Employer
Accord Restoration Of Pa, Inc.
4510 Paxton Street Suite 100, Harrisburg, PA 17111 · EIN 27-0796518 · Nov 1, 2022 to Oct 31, 2023
Plan year 2022
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $22,003 |
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.
Visible subtotal $8,700
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $4,161 | $130.03 |
| Colonial Park Realty Company Enders | Broker | $2,418 | $75.56 |
| Capital Blue Cross | Admin | $1,788 | $55.88 |
| Connectcare 3 | Patient Advocate | $333 | $10.41 |