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Employer
301 South Cameron Street, Harrisburg, PA 17101 · EIN 23-0691670 · 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 $9,360
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 1243 | Comp not disclosed Premium $395,652 |
| Life | The Guardian Life Insurance Company Of America | The Hdh Group, Inc. | 14 | $199 13.0% of $1,533 |
| Life | The Lincoln National Life Insurance Company | The Hdh Group, Inc. | 240 | $2,019 15.0% of $13,463 |
| Life | The Lincoln National Life Insurance Company | Hub International | 240 | $269 2.0% of $13,463 |
| Life | The Lincoln National Life Insurance Company | Hub International | 240 | $102 0.8% of $13,463 |
| Life | Provident Life And Accident Insurance Company | Byerly Insurance Agents & Brokers I | 5 | $4 1.1% of $350 |
| Life | Provident Life And Accident Insurance Company | Pierce, Dwight L/Us Bentec Workplac | 5 | $4 1.1% of $350 |
| Life | Provident Life And Accident Insurance Company | Benefit Communications Inc | 5 | $3 0.9% of $350 |
| Life | Provident Life And Accident Insurance Company | Aia American Insurance Administrato | 5 | $2 0.6% of $350 |
| Life | American Heritage Life Insurance Company | Royal Oak Benefits & Investments Ll | 11 | $8 2.6% of $306 |
| Life | American Heritage Life Insurance Company | The Hdh Group, Inc. | 11 | $5 1.6% of $306 |
| Life | Unum Life Insurance Company Of America | Byerly Insurance Agents & Brokers I | — | $206 8.2% of $2,518 |
| Other | The Lincoln National Life Insurance Company | The Hdh Group, Inc. | 235 | $3,315 15.0% of $22,098 |
| Other | The Lincoln National Life Insurance Company | Hub International | 235 | $442 2.0% of $22,098 |
| Other | The Lincoln National Life Insurance Company | Hub International | 235 | $104 0.5% of $22,098 |
| Accidental Death & Dismemberment | American Heritage Life Insurance Company | Royal Oak Benefits & Investments Ll | 17 | $14 3.1% of $459 |
| Accidental Death & Dismemberment | American Heritage Life Insurance Company | The Hdh Group, Inc. | 17 | $9 2.0% of $459 |
| Other | The Lincoln National Life Insurance Company | The Hdh Group, Inc. | 208 | $2,319 15.0% of $15,457 |
| Other | The Lincoln National Life Insurance Company | Hub International | 208 | $309 2.0% of $15,457 |
| Other | American Heritage Life Insurance Company | Royal Oak Benefits & Investments Ll | 1 | $16 5.5% of $291 |
| Other | American Heritage Life Insurance Company | The Hdh Group, Inc. | 1 | $11 3.8% of $291 |
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.