Employer
Grove Manor
435 N. Broad Street, Grove City, PA 16127 · EIN 25-1201255 · 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.
Visible subtotal $64,206
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Davevic Benefit Consultants | 106 | $42,751 3.9% of $1,101,557 |
| Dental + Vision | The Guardian Life Insurance Company | Davevic Benefit Consultants | 185 | $14,641 15.1% of $96,771 |
| Dental + Vision | The Guardian Life Insurance Company | Acrisure Mid-Atlantic Partners | 185 | $1,951 2.0% of $96,771 |
| Other | Companion Life Insurance Company | Djme Ventures Inc | 19 | $2,469 22.5% of $10,974 |
| Other | Companion Life Insurance Company | Djme Ventures Inc | 4 | $447 22.5% of $1,985 |
| Other | Companion Life Insurance Company | Djme Ventures Inc | 22 | $1,914 21.3% of $9,006 |
| Other | Companion Life Insurance Company | Djme Ventures Inc | 1 | $22 14.8% of $149 |
| Other | Companion Life Insurance Company | Layne Financial | 1 | $11 7.4% of $149 |
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.