Employer
Premier Select Sires
1 Stony Mountain Road, Tunkhannock, PA 18657 · EIN 54-0501907 · 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 $75,701
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc | Carolyn Mclaughlin-Smith | 97 | $48,210 3.4% of $1,426,506 |
| Dental | The Guardian Life Insurance Company Of America | Creative Benefits, Inc | 132 | $11,885 7.9% of $150,812 |
| Dental | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 132 | $7,583 5.0% of $150,812 |
| Dental | The Guardian Life Insurance Company Of America | Onedigital Premier Services Ll | 132 | $7,541 5.0% of $150,812 |
| Vision | Vision Benefits Of America | Creative Benefits, Inc | 89 | $482 5.0% of $9,647 |
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.