Employer
Donegal Mutual Insurance Company
1195 River Road, Marietta, PA 17547 · EIN 23-1336198 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 878
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $44,419
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | — | 670 | Comp not disclosed Premium $9,121,605 |
| Dental | Delta Dental Of Pennsylvania | — | 686 | Comp not disclosed Premium $194,655 |
| Vision | Standard Insurance Company | — | 624 | Comp not disclosed Premium $102,743 |
| Life | The Guardian Life Insurance Company Of America | Murray Ins Assoc Inc | 878 | $15,428 3.7% of $421,210 |
| Life | Lincoln National Life Insurance Company | Gis Benefits Inc | 869 | $8,372 4.6% of $182,294 |
| AD&D | Federal Insurance Company | Murray Insurance Assoc Inc | 830 | $266 15.6% of $1,710 |
| Accident | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 223 | $4,196 20.0% of $20,980 |
| Accident | The Lincoln National Life Insurance Company | Gis Benefits Inc | 223 | $1,049 5.0% of $20,980 |
| Critical Illness | The Lincoln National Life Insurance Company | Gis Benefits Inc | 173 | $1,637 5.0% of $32,734 |
| Critical Illness | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 173 | $6,547 20.0% of $32,734 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 71 | $2,730 20.0% of $13,648 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Gis Benefits Inc | 71 | $682 5.0% of $13,648 |
| Other | Lincoln National Life Insurance Company | Gis Benefits Inc | 828 | $3,512 5.0% of $70,246 |
Schedule C
Additional compensation
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 $52,579
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Delta Dental Of Pennsylvania | Dental Admin Fees | $20,558 | $23.41 |
| United Concordia Companies, Inc. | Dental Admin Fees | $19,428 | $22.13 |
| Lincoln National Life Insurance Co. | Leave And Std Aso Fees | $12,593 | $14.34 |