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Employer
6221 Mile Lane Road, Sayre, PA 18840 · EIN 23-1863615 · Jan 1, 2024 to Dec 31, 2024
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 $91,686
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | The Guardian Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 120 | $3,668 10.8% of $34,001 |
| Medical | The Guardian Life Insurance Company Of America | James R Nelligan & Associates | 120 | $756 2.2% of $34,001 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 802 | $19,226 12.0% of $160,216 |
| Dental | Metropolitan Life Insurance Company | James R Nelligan & Associates | 802 | $8,897 5.6% of $160,216 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 802 | $11 0.0% of $160,216 |
| Vision | Ameritas Life Insurance Corp. | Marsh & Mclennan Agency, LLC East | 851 | $1,159 3.2% of $36,382 |
| Vision | Ameritas Life Insurance Corp. | William A Graham Co | 851 | $1,101 3.0% of $36,382 |
| Life | Equitable Financial Life Insurance Company Of America | James R Nelligan & Associates | 626 | $2,884 5.0% of $57,674 |
| Life | Equitable Financial Life Insurance Company Of America | William A Graham Co | 626 | $1,736 3.0% of $57,674 |
| Other | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 652 | $30,262 25.6% of $118,233 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 652 | $5,912 5.0% of $118,233 |
| Other | The Lincoln National Life Insurance Company | Marsh & Mclennan Agency, LLC East | 652 | $13,371 24.7% of $54,062 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 652 | $2,703 5.0% of $54,062 |
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.