Employer
Eam Mosca Corporation Welfare Benefit Plan
675 Jaycee Drive, Hazle Township, PA 18202 · EIN 11-2578359 · 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 $82,639
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc- Khpw-Hmo | — | 187 | Comp not disclosed Premium $1,081,527 |
| Medical | Highmark Inc- Medical | — | 295 | Comp not disclosed Premium $1,989,927 |
| Dental | Metrololitian Life Insurance Co | Chasko Consulting LLC | 501 | $54,371 11.1% of $489,953 |
| Dental | Metrololitian Life Insurance Co | Gis Benefits Inc | 501 | $28,268 5.8% of $489,953 |
| Vision | Highmark Inc- Vision | — | 542 | Comp not disclosed Premium $22,680 |
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.
Visible subtotal $38,408
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Wellpower Inc | None | $33,287 | $61.42 |
| Coastal Financial Group Inc | None | $5,121 | $9.45 |