Employer
Chalmers & Kubeck, Inc.
150 Commerce Drive, Aston, PA 19014 · EIN 23-1573156 · Dec 1, 2024 to Nov 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 $19,691
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Aetna Life Insurance Co. | Usi Insurance Services (Ri) | 131 | $154 0.4% of $41,564 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Emmerson Rogers, LLC | 24 | $1,172 10.6% of $11,048 |
| Life | Equitable Financial Life Insurance Company Of America | Conner Strong & Buckelew Companies | 163 | $18,365 13.0% of $140,904 |
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 $46,007
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Independence Administrators | Med/Rx/Vision Admin Fees | $46,007 | $254.18 |