 | $405 15.0% of $2,700 |
| Long Term Care | Coventry Carelink Insurance | — | 12 | Schedule A not provided |
| Other | Hartford Life And Accident | Consolidated Benefits Inc | 2248 | $6,416 5.0% of $128,314 |
| Other | Hartford Life And Accident | — | 147 | Schedule A not provided |
| Other | Unum Life Insurance Company Of America | — | 2248 | Comp not disclosed Premium $227,848 |
| Other | Unum Insurance Company | — | 462 | Comp not disclosed Premium $68,017 |
| Life | Dearborn Life Insurance Company | — | 28 | Schedule A not provided |
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 $939,278
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Insurance Company | Contract Administrator | $45,981 | $36.21 |
| Capital Advantage Assurance Company | Contract Administrator | $840,161 | $368.17 |
| Mazzitti & Sullivan Services | Contract Administrator | $47,370 | $20.76 |
| Capital Advantage Assurance Company | Contract Administrator | $5,766 | $205.93 |