Loading employer…
Employer
203 Washington Street, Freemansburg, PA 18017 · EIN 23-2041093 · 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 $8,860
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 58 | Comp not disclosed Premium $272,811 |
| Dental | United Concordia Insurance Company | Emerson Rogers LLC | 114 | $3,357 10.9% of $30,711 |
| Vision | Unitedhealthcare Insurance Company | Employee Benefits Consultants, LLC | 15 | $678 10.0% of $6,785 |
| Vision | Unitedhealthcare Insurance Company | The Benecon Group, Inc. | 15 | $339 5.0% of $6,785 |
| Life | Standard Insurance Company | Employee Benefits Consultants, LLC | 25 | $990 10.1% of $9,816 |
| Other | Standard Insurance Company | Employee Benefits Consultants, LLC | 28 | $1,989 8.6% of $23,080 |
| Other | Standard Insurance Company | Employee Benefits Consultants, LLC | 62 | $1,507 8.1% of $18,586 |
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 $66,355
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $53,989 | $473.59 |
| Employee Benefits Consultants | Broker | $20,610 | $180.79 |
| Revivehealth, Inc. | Other | $8,931 | $78.34 |
| Capital Blue Cross | Admin | $-17,175 | $-150.66 |