Loading employer…
Employer
109 West Presqueisle Street, Philipsburg, PA 16866 · EIN 25-1099474 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $22,097
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 78 | $1,897 5.0% of $37,948 |
| Vision | United Of Omaha Life Insurance Company | First National Ins Agency | 77 | $756 9.0% of $8,408 |
| Vision | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 77 | $589 7.0% of $8,408 |
| Life | United Of Omaha Life Insurance Company | First National Ins Agency | 52 | $2,730 25.0% of $10,919 |
| Life | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 52 | $764 7.0% of $10,919 |
| Life | United Of Omaha Life Insurance Company | First National Ins Agency | 136 | $927 10.0% of $9,272 |
| Life | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 136 | $649 7.0% of $9,272 |
| Voluntary | United Of Omaha Life Insurance Company | First National Ins Agency | 62 | $5,193 15.0% of $34,619 |
| Voluntary | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 62 | $2,423 7.0% of $34,619 |
| Voluntary | United Of Omaha Life Insurance Company | First National Ins Agency | 81 | $4,206 15.0% of $28,042 |
| Voluntary | United Of Omaha Life Insurance Company | Dmc Benefits Inc | 81 | $1,963 7.0% of $28,042 |
| Stop-loss | HM Life Insurance Company | — | 85 | Comp not disclosed Premium $368,795 |
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 $91,704
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $75,644 | $869.47 |
| First National Insurance Agency | Broker | $42,040 | $483.22 |
| Highmark West | Admin | $-25,980 | $-298.62 |