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Employer
Po Box 15198, York, PA 17405 · EIN 22-2517863 · 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 $926,572
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 6578 | $22,711 5.8% of $393,644 |
| Life | The Lincoln National Life Insurance Company | Martin R Miracle | 6578 | $6,885 1.7% of $393,644 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 6578 | $19,865 5.0% of $393,644 |
| Life | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 24780 | $309,053 5.5% of $5,610,753 |
| Life | The Lincoln National Life Insurance Company | Martin R Miracle | 24780 | $90,060 1.6% of $5,610,753 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 24780 | $100,000 1.8% of $5,610,753 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 92 | $3,587 17.4% of $20,627 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Beneplace LLC | 92 | $405 2.0% of $20,627 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 92 | $571 2.8% of $20,627 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Usi Southwest Inc | 92 | $135 0.7% of $20,627 |
| Critical Illness | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 283 | $16,864 16.8% of $100,363 |
| Critical Illness | The Lincoln National Life Insurance Company | Beneplace LLC | 283 | $2,406 2.4% of $100,363 |
| Critical Illness | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 283 | $3,366 3.4% of $100,363 |
| Critical Illness | The Lincoln National Life Insurance Company | Usi Southwest Inc | 283 | $802 0.8% of $100,363 |
| Accident | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 294 | $8,140 16.9% of $48,152 |
| Accident | The Lincoln National Life Insurance Company | Beneplace LLC | 294 | $1,118 2.3% of $48,152 |
| Accident | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 294 | $1,572 3.3% of $48,152 |
| Accident | The Lincoln National Life Insurance Company | Usi Southwest Inc | 294 | $373 0.8% of $48,152 |
| Business Travel Accident | Federal Insurance Company | Mercer Health & Benefits, LLC | 21160 | $5,625 20.0% of $28,126 |
| Other | The Lincoln National Life Insurance Company | Martin R Miracle | 18151 | $59,585 1.2% of $5,134,937 |
| Other | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 18151 | $50,000 1.0% of $5,134,937 |
| Other | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 18151 | $223,449 4.4% of $5,134,937 |
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.