Employer
Berg Construction LLC
Po Box 828, Morgantown, PA 19543 · EIN 84-1651786 · Jul 1, 2024 to Jun 30, 2025
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 $9,326
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 54 | Comp not disclosed Premium $238,595 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Assured Partners (Central Pa) | 41 | $9,326 13.4% of $69,656 |
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 $26,135
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $22,704 | $420.44 |
| The Benecon Group, LLC | Broker | $17,243 | $319.31 |
| Capital Bluecross | Admin | $-13,812 | $-255.78 |