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Employer
3910 Oxford Road, Gettysburg, PA 17325 · EIN 23-2975280 · Mar 1, 2024 to Feb 28, 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 $177,447
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Guardian Life Insurance Company Of America | Brandon T Penko | 569 | $62,861 13.6% of $462,219 |
| Dental + Vision | Guardian Life Insurance Company Of America | Huntington Insurance | 569 | $43,552 9.4% of $462,219 |
| Vision | Standard Insurance Company | Huntington Insurance Inc | 287 | $1,150 6.0% of $19,319 |
| Life | United Of Omaha Life Insurance Company | Huntington Insurance, Inc. | 865 | $4,519 5.6% of $79,992 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 18 | $1,776 20.3% of $8,746 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 18 | $957 10.9% of $8,746 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 7 | $491 11.8% of $4,146 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 7 | $246 5.9% of $4,146 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 24 | $1,767 16.7% of $10,601 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 24 | $796 7.5% of $10,601 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 124 | $9,525 23.7% of $40,172 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 124 | $4,688 11.7% of $40,172 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 30 | $2,201 22.9% of $9,595 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 30 | $1,185 12.4% of $9,595 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 8 | $94 8.9% of $1,059 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 8 | $29 2.7% of $1,059 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 33 | $3,979 27.6% of $14,414 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 33 | $1,931 13.4% of $14,414 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 28 | $2,054 21.4% of $9,584 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 28 | $1,176 12.3% of $9,584 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 9 | $530 12.3% of $4,321 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 9 | $241 5.6% of $4,321 |
| AD&D | Assurity Life Insurance Comapny | Brandon Penko | 135 | $13,371 24.9% of $53,665 |
| AD&D | Assurity Life Insurance Comapny | Huntington Insurance Inc | 135 | $6,684 12.5% of $53,665 |
| Other | United Of Omaha Life Insurance Company | United Of Omaha Life Insurance Comp | 293 | $7,829 |
| Other | United Of Omaha Life Insurance Company | Huntington Insurance, Inc. | 188 | $3,815 9.4% of $40,795 |
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.