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Employer
300 Held Dr, Northampton, PA 18067 · EIN 23-2208659 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $82,962
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Employee Benefits Consultants, LLC | 76 | $45,521 5.5% of $832,996 |
| Medical | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 76 | $22,759 2.7% of $832,996 |
| Dental + Vision | United Concordia Companies, Inc. | Emerson Rogers LLC | 102 | $5,672 15.8% of $35,974 |
| Vision | Vision Service Plan | Employee Benefits Consultants, LLC | 56 | $548 9.2% of $5,965 |
| Vision | Vision Service Plan | Emerson Rogers LLC | 56 | $298 5.0% of $5,965 |
| Life | United Healthcare Insurance Company | Employee Benefits Consultants, LLC | 96 | $5,268 5.5% of $96,599 |
| Supplemental | Aflac | Christopher A Lupp | 22 | $1,044 7.1% of $14,789 |
| Supplemental | Aflac | Edward Mrowka, Jr. | 22 | $923 6.2% of $14,789 |
| Supplemental | Aflac | Carol A Mrowka | 22 | $191 1.3% of $14,789 |
| Supplemental | Aflac | Kymberly G Knott | 22 | $110 0.7% of $14,789 |
| Supplemental | Aflac | Joseph Mcginty Jr | 22 | $90 0.6% of $14,789 |
| Supplemental | Aflac | Wendy M Boone | 22 | $83 0.6% of $14,789 |
| Supplemental | Aflac | Sky Farrell | 22 | $66 0.4% of $14,789 |
| Supplemental | Aflac | Edward Mrowka Iii | 22 | $55 0.4% of $14,789 |
| Supplemental | Aflac | William M Knott | 22 | $50 0.3% of $14,789 |
| Supplemental | Aflac | Mary Ellen Bell Greth | 22 | $46 0.3% of $14,789 |
| Supplemental | Aflac | John B Lacaria | 22 | $46 0.3% of $14,789 |
| Supplemental | Aflac | James Elder Brooks | 22 | $26 0.2% of $14,789 |
| Supplemental | Aflac | Justin P Abraham | 22 | $22 0.1% of $14,789 |
| Supplemental | Aflac | Stephen D Bissell | 22 | $21 0.1% of $14,789 |
| Supplemental | Aflac | Randall Sims | 22 | $21 0.1% of $14,789 |
| Supplemental | Aflac | Eric Grace | 22 | $17 0.1% of $14,789 |
| Supplemental | Aflac | Daniel R Judy | 22 | $17 0.1% of $14,789 |
| Supplemental | Aflac | Jacqueline Eberz | 22 | $15 0.1% of $14,789 |
| Supplemental | Aflac | Delmas R Butler Jr | 22 | $13 0.1% of $14,789 |
| Supplemental | Aflac | Irene E Brooks | 22 | $13 0.1% of $14,789 |
| Supplemental | Aflac | Kevin Soira | 22 | $9 0.1% of $14,789 |
| Supplemental | Aflac | David Ranck | 22 | $6 0.0% of $14,789 |
| Supplemental | Aflac | Matthew G Berger | 22 | $6 0.0% of $14,789 |
| Supplemental | Aflac | Dianne L Martin | 22 | $4 0.0% of $14,789 |
| Supplemental | Aflac | Darren D Riddle | 22 | $2 0.0% of $14,789 |
| Supplemental | Aflac | Ryan K Goldberg | 22 | Comp not disclosed Premium $14,789 |
| Supplemental | Aflac | Angela Massarelli | 22 | Comp not disclosed Premium $14,789 |
| Supplemental | Aflac | Martin E Bystrom | 22 | Comp not disclosed Premium $14,789 |
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.
No Schedule C parties in this year.