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Employer
Po Box 31, Easton, PA 18044 · EIN 22-1501729 · 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 $242,215
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | — | 1 | Comp not disclosed Premium $886 |
| Vision | Vision Benefits Of America | — | 2397 | Comp not disclosed Premium $118,497 |
| Life | Prudential Insurance Company Of America | Mcgriff Insurance Services Inc. | 3315 | $211,077 7.7% of $2,747,380 |
| Life | Prudential Insurance Company Of America | Mercer (Us), Inc. | 3315 | $20,343 0.7% of $2,747,380 |
| Life | Prudential Insurance Company Of America | Img | 3315 | $630 0.0% of $2,747,380 |
| AD&D | Ace American Insurance Company | Reuben Warner Associates, Inc. | 1650 | $1,649 20.0% of $8,246 |
| AD&D | Ace American Insurance Company | Buck | 1650 | $1,237 15.0% of $8,246 |
| Business Travel Accident | Hartford Life And Accident Insurance | Reuben Warner Associates, Inc. | 1650 | $1,053 17.0% of $6,195 |
| Legal | Metlife Legal Plans | Mercer Health & Benefits, LLC | 223 | $99 0.2% of $48,994 |
| Executive Long-Term Disability | Provident Life And Accident Insurance Company | Captrust Financial Advisors | 26 | $5,370 8.0% of $67,131 |
| Executive Long-Term Disability | Provident Life And Accident Insurance Company | M Financial Holdings Inc | 26 | $623 0.9% of $67,131 |
| Other | Provident Life And Accident Insurance Company | Captrust Financial Advisors | 1 | $134 5.0% of $2,680 |
| Other | Rxbenefits, Inc. | — | 2522 | Comp not disclosed Premium $8,768,409 |
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.
No Schedule C parties in this year.