Employer
Marstellar Holding Company
2011 State Road, Duncannon, PA 17020 · EIN 47-2153092 · Jul 1, 2023 to Jun 30, 2024
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 $2,331
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 28 | Comp not disclosed Premium $180,690 |
| Dental | United Concordia Insurance Company | Pci Insurance Agency | 27 | $1,199 10.0% of $11,942 |
| Dental | United Concordia Insurance Company | Pci Insurance Agency | 10 | $586 12.6% of $4,667 |
| Vision | Davis Vision | Pci Insurance Agency | 29 | $546 20.1% of $2,723 |
| Other | The Guardian Life Insurance Company | — | — | Schedule A not provided |
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 $23,164
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $9,529 | $297.78 |
| E. K. Mcconkey & Co., Inc. | Broker | $9,375 | $292.97 |
| Capital Blue Cross | Admin | $2,250 | $70.31 |
| Connectcare 3 | Patient Advocate | $2,010 | $62.81 |