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Employer
354 Enterprise Dr, Philipsburg, PA 16866 · EIN 80-0065664 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $20,914
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 117 | Comp not disclosed Premium $373,783 |
| Dental | Delta Dental Of Pennsylvania | Valhalla Business Advisors | 199 | $5,592 10.0% of $55,921 |
| Vision | Eyemed Vision Care | Insurance Coalition Inc | 196 | $890 10.0% of $8,919 |
| Life | The Lincoln National Life Insurance Company | Valhalla Business Advsrs LLC | 144 | $2,059 9.5% of $21,650 |
| Life | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 144 | $1,624 7.5% of $21,650 |
| Other | The Lincoln National Life Insurance Company | Valhalla Business Advisors | 77 | $2,759 13.7% of $20,093 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 77 | $2,484 12.4% of $20,093 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 144 | $2,842 7.5% of $37,683 |
| Other | The Lincoln National Life Insurance Company | Valhalla Business Advsrs LLC | 144 | $2,664 7.1% of $37,683 |
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.
Visible subtotal $174,400
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $87,174 | $732.55 |
| Valhalla Business Advisors | Broker | $38,799 | $326.04 |
| Highmark West | Admin | $48,427 | $406.95 |