Employer
Jsl Mechanical, Inc.
2760 N. Reading Road, Reinholds, PA 17569 · EIN 26-1305737 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 40
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 $1,154
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 20 | Comp not disclosed Premium $15,299 |
| Dental | Delta Dental Of Pennsylvania | Harding-Yost Insurance | 40 | $1,154 10.1% of $11,374 |
| Vision | Vision Service Plan | — | — | Schedule A not provided |
| Life | American United Life Insurance Company | — | — | Schedule A not provided |
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 22 | Comp not disclosed Premium $108,311 |
| Dental | Delta Dental Of Pennsylvania | — | — | Schedule A not provided |
| Vision | Vision Service Plan | — | — | Schedule A not provided |
| Life | American United 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 $18,248
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Harding-Yost Insurance Associates | Broker | $1,138 | $28.45 |
| The Benecon Group | Broker | $1,062 | $26.55 |
| Capital Bluecross | Admin | $240 | $6.00 |
| ConnectCare3 | Patient Advocate | $218 | $5.45 |
| The Benecon Group | Broker | $8,010 | $364.09 |
| Harding-Yost Insurance Associates | Broker | $7,580 | $344.55 |