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Employer
100 Kuebler Road, Easton, PA 18040 · EIN 33-3054838 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $44,129
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 154 | Comp not disclosed Premium $365,002 |
| Dental | Metropolitan Life Insurance Company | Bsi Corporate Benefits, Inc. | 386 | $12,213 11.0% of $111,195 |
| Dental | Metropolitan Life Insurance Company | James R Nelligan & Associates | 386 | $6,930 6.2% of $111,195 |
| Dental | Metropolitan Life Insurance Company | The Equinox Agency LLC | 386 | $-663 -0.6% of $111,195 |
| Vision | Vision Service Plan | James R Nelligan & Associates | 152 | $1,099 6.0% of $18,344 |
| Vision | Vision Service Plan | Bsi Corporate Benefits, Inc. | 152 | $1,043 5.7% of $18,344 |
| Life | Hartford Life And Accident | Bsi Corporate Benefits, Inc. | 189 | $21,616 13.9% of $155,395 |
| Life | Hartford Life And Accident | James R Nelligan & Associates | 189 | $1,891 1.2% of $155,395 |
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.
Visible subtotal $219,751
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $86,649 | $224.48 |
| Bsi Corporate Benefits, LLC | Broker | $42,096 | $109.06 |
| Capital Advantage Assurance Company | Admin | $67,151 | $173.97 |
| Hy Holdings Inc | Other | $16,400 | $42.49 |
| Innovu | Other | $7,455 | $19.31 |