Employer
Septodont, Inc.
205 Granite Run Drive, Suite 150, Lancaster, PA 17601 · EIN 11-2783458 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 56
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $15,202
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 43 | Comp not disclosed Premium $518,425 |
| Dental | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 40 | $858 2.6% of $32,878 |
| Dental | United Of Omaha Life Insurance Company | Gi George Parent Lp | 40 | $624 1.9% of $32,878 |
| Vision | Eyemed Vision Care | Mcconkey Benefits & Financial Servi | 56 | $407 11.6% of $3,498 |
| Life | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 43 | $4,419 16.0% of $27,607 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 43 | $502 1.8% of $27,607 |
| AD&D | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 6 | $1,690 18.0% of $9,411 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 6 | $187 2.0% of $9,411 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 43 | $2,956 20.2% of $14,662 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 43 | $275 1.9% of $14,662 |
| Other | United Of Omaha Life Insurance Company | Mcconkey Benefits & Financial Servi | 43 | $2,931 14.9% of $19,606 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 43 | $353 1.8% of $19,606 |
Schedule C
Additional compensation
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 $98,765
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $83,255 | $1,486.70 |
| E. K. Mcconkey & Co., Inc. | Broker | $15,510 | $276.96 |