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Employer
226 East College Avenue, York, PA 17403 · EIN 23-1653135 · 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 $26,124
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $830 |
| Stop-loss | Crum & Forster | — | 116 | Comp not disclosed Premium $562,464 |
| Dental | Delta Dental Of Pennsylvania | — | 166 | Schedule A not provided |
| Vision | Vision Benefits Of America | Brown & Brown Of Pennsylvania | 131 | $311 4.3% of $7,230 |
| Life | The Lincoln National Life Insurance Company | Brown & Brown Ins Services Inc | 163 | $2,005 17.6% of $11,417 |
| Life | The Lincoln National Life Insurance Company | Strategic Non-Medical Solutions LLC | 163 | $571 5.0% of $11,417 |
| Life | The Lincoln National Life Insurance Company | Brown & Brown Ins Services In | 163 | $141 1.2% of $11,417 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Ins Services Inc | 163 | $11,246 17.7% of $63,601 |
| Other | The Lincoln National Life Insurance Company | Strategic Non-Medical Solutions LLC | 163 | $3,180 5.0% of $63,601 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Ins Services Inc | 163 | $773 1.2% of $63,601 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Ins Services Inc | 52 | $2,787 17.1% of $16,343 |
| Other | The Lincoln National Life Insurance Company | Strategic Non-Medical Solutions LLC | 52 | $817 5.0% of $16,343 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Ins Services Inc | 52 | $176 1.1% of $16,343 |
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 $126,348
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $105,773 | $911.84 |
| Brown & Brown (Pa) | Carrier | $45,399 | $391.37 |
| Innovu | Other | $4,916 | $42.38 |
| Capital Bluecross | Admin | $-29,740 | $-256.38 |