Employer
Henkels & Mccoy Group, Inc.
985 Jolly Road, Blue Bell, PA 19422 · EIN 81-0888039 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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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 $482,477
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pa | Assured Partners (Central Pa) | 210 | $124,287 76.7% of $162,113 |
| Vision | Eyemed Vision Care | Crawford Advisors, An Assured Partn | 377 | $1,917 8.0% of $23,937 |
| Life | Hartford Life And Accident | Assured Partners (Central Pa) | 280 | $35,693 52.1% of $68,515 |
| Dental | Delta Dental Of Pennsylvania | Assured Partners (Central Pa) | 210 | $124,287 76.7% of $162,113 |
| Vision | Eyemed Vision Care | Crawford Advisors, An Assured Partn | 2141 | $10,863 8.0% of $135,644 |
| Life | Hartford Life And Accident | Assured Partners (Central Pa) | 1590 | $185,430 15.8% of $1,170,279 |
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 $903,772
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Independence Blue Cross | Plan Administration | $133,558 | $354.27 |
| Independence Blue Cross | Plan Administration | $757,134 | $353.64 |
| Delta Dental Of Pa | Plan Administration | $13,080 | $6.11 |