Employer
Penn Emblem Company
2577 Interplex Drive, Trevose, PA 19053 · EIN 23-1291401 · Mar 1, 2024 to Feb 28, 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 $29,033
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | Intergrity Benefit Services Inc | 69 | $1,708 3.4% of $50,514 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 58 | $2,991 5.2% of $57,647 |
| Dental | Delta Dental Of Pennsylvania | — | 9 | Schedule A not provided |
| Vision | Unitedhealthcare Insurance Company | Intergrity Benefit Services Inc | 98 | $1,039 10.0% of $10,391 |
| Vision | Unitedhealthcare Insurance Company | Emerson Rogers LLC | 98 | $520 5.0% of $10,391 |
| Life | Standard Insurance Company | Intergrity Benefit Services Inc | 149 | $22,138 15.8% of $140,208 |
| Long Term Care | Unum Life Insurance Company Of America | The Gregorio Group Inc | 14 | $559 10.0% of $5,593 |
| Legal | Countrywide Pre-Paid Legal Services, Inc. | — | 20 | Schedule A not provided |
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.