Employer
Reilly Foam Corp.
751 Fifth Avenue, King Of Prussia, PA 19406 · EIN 23-1889461 · Jan 1, 2024 to Dec 31, 2024
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 $16,744
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | 109 | Comp not disclosed Premium $320,277 |
| Dental + Vision | Guardian Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 143 | $16,744 11.6% of $144,731 |
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 $92,128
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Trion Group, A Marsh & Mclennan Age | Broker | $34,025 | $237.94 |
| Benecon Group | Broker | $23,424 | $163.80 |
| Umr | Admin | $27,030 | $189.02 |
| ConnectCare3 | Patient Advocate | $7,649 | $53.49 |