Loading employer…
Employer
221 West Philadelphia St, York, PA 17401 · EIN 23-2849149 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $10,220
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 36 | Comp not disclosed Premium $242,052 |
| Life | Northwestern Mutual | R Todd Grandy | 68 | $794 7.8% of $10,136 |
| Life | Northwestern Mutual | Jason S Bell | 68 | $794 7.8% of $10,136 |
| Life | Northwestern Mutual | David Wayne Ziegler | 68 | $151 1.5% of $10,136 |
| Life | Northwestern Mutual | Scott Iodice Assc LLC | 68 | $124 1.2% of $10,136 |
| Other | Northwestern Mutual | Jason S Bell | 54 | $2,851 5.1% of $55,992 |
| Other | Northwestern Mutual | R Todd Grandy | 54 | $2,851 5.1% of $55,992 |
| Other | Northwestern Mutual | David Wayne Ziegler | 54 | $618 1.1% of $55,992 |
| Other | Northwestern Mutual | Scott Iodice Assc LLC | 54 | $510 0.9% of $55,992 |
| Other | Northwestern Mutual | R Todd Grandy | 39 | $637 6.9% of $9,180 |
| Other | Northwestern Mutual | Jason S Bell | 39 | $637 6.9% of $9,180 |
| Other | Northwestern Mutual | David Wayne Ziegler | 39 | $139 1.5% of $9,180 |
| Other | Northwestern Mutual | Scott Iodice Assc LLC | 39 | $114 1.2% of $9,180 |
| EAP | Quest Behavioral Health, Inc | — | 138 | Comp not disclosed Premium $1,167 |
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 $36,438
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc. | Broker | $15,603 | $113.07 |
| The Benecon Group | Broker | $11,102 | $80.45 |
| Highmark Blue Shield (Central) | Admin | $7,304 | $52.93 |
| ConnectCare3 | Patient Advocate | $2,429 | $17.60 |