Employer
D.D. Hurst Corporation
780 E. Main St., New Holland, PA 17557 · EIN 47-1944779 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
Covered lives: 69
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 | HM Life Insurance Company | — | 69 | Comp not disclosed Premium $299,917 |
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 $47,835
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $19,962 | $289.30 |
| Ccab Insurance & Benefits Inc. | Broker | $18,480 | $267.83 |
| Highmark Blue Shield (Central) | Admin | $5,266 | $76.32 |
| ConnectCare3 | Patient Advocate | $4,127 | $59.81 |