Employer
Bazella Works
949 Sumner Avenue, Whitehall, PA 18052 · EIN 82-5235939 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 | HM Life Insurance Company | — | 66 | Comp not disclosed Premium $252,123 |
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 $86,542
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $54,316 | $734.00 |
| Bsi Corporate Benefits, LLC | Broker | $41,024 | $554.38 |
| Hy Holdings Inc | Admin | $6,600 | $89.19 |
| Innovu | Other | $3,587 | $48.47 |
| Highmark Blue Shield (Central) | Admin | $-18,985 | $-256.55 |