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Employer
7464 Linglestown Rd, Harrisburg, PA 17112 · EIN 25-1620450 · 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 $36,354
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | — | 239 | Comp not disclosed Premium $884,418 |
| Dental | Delta Dental Of Pennsylvania | — | 407 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 407 | Schedule A not provided |
| Vision | Vision Benefits Of America | Bcf Group | 214 | $959 5.2% of $18,270 |
| Life | United Of Omaha Life Insurance Company | Bcf Group | 342 | $4,933 10.0% of $49,346 |
| Life | United Of Omaha Life Insurance Company | Centerstone Ins And Financial Svcs | 342 | $2,467 5.0% of $49,346 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 342 | $1,587 3.2% of $49,346 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 342 | $1,228 2.5% of $49,346 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 342 | $705 1.4% of $49,346 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 73 | $1,379 4.1% of $33,775 |
| AD&D | United Of Omaha Life Insurance Company | Benefitmall | 73 | $849 2.5% of $33,775 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 73 | $613 1.8% of $33,775 |
| AD&D | United Of Omaha Life Insurance Company | Bcf Group | 73 | $3,376 10.0% of $33,775 |
| AD&D | United Of Omaha Life Insurance Company | Centerstone Ins And Financial Svcs | 73 | $1,689 5.0% of $33,775 |
| Other | United Of Omaha Life Insurance Company | Bcf Group | 95 | $2,477 10.0% of $24,773 |
| Other | United Of Omaha Life Insurance Company | Centerstone Ins And Financial Svcs | 95 | $1,239 5.0% of $24,773 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 95 | $956 3.9% of $24,773 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 95 | $616 2.5% of $24,773 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 95 | $425 1.7% of $24,773 |
| Other | United Of Omaha Life Insurance Company | Bcf Group | 342 | $4,933 4.4% of $111,020 |
| Other | United Of Omaha Life Insurance Company | Centerstone Ins And Financial Svcs | 342 | $2,467 2.2% of $111,020 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 342 | $1,587 1.4% of $111,020 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 342 | $1,228 1.1% of $111,020 |
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.