Employer
Conestoga Ceramic Tile Dist. Inc
4335 Lewis Road, Harrisburg, PA 17111 · EIN 23-1605465 · Dec 1, 2024 to Nov 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 $5,472
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 43 | Comp not disclosed Premium $181,658 |
| Medical | Equitable Financial Life Insurance Company Of America | Mcconkey Benefits & Financial Servi | 49 | $2,827 11.3% of $25,103 |
| Medical | Equitable Financial Life Insurance Company Of America | Gis Benefits Inc | 49 | $2,645 10.5% of $25,103 |
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 $34,967
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecoon Group | Broker | $24,599 | $502.02 |
| E. K. Mcconkey & Co. | Broker | $8,640 | $176.33 |
| Capital Blue Cross | Admin | $1,728 | $35.27 |