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Employer
4133 Medical Center Drive, Broad Top, PA 16621 · EIN 25-1239335 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $26,563
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Swift Kennedy & Associates, Inc. | 77 | $7,320 10.0% of $73,195 |
| Vision | Vision Benefits Of America | Swift-Kennedy & Associated Inc | 76 | $982 5.2% of $18,923 |
| Life | American United Life Insurance Company | Swift Kennedy & Associates, Inc. | — | $759 10.0% of $7,585 |
| Life | Sun Life Assurance Company Of Canada | Swift Kennedy & Associates, Inc. | 84 | $3,476 15.0% of $23,173 |
| Life | Sun Life Assurance Company Of Canada | Mgis | 84 | $180 0.8% of $23,173 |
| Other | United Of Omaha Life Insurance Company | Swift Kennedy & Associates, Inc. | 124 | $4,055 7.8% of $52,196 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 124 | $2,610 5.0% of $52,196 |
| Other | United Of Omaha Life Insurance Company | Swift Kennedy & Associates, Inc. | 124 | $4,530 8.5% of $53,026 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 124 | $2,651 5.0% of $53,026 |
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.