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Employer
P.O. Box 1007, Wilkes Barre, PA 18773 · EIN 24-0654440 · Jan 1, 2024 to Dec 31, 2024
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 $95,693
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Health Plan | Murray Insurance Associates Inc. | 113 | $26,289 2.5% of $1,051,581 |
| Medical | Geisinger Health Plan | Murray Insurance Associates Inc. | 21 | $4,775 2.5% of $190,998 |
| Medical | Unitedhealthcare Insurance Company | Assured Partners (Central Pa) | 30 | $11,760 3.7% of $313,899 |
| Medical | Unitedhealthcare Insurance Company | Graham Company, Marsh & Mclennan Ag | 30 | $3,187 1.0% of $313,899 |
| Vision | Highmark Inc | — | 215 | Comp not disclosed Premium $10,267 |
| Dental | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 337 | $23,154 10.5% of $219,730 |
| Dental | Metropolitan Life Insurance Company | Gis Benefits Inc | 337 | $12,555 5.7% of $219,730 |
| Dental | Metropolitan Life Insurance Company | Boon Chapman Benefit Administrators | 337 | $7,962 3.6% of $219,730 |
| Dental | Metropolitan Life Insurance Company | Marsh Usa, Inc. | 337 | $4,516 2.1% of $219,730 |
| Dental | Metropolitan Life Insurance Company | Ap Benefit Advisors LLC | 337 | $1,495 0.7% of $219,730 |
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.
No Schedule C parties in this year.