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Employer
115 Ram Drive, Hanover, PA 17331 · EIN 23-2962823 · Aug 1, 2024 to Jul 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 $23,544
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Mcconkey Benefits & Financial Servi | 165 | $4,850 9.8% of $49,445 |
| Dental | Delta Dental Of Pennsylvania | Benefitmall | 165 | $970 2.0% of $49,445 |
| Vision | Highmark Inc. | Mcconkey Benefits & Financial Servi | 136 | $628 6.3% of $9,935 |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Accident | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Accident | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Stop-loss | Avalon Insurance Company | — | 104 | Comp not disclosed Premium $378,708 |
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 $97,532
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | Broker | $36,076 | $346.88 |
| The Benecon Group, LLC | Broker | $1,244 | $11.96 |
| Highmark | Admin | $52,646 | $506.21 |
| Benefit Mall | Admin | $7,566 | $72.75 |