Employer
Deacom, Inc.
601 Lee Road, Chesterbrook, PA 19087 · EIN 23-2846599 · Nov 1, 2021 to Dec 31, 2021
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.
Visible subtotal $1,517
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 184 | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | Holmes Murphy & Associates | 177 | $1,517 10.5% of $14,380 |
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 $33,237
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Independence Administrators | Administration | $14,578 | $77.96 |
| Fairmont Benefits Inc | Broker Fee | $12,710 | $67.97 |
| Benecon Group | Coop Management Fee | $5,949 | $31.81 |