Employer
Joe Jurgielewicz & Son, Ltd.
189 Cheese Lane, Hamburg, PA 19526 · EIN 22-2620649 · 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 $39,694
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 271 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 271 | Schedule A not provided |
| Dental + Vision | Sun Life Assurance Company Of Canada | Cottingham And Butler Insurance | 510 | $28,725 10.5% of $274,322 |
| Vision | Highmark Inc. | Emerson Rogers LLC | 462 | $244 4.5% of $5,461 |
| Vision | Highmark Inc. | Brown & Brown Of Pennsylvania | 462 | $12 0.2% of $5,461 |
| Life | The Lincoln National Life Insurance Company | Cottingham & Butler Ins Svcs | 257 | $2,378 14.8% of $16,121 |
| Other | The Lincoln National Life Insurance Company | Cottingham & Butler Ins Svcs | 257 | $2,183 12.7% of $17,240 |
| Other | The Lincoln National Life Insurance Company | Cottingham & Butler Ins Svcs | 257 | $3,346 15.5% of $21,594 |
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.