Employer
Diversified Family Services
5454 East State St., Hermatige, PA 16148 · EIN 25-1576497 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $8,041
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | — | 83 | Comp not disclosed Premium $359,311 |
| Medical | Principal Life Insurance Company | Alera General Agency Ins. Services | 133 | $2,006 5.0% of $40,119 |
| Medical | Principal Life Insurance Company | Gilberts Insurance Agency, Inc | 133 | $2,403 6.0% of $40,119 |
| Vision | Highmark, Inc. | Emerson Reid LLC | 139 | $214 3.0% of $7,122 |
| Life | American United Life Insurance Company | Gilberts Insurance Agency, Inc | 120 | $3,418 8.9% of $38,375 |
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.