Employer

Journey Bank

Po Box 240, Bloomsburg, PA 17815 · EIN 24-0528723 · 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 $24,017

Coverage	Carrier	Broker	Lives	Direct comp
Dental	Delta Dental	Lr Webber	207	$11,307 10.0% of $113,095
Vision	Vision Benefits Of America	Leavitt Northeast Insurance, Inc.	207	$2,454 10.0% of $24,539
Life	American United Life Insurance Company	Lr Webber	219	$10,256 12.3% of $83,160

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.