Employer
Wayne Bank
717 Main Street, P.O. Box 269, Honesdale, PA 18431 · EIN 24-0754330 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
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 $23,705
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | The North River Insurance Company | — | 191 | Comp not disclosed Premium $198,239 |
| Stop-loss | Unimerica Insurance Company | — | — | Comp not disclosed Premium $510,725 |
| Dental | United Concordia Insurance Company | Robert W Owen | 414 | $6,597 4.0% of $165,431 |
| Vision | Vision Benefits Of America | Robert W Owen | 239 | $1,262 4.4% of $28,361 |
| Life | Dearborn Life Insurance Company | Robert W Owen | 280 | $15,846 5.8% of $273,866 |
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.