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Employer
3846 Green Valley Road, Seven Valleys, PA 17360 · EIN 23-2057787 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $31,601
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 150 | Comp not disclosed Premium $141,311 |
| Stop-loss | Avalon Insurance Company | — | 143 | Comp not disclosed Premium $490,048 |
| Dental | Delta Dental Of Pennsylvania | Mcconkey Benefits & Financial Servi | 180 | $1,168 2.8% of $41,724 |
| Dental | Delta Dental Of Pennsylvania | Benefitmall | 180 | $292 0.7% of $41,724 |
| Vision | Highmark, Inc. | Lepson, Diane Elizabeth | 76 | $595 3.5% of $16,894 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 209 | $1,603 18.2% of $8,799 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 209 | $264 3.0% of $8,799 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 209 | $156 1.8% of $8,799 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 55 | $5,138 21.1% of $24,328 |
| AD&D | United Of Omaha Life Insurance Company | Benefitmall | 55 | $730 3.0% of $24,328 |
| AD&D | United Of Omaha Life Insurance Company | Patriot Growth Ins Srvs | 55 | $426 1.8% of $24,328 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 41 | $1,239 15.3% of $8,094 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | Benefitmall | 41 | $243 3.0% of $8,094 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | Patriot Growth Ins Srvs | 41 | $123 1.5% of $8,094 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 178 | $10,007 16.7% of $60,059 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 178 | $1,802 3.0% of $60,059 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 178 | $800 1.3% of $60,059 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 64 | $3,722 21.5% of $17,295 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance Company | Benefitmall | 64 | $519 3.0% of $17,295 |
| Long Term Disability Voluntary | United Of Omaha Life Insurance Company | Gi George Parent Lp | 64 | $322 1.9% of $17,295 |
| Cancer | Aflac | C A Lupp Inc | 33 | $1,305 9.5% of $13,743 |
| Cancer | Aflac | Mcconkey Benefits & Financial Servi | 33 | $940 6.8% of $13,743 |
| Cancer | Aflac | Anthony Almodovar | 33 | $169 1.2% of $13,743 |
| Cancer | Aflac | Jeffrey Chubb | 33 | $28 0.2% of $13,743 |
| Cancer | Aflac | Justin Abraham | 33 | $7 0.1% of $13,743 |
| Cancer | Aflac | Elizabeth Bohlender | 33 | $3 0.0% of $13,743 |
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 $101,029
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $51,576 | $343.84 |
| The Benecon Group | Broker | $2,244 | $14.96 |
| Highmark | Admin | $36,670 | $244.47 |
| Benefitmall | Admin | $10,539 | $70.26 |