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Employer
3824 Route 309, Orefield, PA 18069 · EIN 23-2600290 · Sep 1, 2020 to Aug 31, 2021
Plan year 2020
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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 $19,029
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | Emerson Reid LLC | 167 | $7,680 0.6% of $1,272,598 |
| Dental | United Concordia Insurance Company | Employee Benefits Consultants, LLC | 188 | $5,392 10.0% of $54,179 |
| Vision | Highmark | The Benecon Group, Inc. | 169 | $492 5.0% of $9,800 |
| Supplemental Accident And Illness | Aflac | Edward F Mrowka Jr | 37 | $2,501 6.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Employee Benefits Consultants, LLC | 37 | $949 2.3% of $40,682 |
| Supplemental Accident And Illness | Aflac | Bethany L Anderson | 37 | $557 1.4% of $40,682 |
| Supplemental Accident And Illness | Aflac | Wendy M Boone | 37 | $242 0.6% of $40,682 |
| Supplemental Accident And Illness | Aflac | Kymberly G Knott | 37 | $215 0.5% of $40,682 |
| Supplemental Accident And Illness | Aflac | Joseph B Mcginty Jr | 37 | $193 0.5% of $40,682 |
| Supplemental Accident And Illness | Aflac | Denton E Quick | 37 | $105 0.3% of $40,682 |
| Supplemental Accident And Illness | Aflac | William M Knott | 37 | $96 0.2% of $40,682 |
| Supplemental Accident And Illness | Aflac | Jacqueline M Eberz | 37 | $90 0.2% of $40,682 |
| Supplemental Accident And Illness | Aflac | Stephen D Bissell | 37 | $76 0.2% of $40,682 |
| Supplemental Accident And Illness | Aflac | Gw Guldin Inc | 37 | $47 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Randall Sims | 37 | $47 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Matthew G Berger | 37 | $45 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Mary Ellen Bell Greth | 37 | $44 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Quentin C Kent | 37 | $33 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | James A Rush | 37 | $31 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | John B Lacaria | 37 | $29 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | James Elder Brooks | 37 | $29 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Dianne L Martin | 37 | $24 0.1% of $40,682 |
| Supplemental Accident And Illness | Aflac | Joseph E Barbieri | 37 | $17 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Mark D Barbier | 37 | $16 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Darren D Riddle | 37 | $14 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Ryan K Goldberg | 37 | $11 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Irene E Brooks | 37 | $11 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Beth A Ambruso | 37 | $10 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Christopher A Lupp | 37 | $9 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Daniel R Judy | 37 | $9 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Angela Massarelli | 37 | $8 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | Martin E Bystrom | 37 | $4 0.0% of $40,682 |
| Supplemental Accident And Illness | Aflac | David W Ranck | 37 | $3 0.0% of $40,682 |
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 $31,243
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Employee Benefits Consultants | Broker | $31,243 | $166.19 |