Employer
Mgs, Inc.
178 Muddy Creek Church Road, Denver, PA 17517 · EIN 23-1605766 · Dec 1, 2023 to Nov 30, 2024
Plan year 2023
Covered lives: 172
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 $13,154
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 135 | Comp not disclosed Premium $584,110 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Engle Hambright & Davies, Inc. | 172 | $9,245 10.3% of $90,099 |
| Dental + Vision | Sun Life Assurance Company Of Canada | James R Nelligan & Associates LLC | 172 | $2,959 3.3% of $90,099 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Essa Advisory Services LLC | 172 | $449 0.5% of $90,099 |
| Vision | Davis Vision | Pci Insurance | 105 | $501 20.6% of $2,429 |
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 $80,857
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc. | Broker | $43,775 | $254.51 |
| The Benecon Group | Broker | $27,261 | $158.49 |
| Connectcare 3 | Patient Advocate | $9,362 | $54.43 |
| Capital Blue Cross | Admin | $459 | $2.67 |