# SUSQUEHANNA COMMUNITY BANK GROUP INSURANCE PLAN

Health and welfare plan sponsored by **SUSQUEHANNA COMMUNITY BANK**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SUSQUEHANNA COMMUNITY BANK |
| EIN | 232695045 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | WEST MILTON, PA |
| Industry | financial services |
| Funding | fully insured |
| Total premiums | $92K |
| Participants | 0 |
| Persons covered | 85 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ONE AMERICA | Life, STD, LTD, Other |
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | Dental |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| LEAVITT GROUP | AMERICAL UNITED LIFE INSURANCE COMPANY |
| LEAVITT GROUP | UNITED CONCORDIA INSURANCE COMPANY |
| VARNEY & COMPANY BENEFITS ADVISORS | NGL |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/232695045-503
- Cite as: PlanOptica, https://planoptica.com/welfare/232695045-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers