Loading employer…
Employer
165 Wambold Road, Harleysville, PA 19438 · EIN 23-2287545 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $25,436
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company | — | 111 | Comp not disclosed Premium $513,183 |
| Dental | Aetna Life Insurance Co. | Corporate Synergies Group, LLC | 189 | $3,986 4.8% of $82,832 |
| Vision | Vision Benefits Of America | Corporate Synergies Group, LLC | 90 | $499 5.4% of $9,311 |
| Life | Life Insurance Company Of North America | Corporate Synergies Group, LLC | 137 | $8,253 11.2% of $73,995 |
| Life | Life Insurance Company Of North America | Centro Benefits Research | 137 | $1,846 2.5% of $73,995 |
| AD&D | Life Insurance Company Of North America | Corporate Synergies Group, LLC | 134 | $300 10.9% of $2,754 |
| AD&D | Life Insurance Company Of North America | Centro Benefits Research | 134 | $69 2.5% of $2,754 |
| Pl Fully Insured Basic Ny Group | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Std Buy-Up | Life Insurance Company Of North America | Corporate Synergies Group, LLC | 125 | $3,584 12.9% of $27,732 |
| Std Buy-Up | Life Insurance Company Of North America | Centro Benefits Research | 125 | $682 2.5% of $27,732 |
| Other | Life Insurance Company Of North America | Corporate Synergies Group, LLC | 135 | $4,958 10.2% of $48,629 |
| Other | Life Insurance Company Of North America | Centro Benefits Research | 135 | $1,217 2.5% of $48,629 |
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 $157,568
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Corporate Synergies, LLC | Broker | $54,202 | $286.78 |
| The Benecon Group | Broker | $28,580 | $151.22 |
| Independence Administrators (Ia) | Admin | $74,786 | $395.69 |