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Employer
100 Kuebler Road, Easton, PA 18040 · EIN 80-0947636 · 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 $51,302
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | — | 151 | Comp not disclosed Premium $419,396 |
| Dental | Metropolitan Life Insurance Company | The Equinox Agency LLC | 372 | $8,016 10.1% of $79,082 |
| Dental | Metropolitan Life Insurance Company | James R Nelligan & Associates | 372 | $5,130 6.5% of $79,082 |
| Vision | Vision Service Plan | The Equinox Agency LLC | 147 | $954 5.1% of $18,672 |
| Vision | Vision Service Plan | James R Nelligan & Associates | 147 | $667 3.6% of $18,672 |
| Vision | Vision Service Plan | Bsi Corporate Benefits, Inc. | 147 | $456 2.4% of $18,672 |
| Life | Hartford Life And Accident | James R Nelligan & Associates | 166 | $30,432 15.7% of $194,434 |
| Life | Hartford Life And Accident | Bsi Corporate Benefits, Inc. | 166 | $5,647 2.9% of $194,434 |
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 $35,988
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Equinox Benefit Consulting | Broker | $35,988 | $77.39 |