Employer
Ejb Motors, Inc.
6271 Carlisle Pike, Mechanicsburg, PA 17050 · EIN 25-1790069 · Nov 1, 2024 to Oct 31, 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 $7,075
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | 25 | Comp not disclosed Premium $199,095 |
| Life | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 34 | $1,592 23.3% of $6,842 |
| Other | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 34 | $2,461 20.9% of $11,783 |
| Other | United Of Omaha Life Insurance Company | Gunn Mowery, LLC | 34 | $3,022 20.5% of $14,771 |
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 $44,449
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $15,397 | $233.29 |
| Gunn-Mowery | Broker | $14,186 | $214.94 |
| Highmark Blue Shield (Central) | Admin | $12,856 | $194.79 |
| Connectcare 3 | Patient Advocate | $2,010 | $30.45 |