Employer
American Exploration Holding Company
1730 Walton Rd, Blue Bell, PA 19422 · EIN 23-2845575 · Apr 1, 2023 to Mar 31, 2024
Plan year 2023
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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 $7,695
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 37 | Comp not disclosed Premium $24,571 |
| Stop-loss | HM Life Insurance Company | — | 25 | Comp not disclosed Premium $100,604 |
| Dental | The Guardian Life Insurance Company | Logical Planning Solutions Inc. | 36 | $2,170 7.4% of $29,431 |
| Dental | The Guardian Life Insurance Company | Financial Balance Group LLC | 36 | $21 0.1% of $29,431 |
| Vision | Vision Benefits Of America | Logical Planning Solutions Inc. | 32 | $273 8.6% of $3,159 |
| Life | American United Life Insurance Company | Logical Planning Solutions | 61 | $5,231 10.7% of $48,721 |
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 $40,124
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $14,396 | $202.76 |
| Central Pa Benefit Solutions | Broker | $8,916 | $125.58 |
| Upmc Benefit Management Services | Admin | $14,859 | $209.28 |
| ConnectCare3 | Patient Advocate | $1,953 | $27.51 |