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Employer
350 Poplar Church Road, Camp Hill, PA 17011 · EIN 92-3307221 · 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 $86,138
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | John Barton Greenbaum | 187 | $50,778 3.8% of $1,321,533 |
| Medical | Highmark Inc. | Emerson Rogers LLC | 187 | $12,090 0.9% of $1,321,533 |
| Dental | Delta Dental Of Pennsylvania | Rsc Insurance Brokerage, Inc. | 208 | $6,642 10.0% of $66,423 |
| Vision | Heartland | Rsc Insurance Brokerage, Inc. | 197 | $1,794 15.0% of $11,961 |
| Life | Metropolitan Life Insurance Company | Rsc Insurance Brokerage, Inc. | 168 | $9,761 12.4% of $79,035 |
| Life | Metropolitan Life Insurance Company | Selman & Company LLC | 168 | $1,952 2.5% of $79,035 |
| Group Accident | Metropolitan Life Insurance Company | Rsc Insurance Brokerage, Inc. | 79 | $812 10.1% of $8,050 |
| Group Accident | Metropolitan Life Insurance Company | Selman & Company | 79 | $244 3.0% of $8,050 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Rsc Insurance Brokerage, Inc. | 77 | $560 10.0% of $5,607 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Selman & Company LLC | 77 | $168 3.0% of $5,607 |
| Critical Illness | Metropolitan Life Insurance Company | Rsc Insurance Brokerage, Inc. | 68 | $747 10.0% of $7,464 |
| Critical Illness | Metropolitan Life Insurance Company | Selman & Company LLC | 68 | $224 3.0% of $7,464 |
| Legal | Metlife Legal Plans | Rsc Insurance Brokerage, Inc. | 10 | $332 15.0% of $2,214 |
| Legal | Metlife Legal Plans | Selman & Company LLC | 10 | $34 1.5% of $2,214 |
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.