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Employer
102 Locust St, East Berlin, PA 17316 · EIN 23-1609684 · Apr 1, 2024 to Mar 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 $19,049
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Highmark, Inc. | Mcconkey Benefits & Financial Servi | 85 | $3,919 9.5% of $41,382 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 89 | $939 15.7% of $5,981 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 89 | $180 3.0% of $5,981 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 89 | $124 2.1% of $5,981 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 40 | $2,809 20.5% of $13,686 |
| Life | United Of Omaha Life Insurance Company | Benefitmall | 40 | $411 3.0% of $13,686 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 40 | $275 2.0% of $13,686 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 87 | $1,041 5.7% of $18,253 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 87 | $548 3.0% of $18,253 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 87 | $378 2.1% of $18,253 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 31 | $7,274 32.0% of $22,765 |
| Other | United Of Omaha Life Insurance Company | Benefitmall | 31 | $683 3.0% of $22,765 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 31 | $468 2.1% of $22,765 |
| Stop-loss | Avalon Insurance Company | — | 77 | Comp not disclosed Premium $321,236 |
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 $44,139
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $28,074 | $308.51 |
| The Benecon Group, LLC | Broker | $966 | $10.62 |
| Highmark | Admin | $9,290 | $102.09 |
| Benefitmall | Admin | $5,809 | $63.84 |