Employer
Emerald Payroll Company, LLC
3175 Oregon Pike, Leola, PA 17540 · EIN 83-1195833 · Apr 1, 2024 to Mar 31, 2025
Plan year 2024
Covered lives: 36
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 | — | 36 | Comp not disclosed Premium $268,820 |
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 $20,549
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies Inc. | Broker | $10,823 | $300.64 |
| The Benecon Group | Broker | $10,686 | $296.83 |
| ConnectCare3 | Patient Advocate | $1,943 | $53.97 |
| Highmark Blue Shield (Central) | Admin | $-2,903 | $-80.64 |