Employer
Denver Cold Storage
555a Sandy Hill Road, Denver, PA 17517 · EIN 23-2354052 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 110
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 | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $707 |
| Stop-loss | Crum & Forster | — | 79 | Comp not disclosed Premium $572,033 |
| Dental | Delta Dental Of Pennsylvania | — | — | Schedule A not provided |
| Vision | Deltavision | — | — | Schedule A not provided |
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 $108,153
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $99,967 | $1,176.08 |
| Harding-Yost Insurance Associates | Broker | $20,122 | $236.73 |
| Revivehealth, Inc. | Admin | $12,974 | $152.64 |
| Capital Bluecross | Admin | $-24,910 | $-293.06 |