Employer
Imagine360 Services LLC
1550 Liberty Ridge Dr #330, Wayne, PA 19087 · EIN 35-2640271 · 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 $104,166
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Granular Insurance Company | — | 1078 | Comp not disclosed Premium $1,058,604 |
| Stop-loss | Granular Insurance Company | — | 133 | Comp not disclosed Premium $343,901 |
| Dental + Vision | Metropolitan Life Insurance Company | Kistler Tiffany Benefits Co | 2450 | $1,286 0.9% of $147,930 |
| Life | Guardian | Kistler Tiffany Benefits Co | 1432 | $92,753 8.6% of $1,073,490 |
| Disability | Provident Life And Accident Insurance Company | Daniel J Wisted | 17 | $10,127 37.4% of $27,063 |
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.