Employer
Cpa Pavement Services, Inc.
3701g Derry Street, Harrisburg, PA 17111 · EIN 27-5300679 · 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 $7,790
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 35 | Comp not disclosed Premium $173,295 |
| Dental + Vision | Starmount Life Insurance Company | Michael P Walton | 31 | $1,601 10.4% of $15,427 |
| Dental + Vision | Starmount Life Insurance Company | Ny Life Securities LLC | 31 | $116 0.8% of $15,427 |
| Life | Unum Life Insurance Company Of America | Michael P Walton | 43 | $5,678 10.8% of $52,693 |
| Life | Unum Life Insurance Company Of America | Ny Life Securities LLC | 43 | $395 0.7% of $52,693 |
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 $36,928
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $20,620 | $479.53 |
| Mpb Risk Services, LLC | Broker | $13,572 | $315.63 |
| Commonwealth Benefits Group | Broker | $2,736 | $63.63 |