Loading employer…
Employer
36 S. Elm Street, Wernersville, PA 19565 · EIN 20-1810654 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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 $26,561
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Highmark, Inc. | Tompkins Insurance | 173 | $4,147 10.9% of $38,008 |
| Vision | Vision Benefits Of America | Tompkins Insurance | 51 | $529 10.0% of $5,288 |
| Vision | Vision Benefits Of America | Tompkins Insurance | 38 | $631 10.0% of $6,309 |
| AD&D | The Lincoln National Life Insurance Company | Tompkins Insurance | 74 | $6,053 15.0% of $40,350 |
| AD&D | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 74 | $2,554 6.3% of $40,350 |
| Critical Care & Accident | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Critical Care & Accident | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 77 | $3,001 6.3% of $47,473 |
| Other | The Lincoln National Life Insurance Company | Tompkins Insurance | 77 | $2,859 6.0% of $47,473 |
| Stop-loss | HM Life Insurance Company | — | 92 | Comp not disclosed Premium $397,023 |
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 $42,436
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Tompkins Insurance | Broker | $39,273 | $426.88 |
| The Benecon Group | Admin | $19,485 | $211.79 |
| ConnectCare3 | Patient Advocate | $5,498 | $59.76 |
| Capital Bluecross | Carrier | $-21,820 | $-237.17 |