Employer
Ccr Specialty Chemicals, LLC
17 Campus Blvd, Newton Square, PA 19073 · EIN 83-1593039 · 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 $18,026
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company | — | 38 | Comp not disclosed Premium $269,996 |
| Dental + Vision | The Guardian Life Insurance Company Of America | James R Nelligan & Associates | 47 | $18,026 19.4% of $93,078 |
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.
Visible subtotal $44,193
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Sterling Benefits | Broker | $18,990 | $404.04 |
| The Benecon Group | Broker | $13,588 | $289.11 |
| Independence Administrators (Ia) | Admin | $11,615 | $247.13 |