Employer
Golden Business Machines, Inc.
165 Church St, Kingston, PA 18704 · EIN 23-1981998 · Dec 1, 2024 to Dec 31, 2024
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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 27 | Comp not disclosed Premium $9,437 |
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 $2,105
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $760 | $28.15 |
| Cummings Insurance Agency | Broker | $745 | $27.59 |
| Geisinger Health Plan | Admin | $448 | $16.59 |
| ConnectCare3 | Patient Advocate | $152 | $5.63 |