Employer
Dja Inspection Services, Inc.
9 Glenview Avenue, Oil City, PA 16301 · EIN 25-1637128 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 22 | Comp not disclosed Premium $77,471 |
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 $16,317
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $19,363 | $645.43 |
| First National Insurance Agency | Broker | $8,250 | $275.00 |
| Highmark West | Admin | $-11,296 | $-376.53 |