Employer
Brookdale Drug & Alcohol Rehabilitation Center LLC
2455 Back Mountain Road, Scotrun, PA 18355 · EIN 83-0517812 · Jul 1, 2022 to Jun 30, 2023
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 $7,507
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Sun Life Assurance Company Of Canada | Patriot (Power-Kunkle Group, Inc.) | 148 | $1,849 7.0% of $26,539 |
| Vision | Highmark Inc. | Patriot (Power-Kunkle Group, Inc.) | 138 | $203 3.5% of $5,723 |
| Life | Hartford Life And Accident | — | 143 | Schedule A not provided |
| Stop-loss | Everest Reinsurance Company | — | 134 | Comp not disclosed Premium $302,881 |
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 $65,412
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Power Kunkle Group Inc. | Broker | $34,847 | $258.13 |
| The Benecon Group, LLC | Broker | $23,005 | $170.41 |
| Connectcare 3 | Patient Advocate | $5,008 | $37.10 |
| Highmark | Admin | $2,552 | $18.90 |