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Employer
19 East Chocolate Avenue, Hershey, PA 17033 · EIN 23-0691590 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $424,652
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Other | New York Life Insurance Company | — | — | Schedule A not provided |
| Other | New York Life Life Insurance Company | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | New York Life Insurance Company | — | — | Schedule A not provided |
| Other | New York Life Insurance Company | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Other | Metlife | — | — | Schedule A not provided |
| Medical | Cigna Health And Life Insurance Company | Willis Towers Watson Us LLC | 8 | $9,820 8.0% of $122,755 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 13247 | $382,704 2.9% of $13,179,011 |
| Accidental Death & Dismemberment | National Union Fire Ins. Co. Of Pittsburgh, Pa | Aon Consulting, Inc. | 20098 | $4,401 20.0% of $22,003 |
| Mba Coverage | Cigna Health And Life Insurance Company | Willis Towers Watson Us LLC | 1 | $611 8.0% of $7,643 |
| Medical | Highmark Freedom Blue Medicare Advantage Plan | — | 99 | Comp not disclosed Premium $342,780 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 10408 | $27,116 3.5% of $783,013 |
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 $1,819,912
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Financial Engines | Advisor | $909,003 | $56.83 |
| Fidelity Investments Institutional | Recordkeeper | $479,613 | $29.99 |
| Towers Watson Investment Services | Consultant | $383,680 | $23.99 |
| Banks Finley White And Co | Accountant | $31,090 | $1.94 |
| Groom Law Group | Legal | $16,526 | $1.03 |