Employer
Isimac Machine Company, Inc.
321 June Avenue, Po Box 259, Blandon, PA 19510 · EIN 23-1655693 · Jul 1, 2020 to Jun 30, 2021
Plan year 2020
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $88,200 |
| Dental | Aetna | — | — | Schedule A not provided |
| Life | Madison National Life Insurance Company | — | — | Schedule A not provided |
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 $32,317
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Power Kunkle Group Inc. | Broker | $11,237 | $200.66 |
| The Benecon Group, LLC | Broker | $9,237 | $164.95 |
| Highmark | Admin | $10,461 | $186.80 |
| Connectcare 3 | Patient Advocate | $1,382 | $24.68 |