Employer
Colonial Cadillac - Gmc Truck
349 N 4th Street, Indiana, PA 15701 · EIN 25-0996565 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $9,965
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 50 | Comp not disclosed Premium $157,431 |
| Dental + Vision | Highmark, Inc. | Usi Insurance Services (Ri) | 73 | $3,234 10.0% of $32,358 |
| AD&D | The Guardian Life Insurance Company Of America | Usi Insurance Services (Ri) | 31 | $6,731 16.9% of $39,876 |
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 $32,387
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $36,456 | $499.40 |
| Kuzneski Insurance Group | Broker | $25 | $0.34 |
| Highmark West | Admin | $-4,094 | $-56.08 |