Loading employer…
Employer
1520 Market Street, Camp Hill, PA 17011 · EIN 23-2220135 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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 $3,949
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 25 | Comp not disclosed Premium $126,940 |
| Medical | Capital Advantage Assurance Company | — | — | Schedule A not provided |
| Dental | United Concordia Insurance Company | Mcconkey Benefits & Financial Servi | 33 | $1,055 5.5% of $19,139 |
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 22 | $149 5.0% of $2,981 |
| Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 35 | $477 15.0% of $3,177 |
| AD&D | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 11 | $38 15.1% of $251 |
| Other | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 13 | $448 15.0% of $2,988 |
| Other | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 17 | $851 15.0% of $5,672 |
| Voluntary Life, Voluntary Child & Spouse Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 15 | $931 15.0% of $6,205 |
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 $26,514
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| E.K. Mcconkey & Co, Inc. | Broker | $11,970 | $230.19 |
| The Benecon Group, LLC | Broker | $9,971 | $191.75 |
| Capital Bluecross | Admin | $2,394 | $46.04 |
| ConnectCare3 | Patient Advocate | $2,179 | $41.90 |