Employer
Keystone Independence Management
3056 East State Street, Hermitage, PA 16148 · EIN 25-1876726 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 29 | Comp not disclosed Premium $189,172 |
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 $50,657
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $36,603 | $1,109.18 |
| Highstreet Insurance Services | Broker | $9,300 | $281.82 |
| Meritain Health, An Aetna Company | Admin | $4,754 | $144.06 |