Employer
Barrys Paint Shop, Inc.
33 Long Avenue, Ephrata, PA 17522 · EIN 23-2799406 · Jun 1, 2024 to May 31, 2025
Plan year 2024
Covered lives: 32
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 | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $96,535 |
| Stop-loss | Crum & Forster | — | 32 | Comp not disclosed Premium $79,605 |
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 $35,256
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $22,847 | $713.97 |
| Harding-Yost Insurance Associates | Broker | $10,155 | $317.34 |
| Revivehealth, Inc. | Admin | $2,236 | $69.88 |
| Capital Bluecross | Admin | $18 | $0.56 |