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Employer
777 East Park Drive, Harrisburg, PA 17111 · EIN 23-2348176 · 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 $19,874
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 350 | $10,318 10.2% of $100,946 |
| Life | Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 350 | $3,966 3.9% of $100,946 |
| Life | Lincoln National Life Insurance Company | Lockton Companies, LLC | 350 | $-298 -0.3% of $100,946 |
| Accident | The Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 45 | $419 27.6% of $1,517 |
| Accident | The Lincoln National Life Insurance Company | Lockton Companies, LLC | 45 | $-17 -1.1% of $1,517 |
| Business Travel Accident And Accident | Life Insurance Company Of North America | Edgewood Partners Insurance Center | 350 | $65 15.7% of $413 |
| Critical Illness | The Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 52 | $369 26.4% of $1,398 |
| Critical Illness | The Lincoln National Life Insurance Company | Lockton Companies, LLC | 52 | $-20 -1.4% of $1,398 |
| Other | Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 349 | $3,768 10.4% of $36,216 |
| Other | Lincoln National Life Insurance Company | Edgewood Partners Insurance Center | 349 | $1,455 4.0% of $36,216 |
| Other | Lincoln National Life Insurance Company | Lockton Companies, LLC | 349 | $-151 -0.4% of $36,216 |
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 $107,352
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Health And Life Insurance Com | Admin Services | $107,352 | $306.72 |