Employer
Arrow Auto Glass Operating Company LLC
220 Division Street 2nd Floor, Kingston, PA 18704 · EIN 26-3021539 · 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 $5,279
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 90 | Comp not disclosed Premium $419,398 |
| Dental | United Concordia Insurance Company | Ap Benefits Advisors LLC | 189 | $5,279 8.1% of $65,564 |
| Vision | Highmark Inc. | — | 180 | Comp not disclosed Premium $10,206 |
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 $142,063
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $83,337 | $440.94 |
| Assured Partners (Central Pa) | Broker | $38,955 | $206.11 |
| Highmark Bcbs Nepa | Admin | $17,352 | $91.81 |
| Highmark Blue Shield (Central) | Admin. | $2,419 | $12.80 |