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Employer
3135 Schoenerville Rd, Bethlehem, PA 18017 · EIN 45-3480416 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $2,740
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 38 | Comp not disclosed Premium $229,276 |
| Dental | Delta Dental Of Pennsylvania | The Equinox Agency LLC | 70 | $2,480 10.0% of $24,802 |
| Vision | Highmark Inc. | Hughes, Shawn | 70 | $173 4.0% of $4,327 |
| Vision | Highmark Inc. | The Benecon Group, Inc. | 70 | $87 2.0% of $4,327 |
| Telemedicine | Teledoc | — | — | Schedule A not provided |
Schedule C
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 $39,268
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Bsi Corporate Benefits, LLC | Broker | $30,345 | $433.50 |
| The Benecon Group, LLC | Broker | $11,218 | $160.26 |
| Hy Holdings Inc | Admin | $2,672 | $38.17 |
| ConnectCare3 | Patient Advocate | $2,483 | $35.47 |
| Innovu | Other | $2,010 | $28.71 |
| Highmark Blue Shield (Central) | Admin | $-9,460 | $-135.14 |