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Employer
1 College Road, La Plume, PA 18440 · EIN 24-0795441 · Jun 1, 2024 to May 31, 2025
Plan year 2024
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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 $40,651
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Health Plan | Onesource Benefit Solutions | 87 | $17,585 3.1% of $569,092 |
| Medical | Geisinger Quality Options, Inc. | Onesource Benefit Solutions | 30 | $5,462 3.1% of $176,778 |
| Dental | Delta Dental Of Pennsylvania | Onesource Benefit Solutions | 160 | $2,244 5.0% of $44,876 |
| Vision | Vision Benefits Of America | — | 82 | Comp not disclosed Premium $9,903 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 103 | $3,599 22.2% of $16,180 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 47 | $2,172 21.2% of $10,227 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 103 | $4,701 22.3% of $21,083 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 38 | $1,875 22.2% of $8,429 |
| Accident | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 23 | $672 23.1% of $2,904 |
| Critical Illness | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 25 | $1,077 21.7% of $4,967 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 13 | $1,264 28.1% of $4,496 |
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.