Employer
Jeff D'Ambrosio Auto Group
1221 E Lancaster Ave, Downingtown, PA 19335 · EIN 23-2366984 · Mar 1, 2024 to Feb 28, 2025
Plan year 2024
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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 $8,668
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Skyward Insurance | — | 137 | Comp not disclosed Premium $210,575 |
| Medical | Swiss Re Corporate Solutions | — | 112 | Comp not disclosed Premium $26,131 |
| Dental | Metropolitan Life Insurance Company | Kistler Tiffany Benefits Co | 192 | $3,827 5.1% of $74,612 |
| Dental | Metropolitan Life Insurance Company | Emerson Rogers LLC | 192 | $3,441 4.6% of $74,612 |
| Dental | Metropolitan Life Insurance Company | Emerson Rogers LLC | 192 | $807 1.1% of $74,612 |
| Dental | Metropolitan Life Insurance Company | Emerson Rogers LLC | 192 | $593 0.8% of $74,612 |
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.
Visible subtotal $119,571
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Emerson Rogers, LLC | None | $60,480 | $315.00 |
| Imagine360 Administrators | None | $59,091 | $307.77 |