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Employer
100 Gateway Drive, Suite 100, Bethlehem, PA 18017 · EIN 23-3081363 · Oct 1, 2024 to Sep 30, 2025
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 $32,627
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optumhealth | — | 83 | Comp not disclosed Premium $434,197 |
| Dental | United Concordia Companies, Inc. | Emerson Rogers LLC | 184 | $6,103 10.2% of $59,997 |
| Vision | National Vision Administrators, LLC | Employee Benefits Consultants, LLC | 191 | $514 5.0% of $10,282 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 109 | $9,678 22.5% of $43,056 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 50 | $5,185 22.4% of $23,118 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 108 | $4,104 22.5% of $18,263 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 108 | $7,043 22.5% of $31,316 |
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 $60,398
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Employee Benefits Consult(Idicon) | Broker | $29,250 | $153.14 |
| L. R. Weber | Broker | $26,286 | $137.62 |
| The Benecon Group | Broker | $17,999 | $94.24 |
| Pbasc | Admin | $5,938 | $31.09 |
| Yobco | Other | $425 | $2.23 |
| Capital Blue Cross | Admin | $-19,500 | $-102.09 |