Employer
Keystone Rural Health Consortia, Inc.
90 East Second Street, Emporium, PA 15834 · EIN 25-1299837 · Apr 1, 2022 to Mar 31, 2023
Plan year 2022
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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 | Everest Reinsurance Company | — | 52 | Comp not disclosed Premium $76,491 |
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 $12,516
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $5,671 | $103.11 |
| St. Mary'S Insurance Agency, Inc. | Broker | $4,236 | $77.02 |
| Meritain Health | Admin | $2,053 | $37.33 |
| Connectcare 3 | Patient Advocate | $556 | $10.11 |