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Employer
173 South 32nd St, Camp Hill, PA 17011 · EIN 87-4035200 · Dec 1, 2024 to Nov 30, 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 $8,199
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Capital Advantage Assurance Company | — | 95 | Comp not disclosed Premium $6,645 |
| Life | Equitable Financial Life Insurance Company Of America | Gunn Mowery, LLC | 155 | $222 15.0% of $1,478 |
| Life | United Of Omaha Life Insurance Company | Gallagher Benefit Services Inc. | 127 | $547 8.1% of $6,789 |
| Life | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 127 | $132 1.9% of $6,789 |
| AD&D | United Of Omaha Life Insurance Company | Gallagher Benefit Services Inc. | 80 | $1,018 8.9% of $11,381 |
| AD&D | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 80 | $120 1.1% of $11,381 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Gallagher Benefit Services Inc. | 37 | $2,702 8.9% of $30,400 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 37 | $338 1.1% of $30,400 |
| Voluntary Accident | United Of Omaha Life Insurance Company | Gallagher Benefit Services Inc. | 41 | $552 8.9% of $6,236 |
| Voluntary Accident | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 41 | $72 1.2% of $6,236 |
| Voluntary Long Term Disability | United Of Omaha Life Insurance Company | Gallagher Benefit Services Inc. | 31 | $2,177 8.7% of $24,960 |
| Voluntary Long Term Disability | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 31 | $319 1.3% of $24,960 |
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.