Loading employer…
Employer
51 Host Road, Womelsdorf, PA 19567 · EIN 23-3044270 · 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 $19,881
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Equitable Financial Life Insurance Company Of America | Patriot (Power-Kunkle Group, Inc.) | 128 | $2,959 5.4% of $54,341 |
| Vision | Vision Benefits Of America | Patriot (Power-Kunkle Group, Inc.) | 121 | $780 5.0% of $15,600 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svc LLC | 56 | $3,585 14.4% of $24,877 |
| Life | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 56 | $849 3.4% of $24,877 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 56 | $439 1.8% of $24,877 |
| Voluntary | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svc LLC | 52 | $3,879 14.0% of $27,746 |
| Voluntary | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 52 | $930 3.4% of $27,746 |
| Voluntary | United Of Omaha Life Insurance Company | Gi George Parent Lp | 52 | $442 1.6% of $27,746 |
| Voluntary | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svc LLC | 42 | $4,460 14.0% of $31,756 |
| Voluntary | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 42 | $1,037 3.3% of $31,756 |
| Voluntary | United Of Omaha Life Insurance Company | Gi George Parent Lp | 42 | $521 1.6% of $31,756 |
| EAP | Revivehealth | — | — | Schedule A not provided |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 140 | Comp not disclosed Premium $578,876 |
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 $84,397
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Power-Kunkle Group, Inc.) | Broker | $65,297 | $466.41 |
| The Benecon Group | Broker | $28,855 | $206.11 |
| ConnectCare3 | Patient Advocate | $9,445 | $67.46 |
| Capital Bluecross | Admin | $-19,200 | $-137.14 |