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Employer
1831 Auction Rd, Manheim, PA 17545 · EIN 23-1717736 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $70,088
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Capital Advantage Insurance Company | Ap Benefits Advisors | 28 | $5,544 1.9% of $296,366 |
| Stop-loss | Capital Advantage Insurance Company | Horst Insurance | 28 | $3,816 1.3% of $296,366 |
| Medical | Highmark Inc. | H.G.I.D. Inc. | 151 | $37,146 3.9% of $948,815 |
| Dental | Delta Dental Of Pennsylvania | Delta Dental Of Pennsylvania | 171 | $6,433 16.5% of $38,891 |
| Dental | Delta Dental Of Pennsylvania | Horst Insurance | 50 | $1,249 10.0% of $12,486 |
| Life | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 97 | $565 10.0% of $5,652 |
| Life | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 97 | $135 2.4% of $5,652 |
| Life | American United Life Insurance Company | Hgid Inc | 31 | $2,202 7.3% of $30,211 |
| Life | American United Life Insurance Company | Assured Partners (Central Pa) | 31 | $1,860 6.2% of $30,211 |
| Other | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 70 | $1,910 10.0% of $19,104 |
| Other | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 70 | $454 2.4% of $19,104 |
| Other | United Of Omaha Life Insurance Company | United Of Omaha Life Insurance Comp | 96 | $5,931 6.9% of $85,339 |
| Other | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 96 | $134 0.2% of $85,339 |
| Term Life-Vol | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 50 | $2,255 10.0% of $22,551 |
| Term Life-Vol | United Of Omaha Life Insurance Company | H.G.I.D. Inc. | 50 | $454 2.0% of $22,551 |
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.