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Employer
111 Hoganas Way, Hollsopple, PA 15935 · EIN 51-0389733 · 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 $16,972
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | — | 337 | Comp not disclosed Premium $87,476 |
| Life | Prudential Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 390 | $12,234 2.6% of $466,713 |
| Life | Prudential Insurance Company Of America | Img | 390 | $77 0.0% of $466,713 |
| Business Travel Accident | Life Insurance Company Of North America | Gallagher Fiduciary Advisors, LLC | 334 | $18 |
| Accident, Critical Illness | American Heritage Life Insurance Company | Layne Financial, Inc. | 32 | $3,011 7.8% of $38,402 |
| Accident, Critical Illness | American Heritage Life Insurance Company | Tyler Ault | 32 | $1,193 3.1% of $38,402 |
| Accident, Critical Illness | American Heritage Life Insurance Company | Tsikalas Insurance Agency, Inc. | 32 | $346 0.9% of $38,402 |
| Accident, Critical Illness | American Heritage Life Insurance Company | Michael Yost | 32 | $54 0.1% of $38,402 |
| Accident, Critical Illness | American Heritage Life Insurance Company | Candice Clontz | 32 | $39 0.1% of $38,402 |
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.