Employer
Olson Technologies, Inc.
160 Walnut Street, Allentown, PA 18102 · EIN 23-2361912 · Jan 1, 2024 to Dec 31, 2024
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 $18,490
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Fair American Insurance And Reinsurance Company | — | — | Comp not disclosed Premium $102,408 |
| Medical | Highmark, Inc. | Groves, Thomas | 54 | $12,708 2.9% of $433,520 |
| Life | Equitable Financial Life Insurance Company Of America | The Equinox Agency LLC | 31 | $3,760 16.7% of $22,575 |
| Life | Equitable Financial Life Insurance Company Of America | James R Nelligan & Associates | 31 | $1,960 8.7% of $22,575 |
| Life | Equitable Financial Life Insurance Company Of America | Cbiz Benefits Insurance | 31 | $62 0.3% of $22,575 |
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.
Visible subtotal $51,978
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $49,019 | $907.76 |
| Cbiz, Inc. (Pa) | Broker | $2,959 | $54.80 |