Employer
Composidie, Inc.
1295 Route 380, Apollo, PA 15613 · EIN 25-1232176 · Jul 1, 2024 to Jun 30, 2025
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.
Visible subtotal $2,536
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Coury Health Services, LLC | 160 | $2,536 7.0% of $36,275 |
| Life | Hartford Life And Accident | — | — | Schedule A not provided |
| Stop-loss | HM Life Insurance Company | — | 219 | Comp not disclosed Premium $625,583 |
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 $-30,576
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Davisvision | Admin | $679 | $1.59 |
| Coury Health Services | Broker | $65,650 | $297.06 |
| The Benecon Group | Broker | $45,079 | $203.98 |
| ConnectCare3 | Patient Advocate | $14,759 | $66.78 |
| Highmark West | Admin | $-156,743 | $-709.24 |