Employer
Universal Printing Company LLC
1205 O'Neill Highway, Dunmore, PA 18512 · EIN 30-0609958 · Feb 1, 2025 to Jan 31, 2026
Plan year 2025
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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 $10,520
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Kistler Tiffany Benefits Co | 121 | $1,069 5.8% of $18,428 |
| Dental | United Concordia Insurance Company | Cummings Insurance Agency | 131 | $7,357 10.0% of $73,682 |
| Other | The Guardian Life Insurance Company Of America | Cummings Insurance Agency | 54 | $813 12.2% of $6,639 |
| Other | The Guardian Life Insurance Company Of America | Independence Planning Group | 54 | $3 0.0% of $6,639 |
| Other | The Guardian Life Insurance Company Of America | Mazzmar LLC | 54 | $3 0.0% of $6,639 |
| Other | Standard Insurance Company | Cummings Insurance Agency | 53 | $1,275 15.0% of $8,498 |
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 $45,570
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark Inc | Other | $45,570 | $340.07 |