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Employer
601 Park Street, Honesdale, PA 18431 · EIN 23-2180889 · 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 $42,069
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | One Digital Premier Services LLC | 283 | $11,095 4.9% of $225,465 |
| Dental | Metropolitan Life Insurance Company | — | 283 | Comp not disclosed Premium $225,465 |
| Vision | National Vision Administrators, LLC | — | 625 | Comp not disclosed Premium $28,913 |
| Vision | National Vision Administrators, LLC | — | 625 | Comp not disclosed Premium $28,913 |
| Medical | Metropolitan Life Insurance Company | Reschini Agency., Inc. | 216 | $4,261 19.5% of $21,874 |
| Medical | Metropolitan Life Insurance Company | Professional Group Plans Inc | 216 | $1,075 4.9% of $21,874 |
| Medical | Metropolitan Life Insurance Company | Reschini Agency., Inc. | 110 | $3,739 18.2% of $20,523 |
| Medical | Metropolitan Life Insurance Company | Professional Group Plans Inc | 110 | $945 4.6% of $20,523 |
| Life | Metropolitan Life Insurance Company | Professional Group Plans Inc | 709 | $10,482 4.5% of $234,324 |
| Life | Metropolitan Life Insurance Company | Reschini Agency., Inc. | 709 | $10,472 4.5% of $234,324 |
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.