Employer
Cougles Recycling, Inc.
1000 S. 4th Street, Hamburg, PA 19526 · EIN 23-2549077 · 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 $21,002
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $41,757 |
| Medical | Equitable Financial Life Insurance Company Of America | Employee Benefits Consultants, LLC | 56 | $6,069 12.9% of $47,132 |
| Medical | Equitable Financial Life Insurance Company Of America | Emerson Rogers LLC | 56 | $2,357 5.0% of $47,132 |
| Medical | Capital Advantage Assurance Company | Indicon, Inc. | 51 | $12,576 4.3% of $295,379 |
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 $1,073
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $1,073 | $19.16 |