Employer
Phb, Inc.
7900 West Ridge Road, Fairview, PA 16415 · EIN 25-1490822 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $20,719
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Symetra Life Insurance Company | Frissora & Associates, LLC | 297 | $9,550 4.0% of $236,493 |
| Life | New York Life Group Benefit Solutions | Loesel-Schaaf Insurance | 388 | $9,566 10.8% of $88,274 |
| AD&D | New York Life Group Benefit Solutions | Loesel-Schaaf Insurance | 388 | $605 10.8% of $5,581 |
| Other | New York Life Group Benefit Solutions | Loesel-Schaaf Insurance | 27 | $998 16.4% of $6,092 |
| Other (Specify) - Short Term Disabi | New York Life Group Benefit Solutions | — | 149 | Comp not disclosed Premium $3,760 |
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.
Visible subtotal $15,160
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| United Concordia Companies, Inc | None | $15,160 | $36.80 |