Loading employer…
Employer
385 Science Park Road, State College, PA 16803 · EIN 25-1291071 · 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 $305
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 308 | Comp not disclosed Premium $201,769 |
| Vision | Vision Benefits Of America | — | 161 | Comp not disclosed Premium $18,653 |
| Life | Reliance Standard Life Insurance Company | — | 367 | Comp not disclosed Premium $86,637 |
| AD&D | Reliance Standard Life Insurance Company | — | 366 | Comp not disclosed Premium $7,595 |
| AD&D | Reliance Standard Life Insurance Company | — | 191 | Comp not disclosed Premium $6,135 |
| Legal Services Plan Memberships | Pre-Paid Legal Services Inc DBA Legalshield | Robert Sheesley | 27 | $263 |
| Legal Services Plan Memberships | Pre-Paid Legal Services Inc DBA Legalshield | Kenneth Hart | 27 | $42 |
| Other | Reliance Standard Life Insurance Company | — | 416 | Comp not disclosed Premium $72,528 |
| Voluntary Accident | Reliance Standard Life Insurance Company | — | 62 | Comp not disclosed Premium $11,546 |
| Voluntary Critical Illness | Reliance Standard Life Insurance Company | — | 28 | Comp not disclosed Premium $6,136 |
| Voluntary Hospital Indemnity | Reliance Standard Life Insurance Company | — | 18 | Comp not disclosed Premium $3,957 |
| Buy-Up Vision | Vision Benefits Of America | — | 136 | Comp not disclosed Premium $36,427 |
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 $213,661
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Aetna Life Insurance Company | Contract Admin | $195,073 | $442.34 |
| Revivehealth | Telemedicine | $18,588 | $42.15 |