Employer
Karns Prime & Fancy Food, Ltd.
675 Silver Spring Road, Mechanicsburg, PA 17050 · EIN 23-1930040 · Jan 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 $538
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 228 | Comp not disclosed Premium $622,956 |
| Dental | Sun Life Assurance Company Of Canada | — | — | Schedule A not provided |
| Vision | Vision Benefits Of America | Commonwealth Benefits Financial Gro | 180 | $362 3.4% of $10,764 |
| Vision | Vision Benefits Of America | Mpb Risk Services, LLC | 180 | $176 1.6% of $10,764 |
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 $61,605
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $36,201 | $104.93 |
| Commonwealth Financial Group | Broker | $28,395 | $82.30 |
| Mpb Risk Services, LLC | Broker | $13,980 | $40.52 |
| Connectcare3 LLC | Patient Advocate | $12,594 | $36.50 |
| Capital Bluecross | Admin | $-29,565 | $-85.70 |