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Employer
110 East State Road, West Grove, PA 19390 · EIN 23-3028004 · Sep 1, 2024 to Aug 31, 2025
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 $12,584
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company | — | 165 | Comp not disclosed Premium $1,154,766 |
| Dental | Metropolitan Life Insurance Company | George J. Weiner Associates | 422 | $4,393 2.8% of $156,294 |
| Vision | Vision Service Plan | George J. Weiner Assoc. Inc. | 167 | $1,441 4.6% of $31,535 |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | — | Schedule A not provided |
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 $151,495
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Weiner Benefits Group | Broker | $70,280 | $166.54 |
| The Benecon Group | Broker | $43,865 | $103.95 |
| Independence Administrators | Admin | $37,350 | $88.51 |