Employer
Bonney Forge Corporation
14496 Croghan Pike, Mount Union, PA 17066 · EIN 23-2308673 · Jul 1, 2024 to Jun 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 $22,776
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Mercer (Us), Inc. | 628 | $8,833 6.0% of $146,505 |
| Vision | Ngl | — | 349 | Comp not disclosed Premium $26,756 |
| Life | Life Insurance Company Of North America | Mercer (Us), Inc. | 381 | $11,418 10.9% of $104,959 |
| Other | Life Insurance Company Of North America | Mercer (Us), Inc. | 146 | $1,396 10.9% of $12,778 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Mercer (Us), Inc. | 37 | $292 15.8% of $1,850 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Mercer (Us), Inc. | 320 | $837 10.9% of $7,706 |
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.
No Schedule C parties in this year.