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Employer
1 Seventh Ave, Carbondale, PA 18407 · EIN 24-0609110 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $81,803
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Michele L Sherinsky | 270 | $41,127 1.8% of $2,313,866 |
| Medical | Highmark Inc. | Kevin W Felderman | 270 | $16,898 0.7% of $2,313,866 |
| Dental | Delta Dental Of Tennessee | Cottingham & Butler | 181 | $1,862 3.7% of $49,802 |
| Dental | Paramount Dental | Novalyze Consulting LLC | 82 | $1,208 4.0% of $30,499 |
| Vision | Vision Service Plan | Emerson Rogers LLC | 135 | $886 4.7% of $19,005 |
| Vision | Vision Service Plan | Cottingham & Butler, Inc | 135 | $790 4.2% of $19,005 |
| Vision | Vision Service Plan | Novalyze Consulting LLC | 135 | $643 3.4% of $19,005 |
| Life | Life Insurance Company Of North America | Cottingham & Butler | 194 | $6,607 5.8% of $114,068 |
| Life | Life Insurance Company Of North America | Novalyze Consulting LLC | 194 | $5,736 5.0% of $114,068 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Benechoice Enrollment Solutions & T | 46 | $2,653 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Novalyze Consulting | 46 | $1,729 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Petrina Skiles | 46 | $1,465 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Mary J Yarnell | 46 | $88 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Lance A Bradley | 46 | $53 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Elizabeth Jane Griffiths | 46 | $45 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Deirdre B Hoehn | 46 | $8 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Andrea L Mcvicker | 46 | $5 |
| Hospital Confinement, Cancer | Colonial Life & Accident Insurance Company | Brenda Lee Placko | 46 | Comp not disclosed |
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.