Employer
Goodwill Industries Of N.E. Pa, Inc.
925 Prospect Avenue, Scranton, PA 18505 · EIN 24-0800938 · Jan 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 54 | Comp not disclosed Premium $166,358 |
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 $74,436
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $39,755 | $736.20 |
| Cummings Insurance Agency | Broker | $16,324 | $302.30 |
| Highmark Bcbs Nepa | Admin | $7,626 | $141.22 |
| Revivehealth, Inc. | Other | $7,540 | $139.63 |
| Highmark Blue Shield (Central) | Admin | $3,191 | $59.09 |