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Employer
4960 Horseshoe Pike, Honey Brook, PA 19344 · EIN 23-1496543 · 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 $26,408
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 167 | $906 10.0% of $9,057 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 341 | $3,572 20.7% of $17,271 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 341 | $519 3.0% of $17,271 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 341 | $357 2.1% of $17,271 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 169 | $7,708 20.7% of $37,300 |
| AD&D | United Of Omaha Life Insurance Company | Benefitmall | 169 | $1,119 3.0% of $37,300 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 169 | $769 2.1% of $37,300 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 322 | $9,213 20.5% of $45,051 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 322 | $1,352 3.0% of $45,051 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 322 | $893 2.0% of $45,051 |
| EAP | Wellspan Health | — | — | Schedule A not provided |
| Stop-loss | Avalon Insurance Company | — | 156 | Comp not disclosed Premium $882,935 |
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 $110,668
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $216 | $0.63 |
| United Concordia Companies, Inc. | Admin | $12,370 | $36.28 |
| United Of Omaha Life Insurance Co | Admin | $3,953 | $11.59 |
| Mcconkey Benefits & Financial Svc | Broker | $58,552 | $325.29 |
| The Benecon Group | Broker | $2,018 | $11.21 |
| Highmark, Inc. | Admin | $21,444 | $119.13 |
| Benefitmall | Admin | $12,115 | $67.31 |