Employer
Adelphi Kitchens, Inc.
300 East Penn Avenue, Robesonia, PA 19551 · EIN 23-1720236 · 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 $3,884
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 21 | Comp not disclosed Premium $109,246 |
| Medical | Equitable Financial Life Insurance Company Of America | Patriot (Power-Kunkle Group, Inc.) | 48 | $2,084 8.3% of $24,959 |
| Medical | Equitable Financial Life Insurance Company Of America | Patriot Growth Insurance | 48 | $1,421 5.7% of $24,959 |
| Medical | Equitable Financial Life Insurance Company Of America | Wharton Benefits Inc. | 48 | $278 1.1% of $24,959 |
| Medical | Equitable Financial Life Insurance Company Of America | Gis Benefits Inc. | 48 | $101 0.4% of $24,959 |
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 $37,294
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $23,364 | $458.12 |
| Patriot (Power-Kunkle Group, Inc.) | Broker | $10,797 | $211.71 |
| Capital Bluecross | Admin. | $3,133 | $61.43 |