Employer
Tinius Olsen Testing Machine Co, Inc.
1065 Easton Road, Horsham, PA 19044 · EIN 23-0931190 · 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 $13,037
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Hardenbergh Insurance Group Inc | 240 | $9,579 6.1% of $156,574 |
| Dental | Metropolitan Life Insurance Company | Onedigital Premier Services LLC | 240 | $3,458 2.2% of $156,574 |
| Stop-loss | HM Life Insurance Company | — | 76 | Comp not disclosed Premium $396,910 |
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.
Visible subtotal $78,673
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Hardenbergh Insurance Group | Broker | $34,749 | $423.77 |
| The Benecon Group, LLC | Broker | $22,767 | $277.65 |
| Independence Administrators (Ia) | Admin. | $21,157 | $258.01 |