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Employer
760 E Berlin Rd, York, PA 17408 · EIN 39-2042166 · 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 $109,051
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Fsl | — | 1577 | Comp not disclosed Premium $173,719 |
| Life | Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 2164 | $27,802 2.7% of $1,048,665 |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Business Travel Accident | Hartford Life And Accident | Aon Risk Service Central, Inc. | 1069 | $15 0.0% of $45,522 |
| Accident | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 540 | $26,831 25.8% of $103,997 |
| Critical Illness | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 309 | $40,119 25.8% of $155,561 |
| Other | Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 1800 | $14,284 3.4% of $418,182 |
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 $1,778,627
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark Inc. | Medical Admin Fees | $1,049,398 | $484.93 |
| United Healthcare Services, Inc. | Claims Processor | $374,777 | $173.19 |
| Express Scripts, Inc. | Rx Admin Fees | $218,357 | $100.90 |
| Delta Dental Of Wisconsin | Dental Admin Fees | $55,678 | $25.73 |
| Compsych | Tpa | $39,116 | $18.08 |
| Lincoln Financial Group | Leave Aso Fees | $23,998 | $11.09 |
| Chard, Snyder & Associates, LLC | Fsa Fees | $17,303 | $8.00 |