Employer
John Evans' Sons LLC
Po Box 885, Lansdale, PA 19446 · EIN 88-1012146 · Dec 1, 2024 to Dec 31, 2024
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 $1,666
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optumhealth | — | 55 | Comp not disclosed Premium $34,450 |
| Dental | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 79 | $853 30.4% of $2,805 |
| Life | Oneamerica | — | 72 | Schedule A not provided |
| Life | Oneamerica | — | 72 | Schedule A not provided |
| Life | Oneamerica | — | 72 | Schedule A not provided |
| Life | Oneamerica | — | 72 | 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 $4,023
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Onedigital (Philadelphia) | Broker | $2,145 | $27.15 |
| The Benecon Group | Broker | $1,088 | $13.77 |
| Meritain Health, An Aetna Company | Admin | $498 | $6.30 |
| Connectcare 3 | Patient Advocate | $292 | $3.70 |