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Employer
One Guthrie Square, Sayre, PA 18840 · EIN 23-3055017 · 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 $832,746
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Alliant Insurance Services, Inc. | 5940 | $128,341 4.0% of $3,211,474 |
| Vision | Vision Service Plan | Marsh & Mclennan Agency, LLC East | 5315 | $63,554 10.0% of $637,556 |
| Life | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 2270 | $319,895 19.3% of $1,654,737 |
| Life | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 8018 | $21,257 4.8% of $439,219 |
| Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1753 | $14,444 18.8% of $76,671 |
| Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 7871 | $17,311 18.3% of $94,520 |
| Hospital, Critical Illness, Accident | Unitedhealthcare Insurance Company | Marsh & Mclennan Agency, LLC East | 1225 | $155,355 19.2% of $808,723 |
| Other | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 7541 | $112,589 5.1% of $2,190,116 |
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.