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Employer
2600 Emrick Blvd, Bethlehem, PA 18020 · EIN 54-2079763 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $6,901
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 43 | Comp not disclosed Premium $249,166 |
| Dental | Principal Life Insurance Company | — | — | Schedule A not provided |
| Vision | Vision Service Plan | Marsh & Mclennan Agency, LLC East | 49 | $398 10.0% of $3,983 |
| Life | Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 51 | $949 15.0% of $6,326 |
| Life | Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 51 | $74 1.2% of $6,326 |
| Other | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 51 | $2,806 19.4% of $14,436 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | Jennifer Mcclellan | 9 | $940 35.1% of $2,678 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | David J Mcclellan | 9 | $833 31.1% of $2,678 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | Marsh & Mclennan Agency, LLC East | 9 | $742 27.7% of $2,678 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | Julien Alexander Umanzor | 9 | $96 3.6% of $2,678 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | Parks Benefits & Enrollment Lic | 9 | $44 1.6% of $2,678 |
| Hospital Indemnity, Accident, Critical Illness | Colonial Life & Accident Insurance Company | Andrew Thomas Cabrera | 9 | $19 0.7% of $2,678 |
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.
Visible subtotal $71,505
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $47,649 | $934.29 |
| Marsh & Mclennan Agency, LLC East | Broker | $17,395 | $341.08 |
| Revivehealth, Inc. | Admin. | $6,461 | $126.69 |