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Employer
Po Box 28, Thomasville, PA 17364 · EIN 23-2102764 · 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 $15,210
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 208 | $1,591 10.0% of $15,907 |
| Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 214 | $1,692 5.7% of $29,937 |
| Life | The Lincoln National Life Insurance Company | Mather & Strohl Admin Svc LLC | 214 | $1,477 4.9% of $29,937 |
| Other | The Lincoln National Life Insurance Company | Mather & Strohl Admin Svc LLC | 214 | $3,916 6.0% of $65,594 |
| Other | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 214 | $3,392 5.2% of $65,594 |
| Voluntary Life, Voluntary Spouse Life | The Lincoln National Life Insurance Company | Mcconkey Benefits & Financial Servi | 15 | $1,682 9.5% of $17,677 |
| Voluntary Life, Voluntary Spouse Life | The Lincoln National Life Insurance Company | Mather & Strohl Admin Svc LLC | 15 | $1,460 8.3% of $17,677 |
| Stop-loss | Avalon Insurance Company | — | 167 | Comp not disclosed Premium $847,331 |
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 $185,093
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $1,510 | $6.86 |
| Delta Dental Of Pennsylvania | Admin | $17,905 | $81.39 |
| Mcconkey Benefits & Financial Serv | Broker | $56,869 | $340.53 |
| The Benecon Group, LLC | Broker | $1,961 | $11.74 |
| Highmark | Admin | $94,714 | $567.15 |
| Benefitmall | Admin | $12,134 | $72.66 |