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Employer
321 Biden St, Scranton, PA 18503 · EIN 47-4161765 · 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 $21,893
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 120 | Comp not disclosed Premium $498,465 |
| Dental | Guardian Life | Cummings Insurance Agency | 248 | $3,440 3.4% of $101,511 |
| Dental | Guardian Life | Mercer (Us), Inc. | 248 | $3,007 3.0% of $101,511 |
| Vision | Vision Benefits Of America | Mercer (Us), Inc. | 154 | $449 3.0% of $15,059 |
| Vision | Vision Benefits Of America | Cummings Insurance Agency | 154 | $398 2.6% of $15,059 |
| Life | American United Life Insurance Company | Mercer (Us), Inc. | 233 | $9,922 6.1% of $161,897 |
| Life | American United Life Insurance Company | Cummings Insurance Agency | 233 | $4,677 2.9% of $161,897 |
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 $194,446
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $105,400 | $878.33 |
| Cummings Insurance Agency | Broker | $44,668 | $372.23 |
| Highmark Bcbs Nepa | Admin | $44,378 | $369.82 |