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Employer
335 South Franklin Street, Wilkes Barre, PA 18702 · EIN 24-0795404 · Jul 1, 2024 to Jun 30, 2025
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 $59,148
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Ameritas Life Insurance Corp. | Corporate Benefits Consulting Inc | 772 | $21,350 10.0% of $213,495 |
| Dental | Ameritas Life Insurance Corp. | Emerson Rogers LLC | 772 | $10,675 5.0% of $213,495 |
| Vision | Vision Benefits Of America | Corporate Nenefits Consultants Inc | 353 | $2,995 10.2% of $29,402 |
| Vision | Vision Benefits Of America | Emerson Rogers LLC | 353 | $1,455 4.9% of $29,402 |
| Life | Colonial Life And Accident Insurance Company | Assured Partners | 28 | $1,364 4.1% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Morgan Perri | 28 | $416 1.2% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Michael J Perri | 28 | $252 0.8% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Julia George | 28 | $244 0.7% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Lisa A Perri | 28 | $205 0.6% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Lauren Ashely Perri | 28 | $198 0.6% of $33,595 |
| Life | Colonial Life And Accident Insurance Company | Taylor Leigh Perri | 28 | $97 0.3% of $33,595 |
| Life | Reliance Standard Life Insurance Company | Gregory Robick | 446 | $12,542 10.0% of $125,357 |
| Life | Reliance Standard Life Insurance Company | Emerson Rogers LLC | 446 | $6,268 5.0% of $125,357 |
| Life | Reliance Standard Life Insurance Company | Emerson Rogers LLC | 446 | $1,087 0.9% of $125,357 |
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.