Employer
Guardian Healthcare Home Office I, LLC
1308 Main Street, Brockway, PA 15824 · EIN 25-1853053 · 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.
Visible subtotal $104,446
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Highmark Life Insurance Company | Reschini Agency., Inc. | 130 | Comp not disclosed Premium $60,625 |
| Stop-loss | Highmark Life Insurance Company | — | 36 | Comp not disclosed Premium $16,104 |
| Medical | Highmark, Inc. | — | 675 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 794 | Comp not disclosed |
| Vision | Metropolitan Life Insurance Company | Reschini Agency., Inc. | 816 | Comp not disclosed Premium $92,123 |
| Life | Reliastar Life Insurance Company | Reschini Agency., Inc. | 477 | $17,407 8.4% of $206,682 |
| Life | Reliastar Life Insurance Company | The Mcclain Group, LLC | 477 | $5,879 2.8% of $206,682 |
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 $53,457
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark, Inc. | Insurance Carrier | $53,457 | $62.60 |