Employer
Everlast Roofing, Inc
10 Enterprise Court, Lebanon, PA 17042 · EIN 23-2859182 · Oct 1, 2024 to Sep 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 $41,184
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company Of America | Keystone Insurance & Benefits Group | 211 | $37,546 14.8% of $252,897 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Northwest Enrollrx LLC | 211 | $3,638 1.4% of $252,897 |
| Telehealth, Wellness | Freshbenies | — | 249 | Comp not disclosed Premium $15,767 |
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 $225,146
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Keystone Insurance & Benefits Group | Broker | $54,292 | $218.04 |
| Luminare Health Benefits, Inc | Claims/Admin | $116,991 | $469.84 |
| Highmark, Inc | Claims/Admin | $53,863 | $216.32 |