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Employer
Po Box 6, Troy, PA 16947 · EIN 24-0836865 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $43,557
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Henry Dunn Inc | 124 | $31,464 3.1% of $1,024,810 |
| Dental | The Guardian Life Insurance Company Of America | R & B Insurance Services, LLC | 44 | $2,074 7.8% of $26,478 |
| Vision | Principal Life Insurance Company | Henry Dunn Inc | 157 | $3,344 13.9% of $23,992 |
| Other | Companion Life Insurance Company | R & B Insurance Services | 47 | $3,029 15.0% of $20,194 |
| Other | Companion Life Insurance Company | Layne Financial | 47 | $1,515 7.5% of $20,194 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Dunn Financial, Inc. | 18 | $800 4.3% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Debra Carl | 18 | $650 3.5% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | R & B Insurance Services LLC | 18 | $290 1.6% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Layne Financial, Inc. | 18 | $166 0.9% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Carl Debra Lu | 18 | $81 0.4% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Reeder Fred A | 18 | $62 0.3% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Grenninger Jr Samuel Clair | 18 | $45 0.2% of $18,623 |
| Accident, Cancer, Critical Illness, Hospital Indemnity | American Heritage Life Insurance Company | Jim Brooks | 18 | $37 0.2% of $18,623 |
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.