Loading employer…
Employer
4712 Smith Street, Harrisburg, PA 17109 · EIN 23-2095608 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $2,565
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 24 | Comp not disclosed Premium $139,792 |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $520 |
| Dental | United Concordia Insurance Company | Colonial Park Realty | 60 | $1,648 7.0% of $23,467 |
| Life | Unum Life Insurance Company Of America | Colonial Park Realty | 35 | $260 10.7% of $2,423 |
| Life | Unum Life Insurance Company Of America | Emerson Reid LLC | 35 | $121 5.0% of $2,423 |
| Life | Unum Life Insurance Company Of America | Url Inc | 35 | $97 4.0% of $2,423 |
| Life | Unum Life Insurance Company Of America | Centro Benefits Research LLC | 35 | $24 1.0% of $2,423 |
| AD&D | Unum Life Insurance Company Of America | Colonial Park Realty | 5 | $254 15.7% of $1,614 |
| AD&D | Unum Life Insurance Company Of America | Emerson Reid LLC | 5 | $81 5.0% of $1,614 |
| AD&D | Unum Life Insurance Company Of America | Url Inc | 5 | $62 3.8% of $1,614 |
| AD&D | Unum Life Insurance Company Of America | Centro Benefits Research LLC | 5 | $18 1.1% of $1,614 |
| Grpaccvo, Grphspvo | Unum Life Insurance Company Of America | — | — | Schedule A not provided |
| Istdprotec | Provident Life And Accident Insurance Company | — | — | 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.
Visible subtotal $42,788
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $29,494 | $491.57 |
| Enders Insurance Associates | Broker | $8,640 | $144.00 |
| Revivehealth, Inc. | Other | $4,654 | $77.57 |