Employer
Blatek Industries, Inc.
176 Technology Drive Suite 300, Boalsburg, PA 16827 · EIN 25-1365917 · Dec 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $362
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 62 | Comp not disclosed Premium $17,185 |
| Dental | Guardian | — | — | Schedule A not provided |
| Vision | Vba | Swift Kennedy & Associates, Inc. | 45 | $362 5.0% of $7,243 |
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 $2,966
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Swift Kennedy & Associates | Broker | $1,525 | $24.60 |
| The Benecon Group | Broker | $1,124 | $18.13 |
| ConnectCare3 | Patient Advocate | $317 | $5.11 |