Employer
Millennium Circuits Limited
7703 Derry Street, Harrisburg, PA 17111 · EIN 20-2335323 · 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.
Visible subtotal $1,704
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 14 | Comp not disclosed Premium $166,499 |
| Dental | Delta Dental Of Pennsylvania | Epic Insurance Brokers (Central Pa) | 37 | $1,100 10.0% of $11,001 |
| Vision | Highmark Blue Shield (Central) | Floyd, Philip Brian | 28 | $91 3.9% of $2,322 |
| Vision | Highmark Blue Shield (Central) | The Benecon Group, Inc. | 28 | $45 1.9% of $2,322 |
| Life | Unum Life Insurance Company Of America | Edgewood Partners Insurance Ce | 21 | $468 10.8% of $4,352 |
| Life | Unum Life Insurance Company Of America | Edgewood Partners Insurance Ce | 21 | Comp not disclosed Premium $4,352 |
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 $24,770
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Epic Insurance Brokers (Central Pa) | Broker | $12,775 | $345.27 |
| The Benecon Group | Broker | $12,037 | $325.32 |
| Capital Bluecross | Admin | $-42 | $-1.14 |