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Employer
1828 Good Hope Road, Suite 102, Enola, PA 17025 · EIN 65-1293677 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $1,414,692
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 8339 | Schedule A not provided |
| Vision | Highmark Inc. | Kevin L. Krause | 7686 | $39,084 9.6% of $406,367 |
| Life | Provident Life And Accident Insurance Company | American Ins. Administrators, Inc. | 796 | $25,887 9.6% of $270,251 |
| Life | Provident Life And Accident Insurance Company | James H. Van Epps | 796 | $11,109 4.1% of $270,251 |
| Life | Provident Life And Accident Insurance Company | Charles D. Block | 796 | $11,109 4.1% of $270,251 |
| Life | Provident Life And Accident Insurance Company | Benefit Advisors Network | 796 | $532 0.2% of $270,251 |
| Life | Prudential Insurance Company Of America | American Ins. Administrators, Inc. | 7190 | $891,342 14.9% of $5,972,207 |
| Life | Prudential Insurance Company Of America | American Insurance Administrators | 7190 | $208,389 3.5% of $5,972,207 |
| Life | Prudential Insurance Company Of America | Img | 7190 | $1,529 0.0% of $5,972,207 |
| Cancer | Metlife Insurance Company | American Ins. Administrators, Inc. | 64 | $2,526 18.0% of $14,035 |
| Cancer | Manhattanlife Assurance Company Of America | American Ins. Administrators, Inc. | 11 | $290 12.0% of $2,416 |
| Cancer | Manhattanlife Assurance Company Of America | Baffin Bay Marketing Group, LLC | 11 | $97 4.0% of $2,416 |
| Cancer | Manhattanlife Assurance Company Of America | Linda Keller Moeller | 11 | $48 2.0% of $2,416 |
| Cancer | Manhattanlife Assurance Company Of America | Aspen Reinsurance Group, Inc. | 11 | $24 1.0% of $2,416 |
| Cancer | National Union Fire Insurance Company Of Pittsburgh | Baffin Bay Marketing Group, LLC | 3 | $3,722 16.0% of $23,263 |
| Cancer | National Union Fire Insurance Company Of Pittsburgh | Aspen Reinsurance Group, Inc. | 3 | $233 1.0% of $23,263 |
| Telehealth | Teladoc | — | 11385 | Schedule A not provided |
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.