Employer
Jg Environmental LLC
202 Greenfield Rd, Lancaster, PA 17043 · EIN 32-0236877 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
View
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 $2,450
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 46 | Comp not disclosed Premium $190,235 |
| Dental + Vision | Capital Advantage Assurance Company | Engle, Hambright & Davies, Inc. | 62 | $2,450 9.1% of $26,803 |
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 $66,801
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle, Hambright & Davies, Inc | Broker | $18,452 | $297.61 |
| The Benecon Group, LLC | Broker | $13,070 | $210.81 |
| Capital Bluecross | Admin | $32,432 | $523.10 |
| ConnectCare3 | Patient Advocate | $2,847 | $45.92 |