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Employer
850 Industrial Highway, Po Box 759, Pottstown, PA 19464 · EIN 23-1539454 · 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 $7,115
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 32 | Comp not disclosed Premium $254,994 |
| Vision | Vision Benefits Of America | Patriot (Power-Kunkle Group, Inc.) | 34 | $128 3.8% of $3,400 |
| Vision | Vision Benefits Of America | Patriot Growth Insurance Services L | 34 | $42 1.2% of $3,400 |
| Life | Equitable Financial Life Insurance Company Of America | — | 37 | Schedule A not provided |
| Life | Equitable Financial Life Insurance Company Of America | — | 37 | Schedule A not provided |
| Supplemental | Aflac (Continental American Insurance Company) | — | — | Schedule A not provided |
| Voluntary Life | Dearborn Life Insurance Company | Steven Sayers | 7 | $545 20.2% of $2,695 |
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 $41,978
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $45,604 | $1,112.29 |
| Patriot (Power-Kunkle Group, Inc.) | Broker | $13,685 | $333.78 |
| Highmark Blue Shield (Sepa) | Admin | $-1,955 | $-47.68 |
| Highmark Blue Shield (Central) | Admin | $-15,356 | $-374.54 |