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Employer
1007 Hemlock Farms, Lords Valley, PA 18428 · EIN 23-1708366 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $21,724
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Quality Options, Inc. | Emerson Reid And Company, Inc. | 70 | $14,910 1.4% of $1,072,365 |
| Dental | United Concordia Insurance Company | — | 72 | Schedule A not provided |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | — | 48 | Comp not disclosed Premium $2,701 |
| Life | Aflac | Nicholas A. Mcelroy | 4 | $210 4.8% of $4,402 |
| Life | Aflac | Maia Aron | 4 | $170 3.9% of $4,402 |
| Life | Aflac | Univest Insurance, LLC | 4 | $96 2.2% of $4,402 |
| Life | Aflac | Jason D. Hartman | 4 | $56 1.3% of $4,402 |
| Life | Aflac | Gina C. Scherman | 4 | $29 0.7% of $4,402 |
| Life | Aflac | Dominick R. Siracusa | 4 | $28 0.6% of $4,402 |
| Life | Aflac | Vincent J. Krill | 4 | $24 0.5% of $4,402 |
| Life | New York Life | — | 102 | Schedule A not provided |
| Life | American Heritage Life Insurance Company | Gettysburg Benefits Admin., Inc. | 3 | $111 7.0% of $1,588 |
| Life | American Heritage Life Insurance Company | Tania Kanarek | 3 | $48 3.0% of $1,588 |
| Life | United Of Omaha Life Insurance Company | Emerson Reid And Company, Inc. | 50 | $3,883 20.0% of $19,401 |
| Employee Assistance Program | Uprise Health | — | 150 | Comp not disclosed Premium $4,118 |
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.