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Employer
2100 Washington Pike, Heidelberg, PA 15106 · EIN 25-1353793 · 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 $46,692
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | American Fidelity Assurance Company | American Fidelity Assurance Company | 7 | $-89 -3.3% of $2,713 |
| Medical | Upmc Health Benefits | Enscoe Long Insurance Group LLC | — | $15 19.5% of $77 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | — | Comp not disclosed |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 2 | $389 3.0% of $13,135 |
| Medical | Upmc Health Benefits | Enscoe Long Insurance Group LLC | 47 | $1,111 10.0% of $11,107 |
| Medical | Upmc Health Benefits | Enscoe Long Insurance Group LLC | 51 | $1,678 10.0% of $16,785 |
| Medical | Upmc Health Benefits | Enscoe Long Insurance Group LLC | 25 | $680 10.9% of $6,231 |
| Medical | American Fideilty Assurance Company | Fidelity Assurance Company | 21 | Comp not disclosed Premium $1,710 |
| Medical | American Fideilty Assurance Company | Paa Services Inc | 21 | $34 2.0% of $1,710 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 3 | $682 3.0% of $22,471 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 42 | $5,969 3.3% of $183,529 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 8 | $1,209 2.9% of $41,249 |
| Medical | Upmc Health Benefits | Enscoe Long Insurance Group LLC | 44 | $1,575 10.9% of $14,453 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 6 | $1,361 3.3% of $40,880 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 11 | $1,456 3.3% of $44,775 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 42 | $6,246 2.9% of $212,225 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 29 | $5,213 3.3% of $158,345 |
| Medical | Upmc Health Options | Enscoe Long Insurance Group LLC | 71 | $10,397 3.0% of $348,766 |
| Life | American United Life Insurance Company | Enscoe Long Ins Group LLC | 158 | $594 10.0% of $5,935 |
| Life | American United Life Insurance Company | Enscoe Long Ins Group LLC | 158 | $297 5.0% of $5,935 |
| Other | American Fidelity Assurance Company | American Fidelity Assurance Company | 23 | $64 0.8% of $8,299 |
| Other | American Fidelity Assurance Company | Paa Services Inc | 23 | $357 4.3% of $8,299 |
| Cancer Coverage | American Fidelity Assurance Company | American Fidelity Assurance Company | 5 | $225 7.8% of $2,872 |
| Cancer Coverage | American Fidelity Assurance Company | Paa Services Inc | 5 | $121 4.2% of $2,872 |
| Other | American Fidelity Assurance Company | American Fidelity Assurance Company | 50 | $3,481 4.3% of $81,862 |
| Other | American Fidelity Assurance Company | Paa Serivces Inc | 50 | $2,988 3.7% of $81,862 |
| Other | American United Life Insurance Company | Enscoe Long Insurance Group LLC | 158 | $57 10.1% of $565 |
| Other | American United Life Insurance Company | Enscoe Long Insurance Group LLC | 158 | $28 5.0% of $565 |
| Other | American Fidelity Assurance Company | American Fidelity Assurance Company | 1 | $530 10.5% of $5,032 |
| Other | American Fidelity Assurance Company | Paa Services Inc | 1 | $24 0.5% of $5,032 |
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.