Loading employer…
Employer
205 Woodrow Avenue, Sinking Springs, PA 19608 · EIN 23-1308422 · 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 $16,391
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Sun Life Assurance Company Of Canada | Patriot (Power-Kunkle Group, Inc.) | 88 | $2,178 6.0% of $36,374 |
| Dental | Sun Life Assurance Company Of Canada | James R Nelligan & Associates | 88 | $1,220 3.4% of $36,374 |
| Vision | Capital Advantage Assurance Company | Patriot (Power-Kunkle Group, Inc.) | 150 | $714 10.0% of $7,141 |
| Life | United Of Omaha Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 140 | $1,409 14.9% of $9,434 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 140 | $186 2.0% of $9,434 |
| Life | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 140 | $154 1.6% of $9,434 |
| AD&D | United Of Omaha Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 73 | $4,780 19.4% of $24,578 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 73 | $437 1.8% of $24,578 |
| AD&D | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 73 | $400 1.6% of $24,578 |
| Other | United Of Omaha Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 8 | $289 16.0% of $1,803 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 8 | $43 2.4% of $1,803 |
| Other | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 8 | $29 1.6% of $1,803 |
| Voluntary Ltd | United Of Omaha Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 56 | $3,682 14.3% of $25,784 |
| Voluntary Ltd | United Of Omaha Life Insurance Company | Gi George Parent Lp | 56 | $442 1.7% of $25,784 |
| Voluntary Ltd | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 56 | $428 1.7% of $25,784 |
| Cancer | American Heritage Life Insurance Company | — | — | Schedule A not provided |
| Accident | American Heritage Life Insurance Company | — | — | Schedule A not provided |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 94 | Comp not disclosed Premium $528,647 |
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 $79,044
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Power-Kunkle Group, Inc.) | Broker | $44,751 | $385.78 |
| The Benecon Group, LLC | Broker | $21,070 | $181.64 |
| ConnectCare3 | Patient Advocate | $7,319 | $63.09 |
| Capital Bluecross | Admin | $5,904 | $50.90 |