Employer
Keystone Service Systems, Inc.
4391 Sturbridge Dr., Harrisburg, PA 17110 · EIN 23-1915567 · Jul 1, 2024 to Jun 30, 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 $500,012
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Alliant Insurance Services, Inc. | 1531 | $259,162 15.0% of $1,727,748 |
| Medical | Highmark, Inc. | Alliant Insurance Services, Inc. | 2489 | $240,850 28.1% of $857,737 |
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 $17,626
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark, Inc. | Contract Administator | $17,626 | $7.08 |