Employer
Info-Matrix Corporation
P.O. Box 187, Camp Hill, PA 17001 · EIN 25-1788570 · Jul 1, 2024 to Jun 30, 2025
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 $4,858
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 22 | Comp not disclosed Premium $150,379 |
| Dental | United Concordia Companies, Inc. | Mpb Risk Services, LLC | 50 | $2,021 10.0% of $20,211 |
| Vision | Capital Advantage Assurance Company | Mpb Risk Services, LLC | 46 | $136 4.0% of $3,411 |
| Life | Principal Life Insurance Company | Mpb Risk Services, LLC | 35 | $2,701 10.0% of $26,951 |
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 $20,945
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $9,731 | $194.62 |
| Mpb Risk Services, LLC | Broker | $7,803 | $156.06 |
| Capital Bluecross | Admin | $3,411 | $68.22 |