Employer
Rivers Truck Center, Inc.
2975 Cape Horn Road, Red Lion, PA 17356 · EIN 23-2414420 · Dec 1, 2024 to Nov 30, 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 $9,577
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 52 | Comp not disclosed Premium $22,573 |
| Stop-loss | Crum & Forster | — | 51 | Comp not disclosed Premium $225,748 |
| Dental | Sun Life Assurance Company Of Canada | Engle, Hambright & Davies, Inc. | 53 | $6,799 12.7% of $53,724 |
| Dental | Sun Life Assurance Company Of Canada | James R Nelligan & Associates | 53 | $2,778 5.2% of $53,724 |
| Vision | National Vision Administrators, LLC | — | — | Schedule A not provided |
| Life | Reliance Standard Life Insurance Company | — | — | Schedule A not provided |
| Other | Reliance Standard Life Insurance Company | — | — | Schedule A not provided |
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 $56,891
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $46,106 | $838.29 |
| Engle Hambright & Davies, Inc | Broker | $21,651 | $393.65 |
| Capital Blue Cross | Admin | $-10,866 | $-197.56 |