Employer
Us Hydrations
164 Commerce Road, Pittston, PA 18640 · EIN 23-2804777 · Oct 1, 2024 to Sep 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 $33,074
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Geisinger Indemnity Insurance Company | — | 195 | Comp not disclosed Premium $281,251 |
| Dental | Guardian | Emerson Rogers LLC | 132 | $22,799 16.6% of $137,221 |
| Vision | Highmark, Inc. | — | 178 | Comp not disclosed Premium $9,268 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 145 | $4,505 22.2% of $20,324 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 77 | $5,770 21.9% of $26,347 |
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.
No Schedule C parties in this year.