Employer
George J. Hayden Inc.
410 Airport Road, Hazle Township, PA 18202 · EIN 23-2116323 · Dec 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $393
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 78 | Comp not disclosed Premium $23,879 |
| Dental | Delta Dental | One Source Benefit Solutions | 142 | $393 10.0% of $3,926 |
| Vision | Vision Benefits Of America | Onesource Benefit Solutions | 57 | Comp not disclosed Premium $568 |
| Life | The Guardian Life Insurance Company Of America | Emerson Rogers LLC | 106 | Comp not disclosed |
| EAP | Guardian Worklife Matters | — | — | 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.
Visible subtotal $8,791
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $4,840 | $34.08 |
| Greenbriar Consulting, LLC | Broker | $2,808 | $19.77 |
| Highmark Bcbs Nepa | Admin. | $1,143 | $8.05 |