Employer
Mct Management, LLC
4511 Falmer Drive, Bethlehem, PA 18020 · EIN 86-3440595 · Dec 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $194
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 70 | Comp not disclosed Premium $10,618 |
| Dental + Vision | Capital Advantage Assurance Company | Bsi Corporate Benefits, Inc. | 47 | $161 9.5% of $1,698 |
| Life | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 38 | $33 10.0% of $329 |
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 $5,154
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Bsi Corporate Benefits | Broker | $2,074 | $29.63 |
| The Benecon Group | Broker | $832 | $11.89 |
| Hy Holdings Inc | Broker | $158 | $2.26 |
| Capital Bluecross | Carrier | $1,908 | $27.26 |
| ConnectCare3 | Patient Advocate | $182 | $2.60 |