Employer
Lesher'S Poultry Farm, Inc.
1153 Swamp Fox Road, Chambersburg, PA 17202 · EIN 25-1486691 · Jul 1, 2021 to Jun 30, 2022
Plan year 2021
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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 | — | 25 | Comp not disclosed Premium $148,794 |
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 $55,109
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Strickler Agency Inc. | Broker | $8,484 | $326.31 |
| The Benecon Group | Broker | $7,205 | $277.12 |
| Coresource | Admin | $37,844 | $1,455.54 |
| Connectcare 3 | Patient Advocate | $1,576 | $60.62 |