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Employer
2685 County Line Road, Telford, PA 18969 · EIN 23-1680446 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $6,831
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Ameritas Life Insurance Corp. | Lacher & Associates Ins. Agency Inc | 162 | $2,315 5.4% of $42,729 |
| Dental + Vision | Ameritas Life Insurance Corp. | Emerson Rogers LLC | 162 | $1,158 2.7% of $42,729 |
| Dental + Vision | Ameritas Life Insurance Corp. | Emerson Rogers LLC | 162 | $696 1.6% of $42,729 |
| Life | Equitable Financial Life Insurance Company Of America | — | 135 | Schedule A not provided |
| Life | Equitable Financial Life Insurance Company Of America | — | 135 | Schedule A not provided |
| Life | Aflac | Main Line Benefit Solutions LLC | 24 | $1,297 7.0% of $18,400 |
| Life | Aflac | Bonnie H. Drobnes | 24 | $297 1.6% of $18,400 |
| Life | Aflac | Michael Hecht | 24 | $122 0.7% of $18,400 |
| Life | Aflac | Steven Ward | 24 | $57 0.3% of $18,400 |
| Life | Aflac | Nicholas C. Bennis & Other Agents | 24 | $45 0.2% of $18,400 |
| Life | Aflac | Jessica Wolfe | 24 | $23 0.1% of $18,400 |
| Life | Aflac | T. H. U. Enterprises, Inc. | 24 | $20 0.1% of $18,400 |
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.