Employer
Waste Gas Fabricating Company, Inc.
450 Newbold Road, Fairless Hills, PA 19030 · EIN 23-2061847 · 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 $5,350
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $88 |
| Stop-loss | Sun Life Assurance Company | — | 96 | Comp not disclosed Premium $669,316 |
| Life | Metropolitan Life Insurance Company | Kistler Tiffany Benefits Co | 115 | $2,090 10.1% of $20,787 |
| Life | Metropolitan Life Insurance Company | Onedigital Premier Services, LLC | 115 | $1,018 4.9% of $20,787 |
| Telemedicine | Healthiest You | Kistler Tiffany Benefits Co | 115 | $2,242 15.0% of $14,949 |
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 $103,332
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Onedigital (Philadelphia) | Broker | $55,874 | $553.21 |
| The Benecon Group, LLC | Broker | $29,741 | $294.47 |
| Independence Administrators | Admin | $17,717 | $175.42 |