Employer
Lift, Inc.
3745 Hempland Road, Mountville, PA 17554 · EIN 23-2574915 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 425
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 $29,419
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | Mcconkey Benefits & Financial Serv | 297 | $2,144 5.0% of $42,883 |
| Life | New York Life Group Insurance Company Of Ny | Mcconkey Benefits & Financial Servi | 193 | $14,532 15.2% of $95,300 |
| Life | New York Life Group Insurance Company Of Ny | Benefitmall | 193 | $4,765 5.0% of $95,300 |
| Life | New York Life Group Insurance Company Of Ny | Mcconkey Benefits & Financial Servi | 423 | $412 8.7% of $4,739 |
| Life | New York Life Group Insurance Company Of Ny | Benefitmall | 423 | $237 5.0% of $4,739 |
| Other | New York Life Group Insurance Company Of Ny | Benefitmall | 423 | $4,723 5.0% of $94,460 |
| Other | New York Life Group Insurance Company Of Ny | Mcconkey Benefits & Financial Servi | 423 | $2,606 2.8% of $94,460 |
| Other | New York Life Group Insurance Company Of Ny | — | 425 | Comp not disclosed Premium $6,780 |
| EAP | Mazzitti & Sullivan | — | — | Schedule A not provided |
| Critical Illness, Accident | Cigna Life Insurance | — | — | Schedule A not provided |
| Stop-loss | Everest Reinsurance Company | — | 314 | Comp not disclosed Premium $257,511 |
| Stop-loss | Avalon Insurance Company | — | 351 | Comp not disclosed Premium $900,875 |
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 $137,203
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| United Concordia Companies, Inc. | Admin | $25,704 | $60.48 |
| Mcconkey Benefits & Financial Serv | Broker | $92,173 | $262.60 |
| The Benecon Group | Broker | $4,524 | $12.89 |
| Benefitmall | Admin | $23,680 | $67.46 |
| Highmark Blue Shield (Central) | Admin | $-8,878 | $-25.29 |