Employer
Apex North America, LLC
65 Washington Street, Donora, PA 15033 · EIN 25-1870574 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 | — | 45 | Comp not disclosed Premium $91,304 |
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 $47,937
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $12,883 | $286.29 |
| Coury Health Services LLC | Broker | $12,783 | $284.07 |
| Meritain Health | Admin | $19,573 | $434.96 |
| Connectcare 3 | Patient Advocate | $2,698 | $59.96 |