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Employer
100 Sterling Parkway, Mechanicsburg, PA 17050 · EIN 82-2487164 · 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 $30,948
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | Emerson Rogers LLC | 93 | $8,180 1.4% of $603,464 |
| Dental + Vision | Metropolitan Life Insurance Company | Daniel Batty | 120 | $2,633 4.0% of $66,207 |
| Dental + Vision | Metropolitan Life Insurance Company | Christopher Cocores | 120 | $694 1.0% of $66,207 |
| Life | Standard Insurance Company | Ufg Benefits, LLC | 136 | $468 7.0% of $6,650 |
| Life | Standard Insurance Company | Daniel P Batty | 136 | $428 6.4% of $6,650 |
| Life | Massachusetts Mutual Life Insurance Company | Christoper Charles Cocores | 40 | $1,638 6.2% of $26,353 |
| Life | Massachusetts Mutual Life Insurance Company | Daniel P Batty | 40 | $1,311 5.0% of $26,353 |
| AD&D | Standard Insurance Company | Ufg Benefits, LLC | 135 | $211 9.6% of $2,200 |
| AD&D | Standard Insurance Company | Daniel Batty | 135 | $173 7.9% of $2,200 |
| AD&D | Reliance Standard Life Insurance Company | Ufg Benefits, LLC | 39 | $275 9.5% of $2,906 |
| AD&D | Reliance Standard Life Insurance Company | Batty,Daniel | 39 | $213 7.3% of $2,906 |
| Other | Standard Insurance Company | Ufg Benefits, LLC | 137 | $3,318 8.0% of $41,511 |
| Other | Standard Insurance Company | Daniel P Batty | 137 | $3,095 7.5% of $41,511 |
| Other | Standard Insurance Company | Ufg Benefits, LLC | 137 | $2,084 6.5% of $32,119 |
| Other | Standard Insurance Company | Daniel P Batty | 137 | $2,077 6.5% of $32,119 |
| Voluntary Accident | Reliance Standard Life Insurance Company | Ufg Benefits, LLC | 33 | $564 9.4% of $5,978 |
| Voluntary Accident | Reliance Standard Life Insurance Company | Batty,Daniel | 33 | $456 7.6% of $5,978 |
| Voluntary Critical Illness | Reliance Standard Life Insurance Company | Ufg Benefits, LLC | 17 | $402 9.2% of $4,360 |
| Voluntary Critical Illness | Reliance Standard Life Insurance Company | Batty,Daniel | 17 | $395 9.1% of $4,360 |
| Legal | Metlife Legal Plans | Daniel P Batty | 16 | $755 15.0% of $5,031 |
| Dependent Life, Supplemental Life | Reliance Standard Life Insurance Company | Ufg Benefits, LLC | 62 | $796 7.1% of $11,269 |
| Dependent Life, Supplemental Life | Reliance Standard Life Insurance Company | Daniel Batty | 62 | $782 6.9% of $11,269 |
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 $18,911
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Daniel P Batty | Broker | $7,900 | $55.24 |
| Christopher Cocores | Broker | $6,619 | $46.29 |
| Ufg Benefits, LLC | Broker | $4,392 | $30.71 |