Employer
Moldamatic, LLC
29 Noeland Avenue, Penndel, PA 19047 · EIN 20-2484930 · Apr 1, 2024 to Mar 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 $97,123
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 147 | $23,057 15.0% of $153,597 |
| Medical | Guardian Life Insurance Company Of America | One Digital Premier Services LLC | 147 | $7,680 5.0% of $153,597 |
| Medical | Independence Blue Cross | Kistler Tiffany General Ag | 147 | $66,386 5.5% of $1,203,577 |
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.