Employer
Carlisle Car & Truck Service Inc DBA Highlands Tire & Service Center
1257 Holly Pike, Carlisle, PA 17013 · EIN 25-1724664 · Jul 1, 2021 to Jun 30, 2022
Plan year 2021
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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 |
| Dental + Vision | Union Security Insurance Company | — | — | Schedule A not provided |
| Critical Illness, Accident, Cancer | Union Security Life Insurance Company | — | — | 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.
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | Comp not disclosed | — |
| Commonwealth Benefit Group | Broker | Comp not disclosed | — |
| Capital Blue Cross | Admin | Comp not disclosed | — |
| ConnectCare3 | Patient Advocate | Comp not disclosed | — |