Employer
Medical Guardian, LLC
1818 Market Street 12th Floor, Philadelphia, PA 19103 · EIN 20-3897037 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 | Sun Life Assurance Company | — | 342 | Comp not disclosed Premium $908,623 |
| Dental | Guardian Life Insurance Company | — | — | Schedule A not provided |
| Vision | Eyemed | — | — | 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 $169,149
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $80,492 | $235.36 |
| Patriot (Exude, Inc.) | Broker | $66,000 | $192.98 |
| Independence Administrators (Ia) | Admin | $22,657 | $66.25 |