Loading employer…
Employer
211 Lincolnway West, New Oxford, PA 17350 · EIN 23-2068215 · Sep 1, 2024 to Aug 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 $3,445
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 25 | Comp not disclosed Premium $112,655 |
| Dental | The Guardian Life Insurance Company | Brown & Brown Insurance Services | 24 | $1,840 9.5% of $19,327 |
| Dental | The Guardian Life Insurance Company | Strategic Non-Medical Solutions | 24 | $755 3.9% of $19,327 |
| Dental | The Guardian Life Insurance Company | Alpha Benefits Group, Inc | 24 | $317 1.6% of $19,327 |
| Dental | The Guardian Life Insurance Company | Mazzmar LLC | 24 | $7 0.0% of $19,327 |
| Dental | The Guardian Life Insurance Company | Financial Balance Group LLC | 24 | $3 0.0% of $19,327 |
| Life | Sun Life Assurance Company | — | — | Schedule A not provided |
| Other | Madison National Life Insurance Company | Brown & Brown Of Pennsylvania | 7 | $312 10.0% of $3,125 |
| Other | Madison National Life Insurance Company | North American Benefits Company | 7 | $211 6.8% of $3,125 |
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 $28,072
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $11,148 | $359.61 |
| Brown & Brown (Pa) | Broker | $9,867 | $318.29 |
| Capital Bluecross | Admin | $6,844 | $220.77 |
| Innovu | Other | $213 | $6.87 |