Employer
Byler Golf Management, Inc.
201 Iron Valley Drive, Lebanon, PA 17042 · EIN 23-2991812 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $15,733 |
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 $3,885
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Ap Benefit Advisors | Broker | $1,848 | $52.80 |
| The Benecon Group, LLC | Broker | $1,416 | $40.46 |
| Capital Blue Cross | Admin | $330 | $9.43 |
| Connectcare 3 | Patient Advocate | $291 | $8.31 |