Employer
Brockie Healthcare Inc
209 North Beaver Street, York, PA 17405 · EIN 23-2641335 · Jan 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 $5,952
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Amwins Connect Administrators | 95 | $5,952 19.4% of $30,676 |
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 $35,201
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Blue Cross | Health Insurance Services | $35,201 | $268.71 |
| Group Benefit Services | Agent | Comp not disclosed | — |