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Employer
1015 Philadelphia Avenue, Chambersburg, PA 17201 · EIN 23-1352692 · Jul 1, 2024 to Jun 30, 2025
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 $14,214
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Highmark, Inc | Shearer, Thomas M | 187 | $4,826 6.0% of $80,197 |
| Dental + Vision | Highmark, Inc | The Benecon Group, Inc. | 187 | $1,609 2.0% of $80,197 |
| Life | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 156 | $361 9.4% of $3,846 |
| Life | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 156 | $142 3.7% of $3,846 |
| Life | United Of Omaha Life Insurance Company | The Benecon Group, Inc. | 156 | $135 3.5% of $3,846 |
| Short Term Disability Voluntary | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 44 | $1,190 8.7% of $13,687 |
| Short Term Disability Voluntary | United Of Omaha Life Insurance Company | The Benecon Group, Inc. | 44 | $526 3.8% of $13,687 |
| Short Term Disability Voluntary | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 44 | $493 3.6% of $13,687 |
| Other | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 156 | $1,500 9.1% of $16,447 |
| Other | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 156 | $602 3.7% of $16,447 |
| Other | United Of Omaha Life Insurance Company | The Benecon Group, Inc. | 156 | $602 3.7% of $16,447 |
| Voluntary Life | United Of Omaha Life Insurance Company | Strickler Agency, Inc. | 71 | $1,236 9.0% of $13,715 |
| Voluntary Life | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 71 | $505 3.7% of $13,715 |
| Voluntary Life | United Of Omaha Life Insurance Company | The Benecon Group, Inc. | 71 | $487 3.6% of $13,715 |
| EAP | Mazzitti & Sullivan | — | — | Schedule A not provided |
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.