Employer
Samuels & Son Seafood Co.
3400 South Lawrence Street, Philadelphia, PA 19148 · EIN 23-2540626 · Mar 1, 2024 to Feb 28, 2025
Plan year 2024
View
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 $77,818
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 339 | $45,890 2.3% of $1,984,482 |
| Medical | Independence Blue Cross | Acrisure Mid-Atlantic Partners Insu | 339 | $12,845 0.6% of $1,984,482 |
| Dental | United Concordia Insurance Company | Emerson Rogers LLC | 380 | $4,976 4.9% of $101,355 |
| Vision | Independence Blue Cross | Emerson Rogers LLC | 339 | $433 2.2% of $19,454 |
| Vision | Independence Blue Cross | Acrisure Mid-Atlantic Partners Insu | 339 | $126 0.6% of $19,454 |
| Life | Hartford Life And Accident | Emerson Rogers LLC | 418 | $10,281 |
| Life | Hartford Life And Accident | Acrisure, LLC DBA Ashton Benefits | 418 | $3,266 |
| Life | Hartford Life And Accident | Emerson Reid LLC | 418 | $1 |
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.