Employer

Atlantic Community Bankers Bank

225 Grandview Drive, Camp Hill, PA 17001 · EIN 23-2217734 · Oct 1, 2024 to Sep 30, 2025

Plan year 2024

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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 $18,777

Coverage	Carrier	Broker	Lives	Direct comp
Dental	Delta Dental Of Pennsylvania	Lr Webber	91	$4,901 10.0% of $49,012
Vision	Ngl	Lr Webber	73	$461 5.0% of $9,219
Life	American United Life Insurance Company	Lr Webber	119	$13,415 12.0% of $111,790

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.