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Employer
4800 East Trindle Rd, Mechanicsburg, PA 17050 · EIN 25-1657908 · 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 $94,244
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Highmark Inc. | Mcgriff Insurance Services Inc. | 492 | $3,529 9.2% of $38,496 |
| Vision | Highmark Inc. | Ryan, Amanda K | 492 | $318 0.8% of $38,496 |
| Life | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 396 | $1,134 6.9% of $16,482 |
| Life | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 188 | $22,379 25.2% of $88,664 |
| Life | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 188 | $4,403 5.0% of $88,664 |
| Other | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 171 | $14,788 13.3% of $111,107 |
| Other | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 171 | $5,968 5.4% of $111,107 |
| Other | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 127 | $10,575 18.7% of $56,633 |
| Other | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 127 | $3,367 5.9% of $56,633 |
| Accident | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 189 | $4,311 20.0% of $21,554 |
| Accident | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 189 | $1,453 6.7% of $21,554 |
| Accident | United Of Omaha Life Insurance Company | Selerix Systems Inc | 189 | Comp not disclosed Premium $21,554 |
| Critical Illness | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 131 | $10,614 20.0% of $53,068 |
| Critical Illness | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 131 | $2,274 4.3% of $53,068 |
| Critical Illness | United Of Omaha Life Insurance Company | Selerix Systems Inc | 131 | Comp not disclosed Premium $53,068 |
| Telemedicine | First Stop Health | — | 295 | Comp not disclosed Premium $13,905 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | Mcgriff Insurance Services Inc. | 104 | $9,131 50.0% of $18,262 |
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.
No Schedule C parties in this year.