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Employer
959 Wyoming Ave, Scranton, PA 18509 · EIN 23-2024511 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $4,836
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 50 | Comp not disclosed Premium $238,895 |
| Dental | Standard Insurance Company | Cummings Insurance Agency | 34 | $1,022 6.2% of $16,551 |
| Dental | Standard Insurance Company | James R Nelligan & Associates | 34 | $497 3.0% of $16,551 |
| Life | Standard Insurance Company | Cummings Insurance Agency | 59 | $992 16.5% of $6,013 |
| Life | Standard Insurance Company | James R Nelligan & Associates | 59 | $367 6.1% of $6,013 |
| Other | Standard Insurance Company | Cummings Insurance Agency | 59 | $1,295 9.8% of $13,251 |
| Other | Standard Insurance Company | James R Nelligan & Associates | 59 | $663 5.0% of $13,251 |
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.
Visible subtotal $76,511
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $53,219 | $902.02 |
| Cummings Insurance Agency | Broker | $17,487 | $296.39 |
| Geisinger Health Plan | Admin | $5,805 | $98.39 |