Employer
Hydroworx International, Inc.
1420 Stoneridge Drive, Suite C, Middletown, PA 17057 · EIN 25-1752003 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $20,232
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $89,038 |
| Medical | Highmark Inc. | The Benecon Group, Inc. | 100 | $20,232 2.5% of $795,893 |
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 $-2,352
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $1,388 | $13.88 |
| Benefit Connections | Broker | $1,230 | $12.30 |
| Meritain Health, An Aetna Company | Admin | $-4,970 | $-49.70 |