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Employer
200 Oliphant Dr, Duncansville, PA 16635 · EIN 26-1806994 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $78,457
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | The Guardian Life Insurance Company Of America | The Worksite Group LLC | 246 | $13,465 9.0% of $149,044 |
| Life | The Guardian Life Insurance Company Of America | Clear Consulting Group | 246 | $11,531 7.7% of $149,044 |
| Life | Unum Life Insurance Company Of America | Wagner, Joyce | 96 | $122 0.9% of $13,218 |
| Life | Unum Life Insurance Company Of America | Gis Benefits Inc DBA Gis Communicat | 96 | $292 2.2% of $13,218 |
| Life | Unum Life Insurance Company Of America | Gis Benefits | 96 | $22 0.2% of $13,218 |
| Life | Unum Life Insurance Company Of America | Babb Inc | 96 | $153 1.2% of $13,218 |
| Life | Provident Life And Accident Insurance Company | Babb Inc | 3 | $8 1.4% of $558 |
| Medical | Healthscope Benefits | Clear Consulting Group | 297 | $33,774 5.1% of $665,056 |
| Medical | Healthscope Benefits | Wagner Health Insurance Agency, LLC | 297 | $14,592 2.2% of $665,056 |
| Vision | National Vision Administrators, LLC | Clear Consulting Group | 272 | $1,170 6.8% of $17,098 |
| Vision | National Vision Administrators, LLC | Wagner Health Insurance Agency, LLC | 272 | $384 2.2% of $17,098 |
| Dental | The Guardian Life Insurance Company Of America | Clear Consulting Group | 246 | $2,944 4.5% of $65,400 |
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.