Employer
Blair Senior Services, Inc.
1320 12th Avenue, Altoona, PA 16601 · EIN 25-1259406 · 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 $12,652
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 74 | Comp not disclosed Premium $481,075 |
| Dental | United Concordia Life And Health Insurance Company | Pci Insurance Agency | 72 | $5,236 12.6% of $41,643 |
| Vision | Highmark Inc | Pci Insurance Agency | 103 | $297 3.0% of $9,750 |
| Life | Hartford Life And Accident | Robert Crook | 163 | $7,119 11.9% of $59,750 |
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 $59,349
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $25,773 | $280.14 |
| Pci (Pa Chamber Insurance) | Broker | $24,450 | $265.76 |
| Highmark West | Admin | $9,126 | $99.20 |