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Employer
710 Bethlehem Pike, Montgomeryville, PA 18936 · EIN 23-1685040 · Feb 1, 2025 to Jan 31, 2026
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 $8,297
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 35 | Comp not disclosed Premium $126,188 |
| Stop-loss | Crum & Forster | — | 33 | Comp not disclosed Premium $13,785 |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
| Supplemental | Aflac | Benjamin R Morley | 7 | $289 3.6% of $8,104 |
| Supplemental | Aflac | Marsh & Mclennan Agency, LLC East | 7 | $125 1.5% of $8,104 |
| Supplemental | Aflac | Aaron J Geiser | 7 | $106 1.3% of $8,104 |
| Supplemental | Aflac | Thomas B Davis | 7 | $78 1.0% of $8,104 |
| Supplemental | Aflac | Stephen C Sibel | 7 | $69 0.9% of $8,104 |
| Supplemental | Aflac | Andrew J Junikiewicz Jr | 7 | $36 0.4% of $8,104 |
| Supplemental | Aflac | Mcgriff Insurance Services Inc. | 7 | $35 0.4% of $8,104 |
| Supplemental | Aflac | Acrisure Wallstreet Partners LLC | 7 | $31 0.4% of $8,104 |
| Supplemental | Aflac | Svetlana Zeitlin | 7 | $27 0.3% of $8,104 |
| Supplemental | Aflac | Michele L Borgette | 7 | $18 0.2% of $8,104 |
| Supplemental | Aflac | Edward F Mrowka Jr | 7 | $17 0.2% of $8,104 |
| Supplemental | Aflac | Tony J Delben | 7 | $15 0.2% of $8,104 |
| Supplemental | Aflac | Jose A Schieneman | 7 | $11 0.1% of $8,104 |
| Supplemental | Aflac | Matthew G Berger | 7 | $10 0.1% of $8,104 |
| Supplemental | Aflac | Conlon And Associates LLC | 7 | $9 0.1% of $8,104 |
| Supplemental | Aflac | Jacqueline M Eberz | 7 | $8 0.1% of $8,104 |
| Supplemental | Aflac | Eric Macdougall & Assoc Inc | 7 | $7 0.1% of $8,104 |
| Supplemental | Aflac | Sean G Higgins | 7 | $6 0.1% of $8,104 |
| Supplemental | Aflac | Acrisure Midwest Part Ins Serv LLC | 7 | $5 0.1% of $8,104 |
| Supplemental | Aflac | Deborah L Poppert | 7 | $4 0.0% of $8,104 |
| Supplemental | Aflac | Stuart C Webber | 7 | $4 0.0% of $8,104 |
| Supplemental | Aflac | Laurie L Smith | 7 | $1 0.0% of $8,104 |
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.
Visible subtotal $43,480
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $31,362 | $896.06 |
| Mcgriff Insurance Services (Formerl | Broker | $14,070 | $402.00 |
| Innovu | Other | $58 | $1.66 |
| Highmark Blue Shield (Sepa) | Admin | $-2,010 | $-57.43 |