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Employer
20 Innovation Drive, York, PA 17402 · EIN 47-2452035 · Apr 1, 2024 to Mar 31, 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 $30,426
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Highmark, Inc | Mcconkey Benefits & Financial Servi | 274 | $7,447 10.0% of $74,194 |
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 141 | $446 2.7% of $16,298 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 154 | $3,118 15.7% of $19,905 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 154 | $598 3.0% of $19,905 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 154 | $410 2.1% of $19,905 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 56 | $3,244 15.4% of $21,052 |
| AD&D | United Of Omaha Life Insurance Company | Benefitmall | 56 | $632 3.0% of $21,052 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 56 | $414 2.0% of $21,052 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 154 | $2,754 15.6% of $17,601 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 154 | $528 3.0% of $17,601 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 154 | $361 2.1% of $17,601 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 154 | $7,917 15.6% of $50,638 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 154 | $1,519 3.0% of $50,638 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 154 | $1,038 2.0% of $50,638 |
| Stop-loss | Avalon Insurance Company | — | 136 | Comp not disclosed Premium $478,141 |
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 $64,941
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $51,507 | $323.94 |
| Benefitmall Tpa | Broker | $10,658 | $67.03 |
| The Benecon Group LLC | Broker | $1,773 | $11.15 |
| Highmark | Admin | $1,003 | $6.31 |