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Employer
1068 Trout Run Road, St. Marys, PA 15853 · EIN 25-1444458 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $24,020
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company Of America | Usi Insurance Services (Ri) | 117 | $2,363 4.0% of $58,656 |
| Dental + Vision | The Guardian Life Insurance Company Of America | The Blue Orange Solutions LLC | 117 | $665 1.1% of $58,656 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Brian William Patten | 117 | $663 1.1% of $58,656 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Lillis Mckibben Bongiovanni & Co (L | 117 | $544 0.9% of $58,656 |
| Life | Lincoln National Life Insurance Company | Emerson Rogers LLC | 35 | $4,304 26.8% of $16,047 |
| Life | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 35 | $396 2.5% of $16,047 |
| Life | Lincoln National Life Insurance Company | Emerson Rogers LLC | 132 | $5,655 22.7% of $24,948 |
| Life | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 132 | $251 1.0% of $24,948 |
| AD&D | Lincoln National Life Insurance Company | Emerson Rogers LLC | 35 | $291 27.5% of $1,057 |
| AD&D | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 35 | $26 2.5% of $1,057 |
| Other | Lincoln National Life Insurance Company | Emerson Rogers LLC | 60 | $2,650 25.9% of $10,251 |
| Other | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 60 | $257 2.5% of $10,251 |
| Other | Lincoln National Life Insurance Company | Emerson Rogers LLC | 73 | $5,702 21.8% of $26,155 |
| Other | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 73 | $253 1.0% of $26,155 |
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.