Employer
Esbenshade, Inc.
220 Eby Chiques Road, Mount Joy, PA 17552 · EIN 26-3835385 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
Covered lives: 105
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 $5,183
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $3,883 |
| Stop-loss | Optumhealth | — | — | Comp not disclosed Premium $167,173 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Murray Insurance Associates, Inc | 105 | $5,183 13.9% of $37,301 |
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 $22,475
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $17,713 | $168.70 |
| Capital Blue Cross | Admin | $2,460 | $23.43 |
| Connectcare 3 | Patient Advocate | $2,302 | $21.92 |