Employer
Olympia Chimney Supply Holdings, LLC
450 Centerpoint Boulevard, Pittston, PA 18640 · EIN 82-1269809 · Dec 1, 2024 to Nov 30, 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 $28,415
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | — | 90 | Comp not disclosed Premium $1,544,429 |
| Dental | Standard Insurance Company | Corporate Synergies Group, LLC | 89 | $1,848 2.8% of $66,975 |
| Dental | Standard Insurance Company | Adp, Inc. | 89 | $810 1.2% of $66,975 |
| Vision | Vision Benefits Of America | Corporate Synergies Group, LLC | 85 | $610 5.0% of $12,191 |
| Life | Unum Life Insurance Company Of America | Corporate Synergies Group, LLC | 142 | $16,504 15.3% of $107,835 |
| Life | Unum Life Insurance Company Of America | Mcclellan, David J | 142 | $5,392 5.0% of $107,835 |
| Hospital, Accident, Critical Illness | Unum Insurance Company | Mcclellan, David | 22 | $1,710 20.0% of $8,554 |
| Hospital, Accident, Critical Illness | Unum Insurance Company | Corporate Synergies Group, LLC | 22 | $1,541 18.0% of $8,554 |
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.