Employer
Kimberton Whole Foods
P.O. Box 760, Kimberton, PA 19442 · EIN 23-2748219 · Nov 1, 2024 to Oct 31, 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 $119,029
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerosn Rogers LLC | 264 | $51,046 4.3% of $1,190,483 |
| Medical | Keystone | Emerosn Rogers LLC | 109 | $28,798 5.8% of $494,470 |
| Dental | Metropolitan Life Insurance Company | Emerosn Rogers LLC | 322 | $19,517 10.0% of $195,780 |
| Dental | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 322 | $17,299 8.8% of $195,780 |
| Dental | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 322 | $3 0.0% of $195,780 |
| Vision | Independence Blue Cross | Emerosn Rogers LLC | 155 | $2,291 17.7% of $12,971 |
| Accident, Critical Illness | Unum Life Insurance Company Of America | Custom Benefit Programs | 8 | $75 2.5% of $3,032 |
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.