Employer
A.H. Moyer, Inc.
820 E. Lincoln Ave., Myerstown, PA 17067 · EIN 23-2044197 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $5,399
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 24 | Comp not disclosed Premium $139,148 |
| Dental | United Concordia Life And Health Insurance Company | Pci Insurance Agency | 19 | $1,510 12.0% of $12,623 |
| Vision | National Vision Administrators, LLC | Pci Insurance Agency | 20 | $185 8.9% of $2,084 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 31 | $694 22.2% of $3,129 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 24 | $1,948 22.3% of $8,749 |
| Voluntary Long-Term Disability | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 20 | $1,062 22.7% of $4,684 |
Schedule C
Additional compensation
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 $39,585
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $25,647 | $827.32 |
| Pci (Pa Chamber Insurance) | Broker | $10,207 | $329.26 |
| Revivehealth, Inc. | Other | $3,731 | $120.35 |