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Employer
1520 Market Street, Camp Hill, PA 17011 · EIN 25-1695448 · 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 $2,972
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 24 | Comp not disclosed Premium $82,063 |
| Dental | United Concordia Insurance Company | Mcconkey Benefits & Financial Servi | 40 | $1,028 7.4% of $13,815 |
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 25 | $128 5.0% of $2,570 |
| Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 24 | $240 15.0% of $1,602 |
| AD&D | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 9 | $31 15.2% of $204 |
| Other | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 14 | $451 15.0% of $3,005 |
| Other | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 15 | $426 15.0% of $2,839 |
| Voluntary Life, Voluntary Child & Spouse Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 13 | $668 15.0% of $4,454 |
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 $27,726
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $18,094 | $452.35 |
| E.K. Mcconkey & Co, Inc. | Broker | $6,720 | $168.00 |
| Revivehealth, Inc. | Other | $2,912 | $72.80 |