Loading employer…
Employer
815 Orphanage Road, Littlestown, PA 17340 · EIN 23-2732296 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $16,272
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Capital Advantage Assurance Company | Brown & Brown Of Pennsylvania | 145 | $4,338 8.8% of $49,200 |
| Life | Transamerica Life Insurance Company | Brown & Brown Of Pennsylvania | 48 | $5,041 11.0% of $45,636 |
| Life | Transamerica Life Insurance Company | Benechoice Enrollment Solutions Inc | 48 | $1,678 3.7% of $45,636 |
| Life | Transamerica Life Insurance Company | Centerstone Insurance & Financial | 48 | $7 0.0% of $45,636 |
| Other | Madison Nation Life Insurance Co | Brown & Brown Of Pennsylvania | 48 | $3,510 14.0% of $25,156 |
| Other | Madison Nation Life Insurance Co | North American Benefits Co | 48 | $1,698 6.7% of $25,156 |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 118 | Comp not disclosed Premium $447,328 |
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 $106,594
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Brown & Brown (Pa) | Broker | $46,375 | $393.01 |
| The Benecon Group | Broker | $21,512 | $182.31 |
| Capital Bluecross | Admin | $26,240 | $222.37 |
| ConnectCare3 | Patient Advocate | $7,167 | $60.74 |
| Innovu | Other | $5,300 | $44.92 |