Employer
Crestwood Membranes, Inc. T/A I2m
755 Oakhill Road, Mountaintop, PA 18707 · EIN 45-0700022 · Aug 1, 2025 to Jul 31, 2026
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 $20,854
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Geisinger Indemnity Insurance Company | — | 228 | Comp not disclosed Premium $562,401 |
| Vision | Vision Benefits Of America | Onesource Benefit Solutions | 162 | $1,485 10.0% of $14,778 |
| Vision | Vision Benefits Of America | Emerson Rogers LLC | 162 | $732 5.0% of $14,778 |
| Accident, Critical Illness, Hospital Indemnity | The Guardian Life Insurance Company Of America | Emerson Rogers LLC | 197 | $18,637 20.7% of $90,024 |
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.