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Employer
55 Utley Drive, Camp Hill, PA 17011 · EIN 23-1433882 · Jan 1, 2024 to Dec 31, 2024
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 $8,744
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | — | 355 | Comp not disclosed Premium $2,208,561 |
| Dental | Delta Dental Of Pennsylvania | — | 377 | Comp not disclosed Premium $83,240 |
| Life | Colonial Life And Accident Insurance Company | Petrina Skiles | 39 | $595 2.6% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | Benechoice Enrollment Solutions | 39 | $461 2.0% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | Aia American Insurance Administrato | 39 | $396 1.7% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | Usi Insurance Services (Ri) | 39 | $290 1.3% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | Tanya Wishard And Other Agnets | 39 | $101 0.4% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | David J Mcclellan | 39 | $53 0.2% of $23,172 |
| Life | Colonial Life And Accident Insurance Company | James Bartlett LLC | 39 | $39 0.2% of $23,172 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 267 | $4,428 3.1% of $141,976 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 267 | $2,381 1.7% of $141,976 |
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.