Employer
Ainsworth, Inc.
203 Lynndale Court, Mechanicsburg, PA 17050 · EIN 83-1674559 · Dec 1, 2022 to Nov 30, 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.
Visible subtotal $4,454
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 16 | Comp not disclosed Premium $93,814 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Gunn Mowery, LLC | 21 | $1,153 7.8% of $14,852 |
| Life | Equitable Financial Life Insurance Company Of America | Gunn Mowery, LLC | 35 | $3,245 17.2% of $18,915 |
| Life | Equitable Financial Life Insurance Company Of America | Gis Benefits | 35 | $56 0.3% of $18,915 |
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 $18,516
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gunn-Mowery, LLC | Broker | $8,418 | $240.51 |
| The Benecon Group, LLC | Broker | $4,927 | $140.77 |
| Young, Oakes, Brown & Co., P.C. | Broker | $974 | $27.83 |
| Capital Bluecross | Admin | $3,024 | $86.40 |
| ConnectCare3 | Patient Advocate | $1,173 | $33.51 |