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Employer
100 Brodhead Road, Suite 230, Bethlehem, PA 18017 · EIN 23-3022369 · Jan 1, 2024 to Dec 31, 2024
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 $53,007
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 845 | $6,845 1.0% of $693,073 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 845 | $2,077 0.3% of $693,073 |
| Vision | Highmark, Inc. | — | 186 | Comp not disclosed Premium $7,740 |
| Vision | Heartland | — | 2580 | Comp not disclosed Premium $157,575 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 4306 | $33,861 3.9% of $863,601 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 4306 | $10,224 1.2% of $863,601 |
| Self Funded Temporary Disability | Insurance Administrator Of America, Inc. | — | 779 | Comp not disclosed Premium $21,361 |
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 $1,462,241
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark, Inc. | Contract Administrator | $105,235 | $98.44 |
| Associated Administrators, LLC | Contract Administrator | $60,000 | $56.13 |
| Marsh & Mclennan Agency, LLC | None | $44,973 | $42.07 |
| Highmark, Inc. | Contract Administrator | $1,113,901 | $258.69 |
| Marsh & Mclennan Agency LLC | None | $90,957 | $21.12 |
| United Concordia Companies, Inc | Contract Administrator | $47,175 | $10.96 |