Employer
Tired Hands Brewing Company
16 Ardmore Avenue, Ardmore, PA 19003 · EIN 45-2590489 · 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 $1,180
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 33 | Comp not disclosed Premium $87,960 |
| Dental | Delta Dental Of Pennsylvania | Johnson, Kendall & Johnson Inc | 32 | $964 10.0% of $9,641 |
| Vision | Aetna | Johnson, Kendall & Johnson Inc | 26 | $216 10.3% of $2,105 |
| Telemedicine | Revivehealth | — | — | Schedule A not provided |
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 $30,013
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Johnson, Kendall & Johnson Inc | Broker | $13,608 | $412.36 |
| The Benecon Group, LLC | Broker | $11,590 | $351.21 |
| Onedigital (Philadelphia) | Broker | $-34 | $-1.03 |
| Independence Administrators | Admin | $4,849 | $146.94 |