Loading employer…
Employer
100 Classic Car Drive, Reedsville, PA 17084 · EIN 47-3395586 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $9,945
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unum Insurance Company | Mcclellan, David J | 12 | $242 9.9% of $2,442 |
| Medical | Unum Insurance Company | Payne, Cristy L | 12 | $184 7.5% of $2,442 |
| Medical | Unum Insurance Company | Russell, Susan | 12 | $171 7.0% of $2,442 |
| Medical | Unum Insurance Company | Russell, Marley | 12 | $146 6.0% of $2,442 |
| Medical | Unum Insurance Company | Payne, Cristy L | 3 | $143 7.4% of $1,931 |
| Medical | Unum Insurance Company | Russell, Susan | 3 | $135 7.0% of $1,931 |
| Medical | Unum Insurance Company | Russell, Marley | 3 | $116 6.0% of $1,931 |
| Medical | Unum Insurance Company | Mcclellan, David J | 3 | $110 5.7% of $1,931 |
| Medical | Unum Insurance Company | Payne, Cristy L | 4 | $64 7.3% of $874 |
| Medical | Unum Insurance Company | Russell, Susan | 4 | $61 7.0% of $874 |
| Medical | Unum Insurance Company | Russell, Marley | 4 | $53 6.1% of $874 |
| Medical | Unum Insurance Company | Mcclellan, David J | 4 | $35 4.0% of $874 |
| Dental | Sun Life Assurance Company Of Canada | Russell, Susan E | 93 | $2,979 3.9% of $75,547 |
| Dental | Sun Life Assurance Company Of Canada | Strategic Solutions Insurance Group | 93 | $2,979 3.9% of $75,547 |
| Dental | Sun Life Assurance Company Of Canada | Russell, Marley H | 93 | $1,490 2.0% of $75,547 |
| Vision | Starmount Life Insurance Company | Mcclellan, David J | 51 | $339 4.6% of $7,352 |
| Vision | Starmount Life Insurance Company | Payne, Cristy L | 51 | $256 3.5% of $7,352 |
| Vision | Starmount Life Insurance Company | Russell, Susan | 51 | $238 3.2% of $7,352 |
| Vision | Starmount Life Insurance Company | Russell, Marley | 51 | $204 2.8% of $7,352 |
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.