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Employer
59 Industrial Drive, New Britain, PA 18901 · EIN 23-2016973 · 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 $5,875
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance | — | 43 | Comp not disclosed Premium $211,517 |
| Dental | Aetna | — | 85 | Schedule A not provided |
| Dental | Aetna | — | 85 | Schedule A not provided |
| Vision | Eyemed Vision Care | — | 75 | Comp not disclosed Premium $3,949 |
| Life | Reliance Standard | Jm Berdekem Consultants, Inc. | 21 | $448 5.5% of $8,207 |
| Life | Reliance Standard | The Bric Agency | 21 | $373 4.5% of $8,207 |
| Voluntary Ltd | Reliance Standard | Jm Berdekem Consultants, Inc. | 21 | $741 8.4% of $8,842 |
| Voluntary Ltd | Reliance Standard | The Bric Agency | 21 | $585 6.6% of $8,842 |
| Voluntary Std | Reliance Standard | Jm Berdekem Consultants, Inc. | 22 | $609 8.4% of $7,285 |
| Voluntary Std | Reliance Standard | The Bric Agency | 22 | $484 6.6% of $7,285 |
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 $79,873
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $43,463 | $511.33 |
| Jmb Consultants, Inc. | Broker | $15,708 | $184.80 |
| The Bric Agency | Broker | $4,125 | $48.53 |
| Meritain Health, An Aetna Company | Admin. | $9,830 | $115.65 |
| Revivehealth, Inc. | Admin. | $6,747 | $79.38 |