Employer
Image One Industries LLC
677 Dunksferry Rd, Bensalem, PA 19020 · EIN 47-5251282 · 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 $121,650
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Flexible Benefit Plans, Inc. | 177 | $107,947 8.5% of $1,274,364 |
| Dental + Vision | Metropolitan Life Insurance Company | Delaware Valley Brokerage Services | 302 | $7,772 8.6% of $90,462 |
| Dental + Vision | Metropolitan Life Insurance Company | Emerson Rogers LLC | 302 | $4,942 5.5% of $90,462 |
| Dental + Vision | Metropolitan Life Insurance Company | Emerson Rogers LLC | 302 | $989 1.1% of $90,462 |
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.