Employer
Keystone Sports And Entertainment, LLC
2501 Seaport Drive, Chester, PA 19013 · EIN 26-2016442 · Jul 1, 2024 to Jun 30, 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 $75,812
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Johnson, Kendall & Johnson Inc | 194 | $44,166 3.5% of $1,256,721 |
| Medical | Keystone | Johnson, Kendall & Johnson Inc | 48 | $10,732 3.5% of $302,713 |
| Dental | Sun Life Assurance Company Of Canada | Johnson, Kendall & Johnson Inc | 173 | $19,841 8.4% of $236,621 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Johnson, Kendall & Johnson Inc | 210 | $1,073 9.9% of $10,832 |
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.