Employer
F&M Supply, Inc
2295 Molly Pitcher Highway South, Chambersburg, PA 17202 · EIN 20-8122588 · Jan 1, 2024 to Dec 31, 2024
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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 25 | Comp not disclosed Premium $66,440 |
| Dental | Delta Dental Of Pennsylvania | — | — | Schedule A not provided |
| Vision | National Vision Administrators | — | — | Schedule A not provided |
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 $17,189
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Strickler Agency, Inc. (Chambersbur | Broker | $8,490 | $339.60 |
| The Benecon Group, LLC | Broker | $7,137 | $285.48 |
| ConnectCare3 | Patient Advocate | $1,562 | $62.48 |