Employer
Pennsylvania Lumbermens Mutual Insurance Company
One Commerce Square, Philadelphia, PA 19103 · EIN 23-0959220 · Jun 1, 2024 to May 31, 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 $154,627
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Aon Consulting, Inc. | 34 | $6,067 15.7% of $38,556 |
| Medical | Independence Blue Cross | Aon Consulting, Inc. | 216 | $108,631 5.3% of $2,044,008 |
| Dental | United Concordia Insurance Company | Aon Consulting, Inc. | 256 | $11,604 10.0% of $116,544 |
| Vision | Independence Blue Cross | Aon Consulting, Inc. | 211 | $1,470 10.0% of $14,694 |
| Life | Hartford Life And Accident | Aon Consulting, Inc. | 292 | $26,391 10.6% of $250,022 |
| Life | Hartford Life And Accident | Aon Risk Service Central, Inc. | 292 | $464 0.2% of $250,022 |
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.