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Employer
981 Bridge Street, Lehighton, PA 18235 · EIN 82-4037722 · Jun 1, 2024 to May 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 $12,712
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 100 | Comp not disclosed Premium $438,944 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Centerstone Insurance And Financial | 89 | $4,592 9.5% of $48,094 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Mcconkey Benefits & Financial Servi | 89 | $3,133 6.5% of $48,094 |
| Dental + Vision | The Guardian Life Insurance Company Of America | William Robert Crossan | 89 | $11 0.0% of $48,094 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Matthew E Vahue | 89 | $5 0.0% of $48,094 |
| Life | Standard Insurance Company | Mcconkey Benefits & Financial Servi | 111 | $1,549 8.1% of $19,185 |
| Life | Standard Insurance Company | Mather & Strohl Admin Svcs Inc | 111 | $569 3.0% of $19,185 |
| Life | Standard Insurance Company | Onesource Benefit Solutions | 111 | $103 0.5% of $19,185 |
| Other | Standard Insurance Company | Mcconkey Benefits & Financial Servi | 82 | $1,865 7.3% of $25,524 |
| Other | Standard Insurance Company | Mather & Strohl Admin Svcs Inc | 82 | $766 3.0% of $25,524 |
| Other | Standard Insurance Company | Onesource Benefit Solutions | 82 | $119 0.5% of $25,524 |
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 $82,427
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| E. K. Mcconkey & Co., Inc. | Broker | $35,351 | $350.01 |
| Benecon | Broker | $1,219 | $12.07 |
| Highmark | Admin | $38,493 | $381.12 |
| Benefitmall | Tpa | $7,364 | $72.91 |