Employer
Byron Waggoner Construction, Inc.
135 Bentz Mill Road, East Berlin, PA 17316 · EIN 20-4454466 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 162 | Comp not disclosed Premium $731,504 |
| Dental + Vision | Capital Advantage Assurance Company | — | — | Schedule A not provided |
| Life | Unum Life Insurance Company Of America | — | — | Schedule A not provided |
| Life | Unum Life Insurance Company Of America | — | — | Schedule A not provided |
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 $133,469
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $73,848 | $455.85 |
| Commonwealth Financial Group | Broker | $31,032 | $191.56 |
| Mpb Risk Services, LLC | Broker | $15,312 | $94.52 |
| ConnectCare3 | Patient Advocate | $10,852 | $66.99 |
| Capital Bluecross | Admin | $2,425 | $14.97 |