Employer
Bradford Forest LLC
444 High Street, Bradford, PA 16701 · EIN 86-2557442 · 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 $29,574
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Qbe Insurance | Meritain Health, An Aetna Company | 1174 | $17,303 6.0% of $290,162 |
| Dental + Vision | Guardian Life Insurance Company | Lisa A Donnelly | 124 | $12,271 8.0% of $153,174 |
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.