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Employer
2206 Horseshoe Pike, Honey Brook, PA 19344 · EIN 87-1233675 · 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 $13,825
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 72 | Comp not disclosed Premium $350,423 |
| Dental | Sun Life Assurance Company Of Canada | Nfp Corporate Services (Ny) LLC | 87 | $6,782 11.5% of $59,118 |
| Dental | Sun Life Assurance Company Of Canada | Nfp Insurance Services Inc | 87 | $153 0.3% of $59,118 |
| Life | United Of Omaha Life Insurance Company | Nfp Corporate Services (Ny) LLC | 178 | $1,479 6.2% of $23,733 |
| Life | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc. | 178 | $256 1.1% of $23,733 |
| Other | United Of Omaha Life Insurance Company | Nfp Corporate Services (Ny) LLC | 178 | $2,869 5.9% of $48,307 |
| Other | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc. | 178 | $451 0.9% of $48,307 |
| Other | United Of Omaha Life Insurance Company | Nfp Corporate Services (Ny) LLC | 178 | $1,568 6.1% of $25,694 |
| Other | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc. | 178 | $267 1.0% of $25,694 |
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 $129,101
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $67,086 | $931.75 |
| Nfp Corporate Benefits (Md) | Broker | $21,171 | $294.04 |
| Meritain Health, An Aetna Company | Admin | $30,275 | $420.49 |
| Revivehealth, Inc. | Other | $10,569 | $146.79 |