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Employer
3265 Farmtrail Road, York, PA 17406 · EIN 23-2200489 · 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 $58,902
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | — | 366 | Comp not disclosed Premium $467,233 |
| Dental | United Concordia Insurance Company | — | 704 | Schedule A not provided |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | American Insurance Administrators | 637 | $3,757 10.0% of $37,705 |
| Life | Hartford Life And Accident | Aia American Insurance Admin LLC | 518 | $20,187 9.3% of $217,573 |
| Life | Hartford Life And Accident | Dbl General Agency | 518 | $8,666 4.0% of $217,573 |
| Life | Aflac | Jonathon R. Seele | 1 | $11 3.1% of $356 |
| Life | Aflac | Chris H. Robinson | 1 | $8 2.2% of $356 |
| Life | Aflac | C A Lupp,Inc. | 1 | $6 1.7% of $356 |
| Life | Aflac | Anthony S. Almodovar | 1 | $4 1.1% of $356 |
| Life | Aflac | Matthew G. Berger | 1 | $3 0.8% of $356 |
| Life | Aflac | Darren D. Riddle And Other Agents | 1 | $1 0.3% of $356 |
| Life | Aflac | Angela Umosella | 1 | Comp not disclosed Premium $356 |
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 $6,076,139
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Healthnow Administrative Services | Claims Processing | $4,893,591 | $6,951.12 |
| Health Equity Inc | Fsa Claims | $373,718 | $530.85 |
| Epls, LLC | Prescriptions | $286,316 | $406.70 |
| Oss Health | Claims Processing | $217,907 | $309.53 |
| United Concordia | Dental | $130,583 | $185.49 |
| Accolade, Inc. | Patient Advocacy | $91,496 | $129.97 |
| American Insurance Administrators | Benefit Software | $24,046 | $34.16 |
| Fidelity Security Life Insurance Co | Vision | $22,457 | $31.90 |
| Mckonly & Asbury LLC | Accounting Audit | $19,734 | $28.03 |
| Mazzitti & Sullivan Counseling Serv | Eap | $16,291 | $23.14 |