Loading employer…
Employer
2655 Molly Pitcher Highway, Chambersburg, PA 17201 · EIN 23-1498432 · Apr 1, 2024 to Mar 31, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $6,264
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 96 | Comp not disclosed Premium $567,506 |
| Dental | Delta Dental Of Pennsylvania | Mcconkey Benefits & Financial Servi | 154 | $1,317 3.4% of $38,962 |
| Dental | Delta Dental Of Pennsylvania | Benefitmall | 154 | $439 1.1% of $38,962 |
| Life | Usable Life | Mcconkey Benefits & Financial Servi | 143 | $1,590 10.0% of $15,956 |
| Life | Usable Life | Consolidated Benefits | 143 | $681 4.3% of $15,956 |
| Other | Usable Life | Mcconkey Benefits & Financial Servi | 63 | $1,566 10.0% of $15,691 |
| Other | Usable Life | Consolidated Benefits Inc | 63 | $671 4.3% of $15,691 |
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 $3,329
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $42,874 | $304.07 |
| The Benecon Group | Broker | $1,466 | $10.40 |
| Benefitmall | Admin | $8,874 | $62.94 |
| Highmark | Admin | $-51,107 | $-362.46 |
| Nva | Admin | $1,222 | $6.08 |