Employer
Johnson, Duffie, Stewart & Weidner
301 Market Street, Lemoyne, PA 17043 · EIN 25-1802360 · Jun 1, 2023 to May 31, 2024
Plan year 2023
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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 $10,912
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 24 | Comp not disclosed Premium $154,518 |
| Medical | Principal Life Insurance Company | Gunn Mowery, LLC | 65 | $9,903 17.2% of $57,736 |
| Medical | Principal Life Insurance Company | Garry Lynn Johnson | 65 | $855 1.5% of $57,736 |
| Vision | National Vision Administrators LLC (Fsl) | Gunn Mowery, LLC | 62 | $154 5.0% of $3,085 |
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 $18,050
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gun-Mowery | Broker | $8,878 | $136.58 |
| The Benecon Group, LLC | Broker | $5,910 | $90.92 |
| Capital Bluecross | Admin | $1,902 | $29.26 |
| ConnectCare3 | Patient Advocate | $1,347 | $20.72 |
| Young, Oakes, Brown & Co | Admin | $13 | $0.20 |