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Employer
253 S Franklin Street, Wilkes Barre, PA 18701 · EIN 23-3066070 · May 1, 2024 to Apr 30, 2025
Plan year 2024
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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 $28,675
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Health Plan | Onesource Benefit Solutions | 50 | $16,050 4.5% of $359,694 |
| Medical | The Loomis Company | — | — | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | Onesource Benefit Solutions | 83 | $3,055 10.0% of $30,545 |
| Vision | Vision Benefits Of America | Onesource Benefit Solutions | 40 | $179 5.0% of $3,586 |
| Vision | Vision Benefits Of America | Onesource Benefit Solutions | 24 | $228 5.0% of $4,561 |
| Vision | Vision Benefits Of America | Emerson Rogers LLC | 24 | $228 5.0% of $4,561 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 117 | $1,054 21.9% of $4,813 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 22 | $708 22.9% of $3,097 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 27 | $4,744 22.3% of $21,275 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 25 | $2,429 22.4% of $10,841 |
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.