Employer
Cornwall Manor
Po Box 125, Cornwall, PA 17016 · EIN 23-1365158 · 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 $45,435
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 181 | Schedule A not provided |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Johnson, Kendall & Johnson Inc | 164 | $951 7.9% of $11,977 |
| Life | Metropolitan Life Insurance Company | Johnson, Kendall & Johnson Inc | 218 | $39,216 22.6% of $173,893 |
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.
No Schedule C parties in this year.