Employer
Lincoln Manufacturing, Inc.
198 Meadowlands Blvd., Washington, PA 15301 · EIN 51-0480851 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $5,399
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 73 | Comp not disclosed Premium $386,546 |
| Dental + Vision | Aetna Life Insurance Co. | — | 175 | Schedule A not provided |
| Life | Dearborn Life Insurance Company | Stalwart Insurance LLC | 62 | $2,013 11.3% of $17,741 |
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 $74,776
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Stalwart Insurance LLC | Broker | $17,974 | $102.71 |
| The Benecon Group, LLC | Broker | $15,498 | $88.56 |
| The Health Plan | Admin | $36,925 | $211.00 |
| ConnectCare3 | Patient Advocate | $4,379 | $25.02 |