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Employer
982 Griffin Pond Road, Clarks Summit, PA 18411 · EIN 82-5283200 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $142,270
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | Mercer (Us), Inc. | 564 | $68,242 10.0% of $682,419 |
| Stop-loss | Hcc Life Insurance Company | Mercer (Us), Inc. | 564 | $11,669 1.7% of $682,419 |
| Medical | Metropolitan Life Insurance Company | Mercer Health & Benefits, LLC | 183 | $8,125 22.7% of $35,855 |
| Medical | Metropolitan Life Insurance Company | Mercer Health & Benefits, LLC | 176 | $3,819 17.1% of $22,295 |
| Medical | Metropolitan Life Insurance Company | Mercer Health & Benefits, LLC | 259 | $5,021 20.8% of $24,141 |
| Dental | Delta Dental Of Pennsylvania | — | 1130 | Comp not disclosed |
| Vision | Vision Service Plan | Mercer (Us), Inc. | 514 | $2,532 2.7% of $94,834 |
| Life | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 719 | $21,536 6.6% of $326,214 |
| Other | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 719 | $8,124 6.6% of $123,577 |
| Other | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 426 | $11,544 6.6% of $175,366 |
| Legal | Metlife Legal Plans | Mercer H&B Administration | 1 | $1,658 12.9% of $12,844 |
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.