Employer
Brandfox, LLC
400 Capital Lane, Middletown, PA 17057 · EIN 82-3516823 · 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 $1,240
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 33 | Comp not disclosed Premium $4,022 |
| Stop-loss | HM Life Insurance | — | 33 | Comp not disclosed Premium $89,935 |
| Dental | United Concordia Insurance Company | Edgewood Partners Insurance Center | 25 | $1,113 9.3% of $11,955 |
| Vision | Vision Benefits Of America | Edgewood Partners Insurance Center | 21 | $127 5.0% of $2,544 |
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 $20,982
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $10,254 | $310.73 |
| Epic Insurance Brokers (Central Pa) | Broker | $8,310 | $251.82 |
| ConnectCare3 | Patient Advocate | $1,558 | $47.21 |
| Capital Bluecross | Carrier | $860 | $26.06 |