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Employer
5501 Route 89, North East, PA 16428 · EIN 84-4186037 · May 1, 2024 to Apr 30, 2025
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 $12,667
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | — | 259 | Comp not disclosed Premium $13,198 |
| Life | Unum Life Insurance Company Of America | Fna Insurance Services, Inc | 303 | $5,102 14.2% of $36,034 |
| Life | Unum Life Insurance Company Of America | The Hdh Group, Inc. | 303 | $4,490 12.5% of $36,034 |
| Life | Unum Life Insurance Company Of America | The Hdh Group, Inc. | 6 | $375 20.6% of $1,820 |
| Life | Unum Life Insurance Company Of America | Fna Insurance Services, Inc | 6 | $86 4.7% of $1,820 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | Colonial Life & Accident Insurance Company | The Hdh Group, Inc. | 32 | $1,150 3.4% of $33,851 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | Colonial Life & Accident Insurance Company | Timothy Birdsong | 32 | $912 2.7% of $33,851 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | Colonial Life & Accident Insurance Company | Donna Troxell | 32 | $485 1.4% of $33,851 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | The Paul Revere Life Insurance Company | Timothy Birdsong | 3 | $28 1.9% of $1,468 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | The Paul Revere Life Insurance Company | The Hdh Group, Inc. | 3 | $25 1.7% of $1,468 |
| Accdnt, Crtcl Illnss, Hsptl, Cncr | The Paul Revere Life Insurance Company | Donna Troxell | 3 | $14 1.0% of $1,468 |
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.