Employer
Rl Livingston Inc.
15 Industrial Drive, Manchester, PA 17345 · EIN 25-1849582 · Dec 1, 2024 to May 31, 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 $3,798
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 43 | Comp not disclosed Premium $82,605 |
| Dental + Vision | Capital Advantage Assurance Company | Gunn Mowery, LLC | 53 | $750 9.1% of $8,248 |
| Life | Equitable Financial Life Insurance Company Of America | Gunn Mowery, LLC | 48 | $3,048 18.2% of $16,766 |
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 $15,454
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gunn Mowery, LLC | Broker | $7,532 | $142.11 |
| The Benecon Group | Broker | $5,165 | $97.45 |
| Capital Blue Cross | Admin | $1,614 | $30.45 |
| ConnectCare3 | Patient Advocate | $1,143 | $21.57 |