Employer
Energy Transfer Solutions, LLC
1220 Ward Avenue, Suite 300, West Chester, PA 19380 · EIN 81-4380890 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $28,522
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 54 | Comp not disclosed Premium $246,124 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Digital Insurance, Inc. | 71 | $13,349 11.8% of $113,007 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 71 | $9,523 8.4% of $113,007 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Centro Benefits Research LLC | 71 | $2,976 2.6% of $113,007 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Onedigital Premier Services LLC | 71 | $2,674 2.4% of $113,007 |
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 $54,031
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Onedigital (Philadelphia) | Broker | $14,910 | $210.00 |
| The Benecon Group | Broker | $13,582 | $191.30 |
| Independence Administrators (Ia) | Admin | $21,702 | $305.66 |
| ConnectCare3 | Patient Advocate | $3,837 | $54.04 |