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Employer
2601 Market Place, Harrisburg, PA 17110 · EIN 86-1059248 · 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 $23,605
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | National Vision Administrators, LLC | Mcconkey Benefits & Financial Servi | 392 | $1,001 5.0% of $20,016 |
| Life | The Guardian Life Insurance Company Of America | National Insurance Markets Inc | 227 | $12,289 6.0% of $206,302 |
| Life | The Guardian Life Insurance Company Of America | American Insurance Administrators | 227 | $6,791 3.3% of $206,302 |
| Life | The Guardian Life Insurance Company Of America | Alera General Agency Insurance | 227 | $3,524 1.7% of $206,302 |
| EAP | Mazzitti & Sullivan | — | — | Schedule A not provided |
| Legal | Legal Shield | — | — | Schedule A not provided |
| Stop-loss | Avalon Insurance Company | — | 178 | Comp not disclosed Premium $646,004 |
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 $167,922
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| United Concordia Companies, Inc. | Admin | $17,749 | $45.28 |
| Mcconkey Benefits | Broker | $63,684 | $351.85 |
| The Benecon Group, LLC | Broker | $2,196 | $12.13 |
| Highmark, Inc | Admin | $70,702 | $390.62 |
| Benefitmall | Admin | $13,591 | $75.09 |