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Employer
558 East Penn Avenue, Cleona, PA 17042 · EIN 23-1517061 · 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 $12,988
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Lincoln National Life Insurance Company | The Benecon Group, Inc. | 60 | $4,329 15.0% of $28,865 |
| Vision | Lincoln National Life Insurance Company | The Benecon Group, Inc. | 42 | $358 10.0% of $3,573 |
| Life | Lincoln National Life Insurance Company | The Benecon Group, Inc. | 42 | $2,792 20.0% of $13,962 |
| Other | Lincoln National Life Insurance Company | The Benecon Group, Inc. | 33 | $2,000 20.0% of $10,001 |
| Other | Lincoln National Life Insurance Company | The Benecon Group, Inc. | 104 | $3,509 20.0% of $17,545 |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 63 | Comp not disclosed Premium $298,315 |
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 $18,888
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $15,237 | $214.61 |
| Yocum & Company, Inc | Broker | $14,962 | $210.73 |
| Connectcare3, LLC | Patient Advocate | $4,273 | $60.18 |
| Capital Bluecross | Carrier | $-15,584 | $-219.49 |