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Employer
300 Sterling Parkway, Mechanicsburg, PA 17050 · EIN 25-1613591 · 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 $213,662
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Inc | — | 77 | Comp not disclosed Premium $762,167 |
| Medical | Kaiser Foundation Health Plan Inc | — | 55 | Comp not disclosed Premium $583,239 |
| Vision | Vision Service Plan | — | 3543 | Comp not disclosed Premium $471,063 |
| Life | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 1968 | $96,514 12.5% of $772,543 |
| Life | Life Insurance Company Of North America | Sequoia Benefits And Ins Svcs LLC | 1968 | $34,004 4.4% of $772,543 |
| Life | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 2813 | $27,277 3.4% of $794,832 |
| Life | Life Insurance Company Of North America | Sequoia Benefits And Ins Svcs LLC | 2813 | $4,986 0.6% of $794,832 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 2813 | $2,971 3.3% of $90,365 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Sequoia Benefits And Ins Svcs LLC | 2813 | $520 0.6% of $90,365 |
| Other | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 1595 | $29,895 3.1% of $956,610 |
| Other | Life Insurance Company Of North America | Sequoia Benefits And Ins Svcs LLC | 1595 | $2,828 0.3% of $956,610 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 1014 | $11,114 12.8% of $87,014 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Sequoia Benefits And Ins Svcs LLC | 1014 | $3,553 4.1% of $87,014 |
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.
No Schedule C parties in this year.