Employer
Barchemy, LLC
65 East 1st Street, Donora, PA 15033 · EIN 47-5104847 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $13,201
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 73 | Comp not disclosed Premium $173,491 |
| Medical | Principal Life Insurance Company | Coury Health Services, LLC | 167 | $8,897 10.3% of $86,201 |
| Medical | Principal Life Insurance Company | American Insurance Administrators | 167 | $2,190 2.5% of $86,201 |
| Medical | Principal Life Insurance Company | American Insurance Administrators | 167 | $2,114 2.5% of $86,201 |
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 $51,288
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Coury Health Services, LLC | Broker | $31,804 | $190.44 |
| The Benecon Group | Broker | $22,777 | $136.39 |
| First National Insurance Agency | Broker | $144 | $0.86 |
| ConnectCare3 | Patient Advocate | $4,973 | $29.78 |
| Highmark West | Admin | $-8,410 | $-50.36 |