Employer
Serve U Brands, Inc. DBA Insomnia Cookies
1 South Broad Street, Philadelphia, PA 19107 · EIN 27-1461873 · Jul 1, 2024 to Jun 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 $91,772
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Assured Partners (Central Pa) | 307 | $56,333 2.0% of $2,814,271 |
| Dental + Vision | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 825 | $17,147 7.2% of $237,968 |
| Dental + Vision | Metropolitan Life Insurance Company | Professional Group Plans Inc | 825 | $12,739 5.4% of $237,968 |
| Dental + Vision | Metropolitan Life Insurance Company | Plansource Benefits Administration | 825 | $1,206 0.5% of $237,968 |
| Critical Illness | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 84 | $2,432 11.7% of $20,837 |
| Critical Illness | Metropolitan Life Insurance Company | Plansource Benefits Administration | 84 | $105 0.5% of $20,837 |
| Accident | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 122 | $1,762 15.4% of $11,408 |
| Accident | Metropolitan Life Insurance Company | Plansource Benefits Administration | 122 | $48 0.4% of $11,408 |
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.