Employer
Blessings4ever Home Care Agency LLC
30 S. 15th Street, 11th Floor, Philadelphia, PA 19102 · EIN 46-1522980 · Jan 1, 2024 to Dec 31, 2024
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 $10,024
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $397 |
| Stop-loss | Sun Life Assurance Company | — | 167 | Comp not disclosed Premium $321,276 |
| Dental | United Concordia Insurance Company | Emerson Rogers LLC | 138 | $8,743 16.4% of $53,221 |
| Vision | Eyemed Vision Care | Univest Insurance, LLC | 170 | $1,281 11.6% of $11,050 |
| EAP | Integrated Behavioral Health | — | 120 | Comp not disclosed Premium $1,872 |
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 $135,268
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Univest Insurance | Broker | $72,027 | $431.30 |
| The Benecon Group, LLC | Broker | $36,432 | $218.16 |
| Independence Administrators/Blue Cr | Admin | $15,866 | $95.01 |
| Connectcare3, LLC | Patient Advocate | $10,943 | $65.53 |