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Employer
1150 Goodwill Drive, Harrisburg, PA 17101 · EIN 23-1365338 · Jul 1, 2024 to Jun 30, 2025
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 $56,660
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Colonial Life & Accident Insurance Company | — | 1 | Schedule A not provided |
| Medical | Capital Advantage Assurance Company | — | 631 | Schedule A not provided |
| Life | Aflac | Gail I Holtzinger | 16 | $23 0.2% of $10,564 |
| Life | Aflac | Thomas R Fildes | 16 | $22 0.2% of $10,564 |
| Life | Aflac | Jacqueline M Eberz | 16 | $21 0.2% of $10,564 |
| Life | Aflac | Chris H Robinson | 16 | $17 0.2% of $10,564 |
| Life | Aflac | Kristen Murray | 16 | $17 0.2% of $10,564 |
| Life | Aflac | Alex Belfort | 16 | $16 0.2% of $10,564 |
| Life | Aflac | Main Line Benefit Solutions LLC | 16 | $13 0.1% of $10,564 |
| Life | Aflac | Darren D Riddle | 16 | $9 0.1% of $10,564 |
| Life | Aflac | Louis J Corado Jr | 16 | $8 0.1% of $10,564 |
| Life | Aflac | Robert A Anderson | 16 | $7 0.1% of $10,564 |
| Life | Aflac | Mary A Baranski | 16 | $7 0.1% of $10,564 |
| Life | Aflac | Marilyn W Brannen | 16 | $7 0.1% of $10,564 |
| Life | Aflac | Angela Umosella | 16 | $6 0.1% of $10,564 |
| Life | Aflac | Irene E Brooks | 16 | $6 0.1% of $10,564 |
| Life | Aflac | John B Drzewiecki Jr | 16 | $6 0.1% of $10,564 |
| Life | Aflac | Ryan K Goldberg | 16 | $6 0.1% of $10,564 |
| Life | Aflac | Martin E Bystrom | 16 | $6 0.1% of $10,564 |
| Life | Aflac | Stephanie J Rittner | 16 | $5 0.0% of $10,564 |
| Life | Aflac | Jason E Ferger | 16 | $3 0.0% of $10,564 |
| Life | Aflac | Wendy M Boone | 16 | $3 0.0% of $10,564 |
| Life | Aflac | Christopher A Lupp | 16 | $2 0.0% of $10,564 |
| Life | Aflac | Edward F Mrowka Jr | 16 | $2 0.0% of $10,564 |
| Life | Aflac | Dominick J Lacaria | 16 | $2 0.0% of $10,564 |
| Life | Aflac | Randall Sims | 16 | Comp not disclosed Premium $10,564 |
| Life | Aflac | Gerald L Walsh | 16 | $202 1.9% of $10,564 |
| Life | Aflac | Anthony S Almodovar | 16 | $181 1.7% of $10,564 |
| Life | Aflac | Clarence L Roe | 16 | $97 0.9% of $10,564 |
| Life | Aflac | Samuel A Boore | 16 | $86 0.8% of $10,564 |
| Life | Aflac | Dianne L Martin | 16 | $76 0.7% of $10,564 |
| Life | Aflac | Denton E Quick | 16 | $55 0.5% of $10,564 |
| Life | Aflac | Gary Stefus | 16 | $50 0.5% of $10,564 |
| Life | Aflac | Matthew G Berger | 16 | $34 0.3% of $10,564 |
| Life | Aflac | Jonathon R Seele | 16 | $32 0.3% of $10,564 |
| Life | Aflac | Bonnie H Drobnes | 16 | $27 0.3% of $10,564 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 846 | $20,155 17.9% of $112,505 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 846 | $2,813 2.5% of $112,505 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 229 | $6,898 15.2% of $45,454 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 229 | $1,136 2.5% of $45,454 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 168 | $371 14.5% of $2,562 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 168 | $64 2.5% of $2,562 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 599 | $6,984 18.2% of $38,424 |
| Other | The Lincoln National Life Insurance Company | Gis Benefits Inc | 599 | $961 2.5% of $38,424 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 132 | $6,345 19.5% of $32,569 |
| Other | The Lincoln National Life Insurance Company | Gis Benefits Inc | 132 | $1,628 5.0% of $32,569 |
| Accident | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 155 | $3,032 19.6% of $15,481 |
| Accident | The Lincoln National Life Insurance Company | Gis Benefits Inc | 155 | $774 5.0% of $15,481 |
| Critical Illness | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 124 | $3,541 19.6% of $18,085 |
| Critical Illness | The Lincoln National Life Insurance Company | Gis Benefits Inc | 124 | $904 5.0% of $18,085 |
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.