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Employer
101 Waverly Avenue, Morton, PA 19070 · EIN 23-2287743 · 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 $3,846
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 201 | Comp not disclosed Premium $86,791 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Emerson Rogers LLC | 203 | $572 5.0% of $11,535 |
| Life | Metropolitan Life Insurance Company | — | 181 | Schedule A not provided |
| Life | Aflac | Arthur B Goldberg | 18 | $1,514 7.0% of $21,633 |
| Life | Aflac | Main Line Bebefit Solutions LLC | 18 | $1,097 5.1% of $21,633 |
| Life | Aflac | Bonnie H Drobnes | 18 | $374 1.7% of $21,633 |
| Life | Aflac | Conlon And Associates LLC | 18 | $179 0.8% of $21,633 |
| Life | Aflac | Eric Macdougall & Ass Inc & Others | 18 | $62 0.3% of $21,633 |
| Life | Aflac | David S Lagner | 18 | $31 0.1% of $21,633 |
| Life | Aflac | Thomas B Davis | 18 | $17 0.1% of $21,633 |
| Telehealth | Telemedicine Management, Inc. DBA Swiftmd | — | 181 | Schedule A not provided |
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.
No Schedule C parties in this year.