Employer
Adelphoi Usa, Inc.
354 Main Street, Latrobe, PA 15650 · EIN 23-7170997 · 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 $27,560
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | The Hdh Group, Inc. | 689 | $928 1.5% of $61,898 |
| Life | Reliance Standard Life Insurance Company | The Hdh Group, Inc. | 669 | $14,885 10.7% of $138,913 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | The Hdh Group, Inc. | 83 | $6,078 6.4% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Tammy A Morgart | 83 | $2,097 2.2% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Timothy J Slater | 83 | $1,446 1.5% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Kati Nairn | 83 | $906 0.9% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Barbara Baxter Dejohn | 83 | $723 0.8% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Lance A Bradley And Other Agents | 83 | $441 0.5% of $95,683 |
| Accident, Critical Illness, Hospital | Colonial Life And Accident Insurance Company | Daniel J Salter | 83 | $56 0.1% of $95,683 |
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.
No Schedule C parties in this year.