Employer
Four Seasons Produce, Inc.
400 Wabash Road, Ephrata, PA 17522 · EIN 23-2013420 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 1025
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 $10,667
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 1025 | Comp not disclosed Premium $354,628 |
| Vision | Vision Benefits Of America | — | 527 | Comp not disclosed Premium $43,720 |
| Life | Life Insurance Company Of North America | — | 559 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 559 | Schedule A not provided |
| Employee Assistance Program | Personal Assistance Services | — | 830 | Comp not disclosed Premium $26,992 |
| Accident, Hospital | Cigna Health And Life Insurance Company | — | 559 | Schedule A not provided |
| Accident, Hospital | Cigna Health And Life Insurance Company | — | 559 | Schedule A not provided |
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.