Employer
Glassmere Fuel Service
P. O. Box 187, Curtisville, PA 15032 · EIN 25-1506183 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
View
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 | Everest Reinsurance Company | — | 97 | Comp not disclosed Premium $367,590 |
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 $62,102
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Henderson Brothers Inc. | Broker | $27,725 | $285.82 |
| The Benecon Group, LLC | Broker | $20,626 | $212.64 |
| Meritain Health, An Aetna Company | Admin | $7,929 | $81.74 |
| ConnectCare3 | Patient Advocate | $5,822 | $60.02 |