Employer
Derr Flooring Company
525 Davisville Road, Willow Grove, PA 19090 · EIN 23-0520810 · 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 $66,738
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | Emerson Rogers LLC | 71 | $20,078 3.2% of $624,526 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 115 | $34,273 3.9% of $876,063 |
| Dental | The Guardian Life Insurance Company Of America | Emerson Rogers LLC | 130 | $12,159 11.2% of $108,081 |
| Dental | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 130 | $228 0.2% of $108,081 |
| Other | Independence Blue Cross | — | 115 | Comp not disclosed Premium $190,302 |
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.