Employer
Jvi Group, Inc.
7051 Old Harrisburg Road, York Springs, PA 17372 · EIN 82-4060434 · May 1, 2024 to Mar 31, 2025
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 $9,583
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Companies, Inc. | Mather & Stohl Administrative Servi | 188 | $7,790 14.2% of $54,859 |
| Dental | United Concordia Companies, Inc. | Mcconkey Benefits & Financial Servi | 188 | $1,151 2.1% of $54,859 |
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Servi | 101 | $642 8.0% of $8,020 |
| Stop-loss | Avalon Insurance Company | — | 108 | Comp not disclosed Premium $367,988 |
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 $19,952
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| E. K. Mcconkey & Co., Inc. | Broker | $36,163 | $334.84 |
| The Benecon Group | Broker | $1,247 | $11.55 |
| Benefitmall | Admin | $7,482 | $69.28 |
| Capital Blue Cross | Admin | $-24,940 | $-230.93 |