Employer
Woodloch Spa Resort, Lp
109 Riverbirch Lane, Hawley, PA 18428 · EIN 20-3886693 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $90,278
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Quality Options, Inc. | Emerson Rogers LLC | 188 | $36,284 3.0% of $1,217,645 |
| Medical | Geisinger Quality Options, Inc. | Rsc Insurance Brokerage, Inc. | 188 | $34,560 2.8% of $1,217,645 |
| Dental + Vision | The Guardian Life Insurance Company Of America | James R Nelligan & Associates | 196 | $19,434 17.3% of $112,186 |
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.